Evaluating Intervention Fidelity: An Example from a High-Intensity Interval Training Study
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{"title"=>"Evaluating intervention fidelity: An example from a high-intensity interval training study", "type"=>"journal", "authors"=>[{"first_name"=>"Kathryn L.", "last_name"=>"Taylor", "scopus_author_id"=>"57190873092"}, {"first_name"=>"Matthew", "last_name"=>"Weston", "scopus_author_id"=>"15078795800"}, {"first_name"=>"Alan M.", "last_name"=>"Batterham", "scopus_author_id"=>"7003835593"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"604612170", "sgr"=>"84930680997", "issn"=>"19326203", "pmid"=>"25902066", "scopus"=>"2-s2.0-84930680997", "doi"=>"10.1371/journal.pone.0125166", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)"}, "id"=>"b203ca65-cfe5-3a01-bc2b-74dd1af4dbc3", "abstract"=>"AIM: Intervention fidelity refers to the degree to which an experimental manipulation has been implemented as intended, but simple, robust methods for quantifying fidelity have not been well documented. Therefore, we aim to illustrate a rigorous quantitative evaluation of intervention fidelity, using data collected during a high-intensity interval training intervention.\\n\\nDESIGN: Single-group measurement study.\\n\\nMETHODS: Seventeen adolescents (mean age ± standard deviation [SD] 14.0 ± 0.3 years) attended a 10-week high-intensity interval training intervention, comprising two exercise sessions per week. Sessions consisted of 4-7 45-s maximal effort repetitions, interspersed with 90-s rest. We collected heart rate data at 5-s intervals and recorded the peak heart rate for each repetition. The high-intensity exercise criterion was ≥90% of individual maximal heart rate. For each participant, we calculated the proportion of total exercise repetitions exceeding this threshold. A linear mixed model was applied to properly separate the variability in peak heart rate between- and within-subjects. Results are presented both as intention to treat (including missed sessions) and per protocol (only participants with 100% attendance; n=8).\\n\\nRESULTS: For intention to treat, the median (interquartile range) proportion of repetitions meeting the high-intensity criterion was 58% (42% to 68%). The mean peak heart rate was 85% of maximal, with a between-subject SD of 7.8 (95% confidence interval 5.4 to 11.3) percentage points and a within-subject SD of 15.1 (14.6 to 15.6) percentage points. For the per protocol analysis, the median proportion of high-intensity repetitions was 68% (47% to 86%). The mean peak heart rate was 91% of maximal, with between- and within-subject SDs of 3.1 (-1.3 to 4.6) and 3.4 (3.2 to 3.6) percentage points, respectively.\\n\\nCONCLUSIONS: Synthesising information on exercise session attendance and compliance (exercise intensity) quantifies the intervention dose and informs evaluations of treatment fidelity.", "link"=>"http://www.mendeley.com/research/evaluating-intervention-fidelity-example-highintensity-interval-training-study", "reader_count"=>29, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Student > Doctoral Student"=>1, "Researcher"=>1, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>4, "Other"=>3, "Student > Master"=>4, "Student > Bachelor"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Student > Doctoral Student"=>1, "Researcher"=>1, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>4, "Other"=>3, "Student > Master"=>4, "Student > Bachelor"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Medicine and Dentistry"=>8, "Agricultural and Biological Sciences"=>2, "Sports and Recreations"=>13, "Psychology"=>3, "Social Sciences"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>8}, "Social Sciences"=>{"Social Sciences"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>13}, "Psychology"=>{"Psychology"=>3}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Unspecified"=>{"Unspecified"=>1}}, "reader_count_by_country"=>{"United Kingdom"=>1}, "group_count"=>5}

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  • {"files"=>["https://ndownloader.figshare.com/files/2036315"], "description"=>"<div><p>Aim</p><p>Intervention fidelity refers to the degree to which an experimental manipulation has been implemented as intended, but simple, robust methods for quantifying fidelity have not been well documented. Therefore, we aim to illustrate a rigorous quantitative evaluation of intervention fidelity, using data collected during a high-intensity interval training intervention.</p><p>Design</p><p>Single-group measurement study.</p><p>Methods</p><p>Seventeen adolescents (mean age ± standard deviation [SD] 14.0 ± 0.3 years) attended a 10-week high-intensity interval training intervention, comprising two exercise sessions per week. Sessions consisted of 4-7 45-s maximal effort repetitions, interspersed with 90-s rest. We collected heart rate data at 5-s intervals and recorded the peak heart rate for each repetition. The high-intensity exercise criterion was ≥90% of individual maximal heart rate. For each participant, we calculated the proportion of total exercise repetitions exceeding this threshold. A linear mixed model was applied to properly separate the variability in peak heart rate between- and within-subjects. Results are presented both as intention to treat (including missed sessions) and per protocol (only participants with 100% attendance; n=8).</p><p>Results</p><p>For intention to treat, the median (interquartile range) proportion of repetitions meeting the high-intensity criterion was 58% (42% to 68%). The mean peak heart rate was 85% of maximal, with a between-subject SD of 7.8 (95% confidence interval 5.4 to 11.3) percentage points and a within-subject SD of 15.1 (14.6 to 15.6) percentage points. For the per protocol analysis, the median proportion of high-intensity repetitions was 68% (47% to 86%). The mean peak heart rate was 91% of maximal, with between- and within-subject SDs of 3.1 (-1.3 to 4.6) and 3.4 (3.2 to 3.6) percentage points, respectively.</p><p>Conclusions</p><p>Synthesising information on exercise session attendance and compliance (exercise intensity) quantifies the intervention dose and informs evaluations of treatment fidelity.</p></div>", "links"=>[], "tags"=>["repetitions meeting", "proportion", "effort repetitions", "protocol analysis", "exercise criterion", "Intervention Fidelity", "treatment fidelity", "exercise intensity", "exercise sessions", "exercise session attendance", "intervention dose", "quantifying fidelity", "exercise repetitions", "interval training intervention", "percentage", "peak heart rate", "sd", "heart rate data", "heart rate", "interquartile range", "respectively.ConclusionsSynthesising information"], "article_id"=>1391712, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Kathryn L. Taylor", "Matthew Weston", "Alan M. Batterham"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0125166", "stats"=>{"downloads"=>3, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Evaluating_Intervention_Fidelity_An_Example_from_a_High_Intensity_Interval_Training_Study_/1391712", "title"=>"Evaluating Intervention Fidelity: An Example from a High-Intensity Interval Training Study", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-04-22 04:28:03"}
  • {"files"=>["https://ndownloader.figshare.com/files/2036312"], "description"=>"<p>▲ <b>represent the PP data; ◇ represent the ITT data; ── indicates our threshold for high-intensity [90%HRmax]. Error bars have been omitted for figure clarity.</b></p>", "links"=>[], "tags"=>["repetitions meeting", "proportion", "effort repetitions", "protocol analysis", "exercise criterion", "Intervention Fidelity", "treatment fidelity", "exercise intensity", "exercise sessions", "exercise session attendance", "intervention dose", "quantifying fidelity", "exercise repetitions", "interval training intervention", "percentage", "peak heart rate", "sd", "heart rate data", "heart rate", "interquartile range", "respectively.ConclusionsSynthesising information"], "article_id"=>1391709, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Kathryn L. Taylor", "Matthew Weston", "Alan M. Batterham"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0125166.g001", "stats"=>{"downloads"=>2, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Repetition_mean_peak_heart_rates_during_the_high_intensity_interval_training_sessions_/1391709", "title"=>"Repetition mean peak heart rates during the high-intensity interval training sessions.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-04-22 04:28:03"}

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Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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