Implementation fidelity of a nurse-led falls prevention program in acute hospitals during the 6-PACK trial.

ABSTRACT:

Background

When tested in a randomized controlled trial (RCT) of 31,411 patients, the nurse-led 6-PACK falls prevention program did not reduce falls. Poor implementation fidelity (i.e., program not implemented as intended) may explain this result. Despite repeated calls for the examination of implementation fidelity as an essential component of evaluating interventions designed to improve the delivery of care, it has been neglected in prior falls prevention studies. This study examined implementation fidelity of the 6-PACK program during a large multi-site RCT.

Methods

Based on the 6-PACK implementation framework and intervention description, implementation fidelity was examined by quantifying adherence to program components and organizational support. Adherence indicators w

SUBMITTER: Morello RT 

PROVIDER: S-EPMC5455084 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature