Intervention fidelity monitoring of Urban Zen Integrative Therapy (UZIT) for persons with pulmonary hypertension
| Autor: | Maryanna Klatt, Linda L. Chlan, Annette DeVito Dabbs, Mary Beth Happ, Tadsaung Tania Von Visger, Susan E. Thrane |
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| Rok vydání: | 2018 |
| Předmět: |
Complementary and Manual Therapy
Complementary Therapies Male medicine.medical_specialty media_common.quotation_subject Hypertension Pulmonary Psychological intervention Pilot Projects Audit Reiki Body awareness 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Oils Volatile Medicine Humans 030212 general & internal medicine Meditation media_common Advanced and Specialized Nursing Medical Audit business.industry Mind-Body Therapies Body movement medicine.disease Pulmonary hypertension Complementary and alternative medicine Physical therapy Female business Delivery of Health Care 030217 neurology & neurosurgery |
| Zdroj: | Complementary therapies in medicine. 45 |
| ISSN: | 1873-6963 |
| Popis: | Background Systematic and consistent dose delivery is critical in intervention research. Few studies testing complementary health approach (CHA) interventions describe intervention fidelity monitoring (IFM) and measurement. Objective To describe methodological processes in establishing and measuring consistent dose, delivery, and duration of a multi-component CHA intervention. Methods Adults with pulmonary hypertension received six weekly, 1-hour Urban Zen Integrative Therapy (UZIT) sessions. A total of 78 sessions were delivered and 33% of these sessions were audited. Intervention dose (time allocated to each component), intervention consistency (protocol adherence audits), and intervention delivery (performance and sequence of components) were captured using remote video observation and review of the recorded video. IFM audits were performed at the beginning (n = 16), middle (n = 5), and end (n = 5) of the study. Results UZIT interventionists adhered to the intervention protocol (99.3%) throughout the study period. Interventionists delivered UZIT components within the prescribed timeframe: 1) Beginning: gentle body movement (18.9 ± 5.8 min.), restorative pose with guided body awareness meditation (21.3 ± 2.7 min.), and Reiki (22.8 ± 3.1 min.); 2) Middle: gentle body movement (15.9 ± 1.5 min.), pose/body awareness meditation (30.1 ± 6.5 min.), and Reiki (30.1 ± 7.0 min.); 3) End: gentle body movement (18.1 ± 3.6 min.), pose/body awareness meditation (35.3 ± 6.4 min.), and Reiki (34.5 ± 7.0 min.). Essential oil inhalation was delivered during UZIT sessions 100% of the time. Interventionists adhered to treatment delivery behaviors throughout the study period: beginning (98.86%), middle (100%), and end (100%). Discussion In this pilot study, we demonstrated that the dose, consistency, and delivery of multi-component CHA therapy can be standardized and monitored to ensure intervention fidelity. |
| Databáze: | OpenAIRE |
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