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Jeff David Breckon, Lynne Halley Johnston, and Andrew Hutchison

Background:

Physical activity (PA) counseling is becoming commonplace in primary care settings, although there is a high degree of variation in the quality and quantity of this intervention. The purpose of this review was to examine the theory on which the intervention is based and the level of treatment fidelity applied at all stages of the intervention.

Methods:

A systematic review was carried out for interventions that reported an element of PA counseling. Results were mapped according to a treatment fidelity framework of intervention design, training, delivery, receipt, and enactment.

Results:

Most studies were underpinned by the transtheoretical model. Few studies described the frequency or duration of PA counseling training or competence level of the interventionist. The most common outcome measures were behavioral and physiological, with few studies including a cognitive outcome measure.

Conclusions:

Most research focuses on outcome and significance rather than intervention processes, with limited consideration of treatment fidelity. The design, training, delivery, and receipt of PA counseling should be reported more thoroughly.

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Ernesto Pacheco, Diana P. Hoyos, Willinton J. Watts, Lucía Lema, and Carlos M. Arango

The objectives of the study were to describe the feasibility of an intervention in older women based on folk dances of the Colombian Caribbean region, and to analyze the effects of the intervention on physical fitness and health-related quality of life (HRQoL). A pilot study was conducted in a sample of 27 participants, 15 in the intervention group (IG) and 12 in the comparison group (CG). Caribbean Colombian dance rhythms were introduced as an intervention that lasted 12 weeks. Recruitment and retention was not optimal. Treatment fidelity components indicated that intervention was administered as intended. IG participants showed positive and statistically significant changes in some components of physical fitness. No significant changes were observed in HRQoL indicators for either group. In conclusion, the intervention was feasible, but recruitment and retention was challenging. Folk dances of the Colombian Caribbean region provoked significant results in physical fitness but not in HRQoL.

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Marina Arkkukangas, Anne Söderlund, Staffan Eriksson, and Ann-Christin Johansson

’s needs via MI. Exercise adherence was monitored using an exercise diary filled in by the participants and was followed up every month over 12 months by the responsible PT. The home visits were calculated to take approximately 1 hr regardless of which group the individual belonged to. Treatment Fidelity

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Colin B. Shore, Gill Hubbard, Trish Gorely, Robert Polson, Angus Hunter, and Stuart D. Galloway

, Orwig D , et al . Treatment fidelity in behaviour change research: a case example . Nurs Res . 2005 ; 54 ( 2 ): 139 – 143 . PubMed ID: 15778656 doi:10.1097/00006199-200503000-00010 10.1097/00006199-200503000-00010

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Karin Moesch, Andreas Ivarsson, and Urban Johnson

acceptance and identifying life values. Treatment Fidelity Treatment fidelity is an important aspect of intervention research ( Bellg et al., 2004 ). For the purpose of this study, a detailed script for each session was written for the practitioner to follow during the sessions. A checklist was prepared

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Jihyun Lee, Seung Ho Chang, and Jerred Jolin

levels could follow. Data Analyses Interrater reliability between two trained observers was established at over 85% for both the social skills and the object control skills that were videotaped during the pre and posttests. Treatment fidelity was checked by two trained observers who were not

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Rory J. Mack, Jeff D. Breckon, Paul D. O’Halloran, and Joanne Butt

.1037/0022-006X.75.6.842 10.1037/0022-006X.75.6.842 Behncke , L. ( 2004 ). Mental skills training for sports : A brief review . Online Journal of Sport Psychology, 6 ( 1 ), 1 – 19 . Bellg , A.J. , Borrelli , B. , Resnick , B. , Hecht , J. , Minicucci , D.S. , Ory , M. , … Treatment Fidelity

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Barbara Resnick, Marie Boltz, Elizabeth Galik, and Shijun Zhu

occurred 5–12 months post implementation of the intervention). For descriptive purposes, the reasons for transfers and admissions were also collected. Treatment fidelity of the intervention was evaluated based on delivery of the stakeholder meetings, completion of the environment and policy assessments

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Luciana L.S. Barboza, Heike Schmitz, Julian Tejada, Ellen Caroline M. Silva, Advanusia S.S. Oliveira, Luís B. Sardinha, and Danilo R. Silva

B , et al . Treatment Fidelity Workgroup of the NIH Behavior Change Consortium. Enhancing treatment fidelity in health behavior change studies: best practices and recommendations from the NIH Behavior Change Consortium . Health Psychol . 2004 ; 23 ( 5 ): 443 – 451 . PubMed ID: 15367063 doi:10

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Yi-Ling Hu, Marian Keglovits, Emily Somerville, Makenna Snyder, and Susan Stark

, the adherence rate was high compared to adherence in other studies for underserved populations ( Stineman et al., 2011 ). Treatment fidelity was not reported by other LiFE adaptation studies. The acceptability of the DO LiFE program was high, consistent with other studies ( Burton et al., 2014