Vivian H Lyons1,2, Lina R Benson3, Elizabeth Griffin2, Anthony S Floyd2,3, Sharon W Kiche2, Kevin P Haggerty2,4,5, Lauren Whiteside2,6, Sarah Conover7,8, Daniel B Herman7,8, Frederick P Rivara1,2,9, Ali Rowhani-Rahbar1,2. 1. Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA. 2. Firearm Injury & Policy Research Program, Harborview Injury Prevention & Research Center, University of Washington, Seattle, WA. 3. The Alcohol & Drug Abuse Institute, University of Washington, Seattle, WA. 4. School of Social Work, University of Washington, Seattle, WA. 5. Social Development Research Group, University of Washington, Seattle, WA. 6. Department of Emergency Medicine, University of Washington, Seattle, WA. 7. Center for the Advancement of Critical Time Intervention, Hunter College, NY. 8. Silberman School of Social Work, Hunter College, NY. 9. Department of Pediatrics, School of Medicine, University of Washington, Seattle, WA.
Abstract
PURPOSE: To support future development and refinement of social work-led intervention programs among patients with firearm injuries and to demonstrate how a fidelity assessment can be used to adjust and refine intervention delivery in an ongoing trial. METHODS: We conducted a fidelity assessment of a randomized controlled trial of a social work-led intervention among patients with a firearm injury. RESULTS: We found that our study intervention was well implemented, meeting 70% of the fidelity assessment score items, however noted lower fidelity with client-based items. DISCUSSION: As a result of fidelity assessment findings, we refined intervention delivery to improve implementation fidelity including beginning to review cases of all patients each month, rather than focusing on patients in crisis. Our fidelity assessment process and findings offer insight into the challenges of implementing an intervention among patients with firearm injuries and highlights the value of monitoring intervention fidelity during an ongoing trial.
PURPOSE: To support future development and refinement of social work-led intervention programs among patients with firearm injuries and to demonstrate how a fidelity assessment can be used to adjust and refine intervention delivery in an ongoing trial. METHODS: We conducted a fidelity assessment of a randomized controlled trial of a social work-led intervention among patients with a firearm injury. RESULTS: We found that our study intervention was well implemented, meeting 70% of the fidelity assessment score items, however noted lower fidelity with client-based items. DISCUSSION: As a result of fidelity assessment findings, we refined intervention delivery to improve implementation fidelity including beginning to review cases of all patients each month, rather than focusing on patients in crisis. Our fidelity assessment process and findings offer insight into the challenges of implementing an intervention among patients with firearm injuries and highlights the value of monitoring intervention fidelity during an ongoing trial.
Entities:
Keywords:
critical time intervention; fidelity assessment; firearm injury; social work intervention
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