Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review
Open accessAbstract
BACKGROUND: The American Behaviour Change Consortium (BCC) framework acknowledges patients as active participants and supports the need to investigate the fidelity with which they receive interventions, i.e. receipt. According to this framework, addressing receipt consists in using strategies to assess or enhance participants' understanding and/or performance of intervention skills. This systematic review aims to establish the frequency with which receipt is addressed as defined in the BCC framework in health research, and to describe the methods used in papers informed by the BCC framework and in the wider literature. METHODS: A forward citation search on papers presenting the BCC framework was performed to determine the frequency with which receipt as defined in this framework was addressed. A second electronic database search, including search terms pertaining to fidelity, receipt, health and process evaluations was performed to identify papers reporting on receipt in the wider literature and irrespective of the framework used. These results were combined with forward citation search results to review methods to assess receipt. Eligibility criteria and data extraction forms were developed and applied to papers. Results are described in a narrative synthesis. RESULTS: 19.6% of 33 studies identified from the forward citation search to report on fidelity were found to address receipt. In 60.6% of these, receipt was assessed in relation to understanding and in 42.4% in relation to performance of skill. Strategies to enhance these were present in 12.1% and 21.1% of studies, respectively. Fifty-five studies were included in the review of the wider literature. Several frameworks and operationalisations of receipt were reported, but the latter were not always consistent with the guiding framework. Receipt was most frequently operationalised in relation to intervention content (16.4%), satisfaction (14.5%), engagement (14.5%), and attendance (14.5%). The majority of studies (90.0%) included subjective assessments of receipt. These relied on quantitative (76.0%) rather than qualitative (42.0%) methods and studies collected data on intervention recipients (50.0%), intervention deliverers (28.0%), or both (22.0%). Few studies (26.0%) reported on the reliability or validity of methods used. CONCLUSIONS: Receipt is infrequently addressed in health research and improvements to methods of assessment and reporting are required.
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Summer Migrant Students Learn Healthy Choices Through Videography
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Pilot Study of a Statewide Initiative to Enhance Depression Care Among Older Home Care Patients
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Self-citationThe Handbook of Behavior Change
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Changing Behavior Using the Theory of Planned Behavior
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Changing Behavior Using the Model of Action Phases
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Developing quality fidelity and engagement measures for complex health interventions
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Changing Behavior Using the Health Action Process Approach
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Changing Behavior Using Social Cognitive Theory
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Changing Behavior Using Ecological Models
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Changing Behavior Using Self-Determination Theory
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Planning and Implementation Intention Interventions
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Attitudes and Persuasive Communication Interventions
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Changing Behavior Using Habit Theory
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Examining fidelity in the INFORM trial: a complex team-based behavioral intervention
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Establishing Fidelity of Occupational Performance Coaching
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Changing Behavior: A Theory- and Evidence-Based Approach
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Self-citationChanging Behavior Using Integrated Theories
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Changing Behavior Using the Transtheoretical Model
DiClemente, C. C., & Graydon, M. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.010 · Cited by 33 · see citing works
Changing Behavior Using the Health Belief Model and Protection Motivation Theory
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Changing Behavior by Changing Environments
Marteau, T. M., Fletcher, P. C., Hollands, G. J., & Munafo, M. R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.014 · Cited by 31 · see citing works
Using Technology to Facilitate Fidelity Assessments: The Tele-STAR Caregiver Intervention
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Design, Implementation, and Evaluation of Behavior Change Interventions: A Ten-Task Guide
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Changing Behavior Using the Reflective-Impulsive Model
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Dyadic Behavior Change Interventions
Scholz, U., Berli, C., Lüscher, J., & Knoll, N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.043 · Cited by 25 · see citing works
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Developing Behavior Change Interventions
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Imagery, Visualization, and Mental Simulation Interventions
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Changing Behavior Using the Common-Sense Model of Self-Regulation
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Engagement of Stakeholders in the Design, Evaluation, and Implementation of Complex Interventions
Hudson, J. L., Moon, Z., Hughes, L. D., & Moss-Morris, R. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.024 · Cited by 20 · see citing works
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James, J., Hardeman, W., Goodall, M., Eborall, H., Sprung, V. S., Bonnett, L. J., & Wilding, J. P. H. (2021) · Physiotherapy · doi:10.1016/j.physio.2021.10.002 · Cited by 22 · see citing works
Assessing the scalability of innovations in primary care: a cross-sectional study
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Changing Behavior Using Social Identity Processes
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Fidelity is fundamental: intervention predictors in advance care plans in terminal cancer
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Critical and Qualitative Approaches to Behavior Change
Chamberlain, K., & Lyons, A. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.030 · Cited by 13 · see citing works
Fidelity Assessment Checklist Development for Community Nursing Research in Early Childhood
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Fidelity in workplace mental health intervention research: A narrative review
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Maximizing User Engagement with Behavior Change Interventions
Yardley, L., Morrison, L. G., Müller, I., & Bradbury, K. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.025 · Cited by 11 · see citing works
Developing an implementation fidelity checklist for a vocational rehabilitation intervention
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The Science of Behavior Change: The Road Ahead
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How Has Intervention Fidelity Been Assessed in Smoking Cessation Interventions? A Systematic Review
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Autonomy-Supportive Interventions
Reeve, J., & Cheon, S. H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.035 · Cited by 13 · see citing works
Implementation Science and Translation in Behavior Change
Łuszczyńska, A., Łobczowska, K., & Horodyska, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.023 · Cited by 9 · see citing works
Scott, K., Sakzewski, L., Ziviani, J. M., Heathcock, J., & Boyd, R. N. (2023) · Pediatric Physical Therapy · doi:10.1097/pep.0000000000001038 · Cited by 8 · see citing works
de Ridder, D. T. D., Gillebaart, M., & Friese, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.040 · Cited by 9 · see citing works
Epton, T., & Armitage, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.038 · Cited by 8 · see citing works
Johnson, M.-C., Judah, G., Cunningham, D., & Olander, E. K. (2020) · European Journal of Physiotherapy · doi:10.1080/21679169.2020.1804616 · Cited by 8 · see citing works
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Implementation of Guidelines for Healthier Canteens in Dutch Secondary Schools: A Process Evaluation
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Evaluation of Behavior Change Interventions
Matthews, L., & Simpson, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.022 · Cited by 7 · see citing works
Motivational Interviewing Interventions
Berman, A. H., Beckman, M., & Lindqvist, H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.045 · Cited by 7 · see citing works
Volkmer, A., Beeke, S., Warren, J. D., Spector, A. E., & Walton, H. (2023) · British Journal of Health Psychology · doi:10.1111/bjhp.12690 · Cited by 6 · see citing works
Economic and Behavioral Economic Approaches to Behavior Change
Brown, P. M., Cameron, L. D., Wilkinson, M., & Taylor, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.042 · Cited by 6 · see citing works
Jacobsohn, G. C., Maru, A., Green, R. K., Gifford, A., Lukasik, M. D., Bandara, T., Caprio, T. V., Cochran, A. L., Cushman, J. T., Jones, C. M. C., et al. (2022) · Prehospital Emergency Care · doi:10.1080/10903127.2022.2094514 · Cited by 6 · see citing works
Jensen, J. F., Overgaard, D., Bestle, M. H., Christensen, D. F., Rattray, J. E., & Egerod, I. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.13949 · Cited by 6 · see citing works
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Changing Behavior Using Integrative Self-Control Theory
Hofmann, W., Dohle, S., & Diel, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.011 · Cited by 6 · see citing works
Conner, M. T., Williams, D. M., & Rhodes, R. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.034 · Cited by 6 · see citing works
Jäger, M., Terry, J., & Rance, J. (2021) · International Journal of Osteopathic Medicine · doi:10.1016/j.ijosm.2021.12.004 · Cited by 6 · see citing works
“Furthermore, findings might be useful in elucidating potential reasons for low retention and have implications for the fidelity of both facilitating and receiving the intervention [31].”
BackgroundPalliative Care and Advance Care Planning Intervention Fidelity Monitoring
Verma, M., Grudzen, C. R., Izumi, S., Wenger, N. S., El-Jawahri, A. R., Ejem, D., & Aslakson, R. A. (2024) · Medical Care · doi:10.1097/mlr.0000000000002037 · Cited by 5 · see citing works
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Addressing Underserved Populations and Disparities in Behavior Change
Schüz, B., & Hooper, M. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.027 · Cited by 5 · see citing works
Changing Behavior in the Digital Age
Kavanagh, D. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.029 · Cited by 4 · see citing works
Foy, R., Lorencatto, F., Walwyn, R. E. A., Farrin, A. J., Francis, J., Gould, N. J., McIntyre, S. A., Patel, R., Smith, J., During, C., et al. (2022) · Programme Grants for Applied Research · doi:10.3310/rehp1241 · Cited by 4 · see citing works
Self-citationHankonen, N. E. (2018) · doi:10.31234/osf.io/pa4wg · Cited by 4 · see citing works
Strength training intervention for adult individuals with knee osteoarthritis: Establishing fidelity
Küçük, H., Ghadamyari, N., Şahin, F. N., Çiçek, G., Ceylan, T., Güler, Ö., Yaşar, O. M., Şensoy, C., Arslanoğlu, C., DOĞAN, E., et al. (2025) · Frontiers in Physiology · doi:10.3389/fphys.2025.1583153 · Cited by 3 · see citing works
Quantitative and Qualitative Strategies to Strengthen Internal Validity in Randomized Trials
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Changing Behavior Using Control Theory
Mansell, W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.009 · Cited by 2 · see citing works
Seiterö, A., Thomas, K., Löf, M., & Müssener, U. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192114022 · Cited by 2 · see citing works
Lowers, V., Kirby, R., Young, B., & Harris, R. V. (2024) · Trials · doi:10.1186/s13063-024-08659-9 · Cited by 2 · see citing works
Behavior Change in Community Contexts
Trickett, E. J., & Paterson, S. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.028 · Cited by 2 · see citing works
Dickin, S., Vanhuyse, F., Stirrup, O., Liera, C., Copas, A. J., Odhiambo, A., Palmer, T., Haghparast‐Bidgoli, H., Batura, N., Mwaki, A., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-060748 · Cited by 2 · see citing works
- Authors
- Rixon, L., Baron, J., McGale, N., Lorencatto, F., Francis, J., & Davies, A.
- Affiliations
- City, University of London (GB)
- Ottawa Hospital Research Institute (CA)
- Corresponding author
- Rixon, Lorna
- Venue
- BMC Health Services Research
- Published
- 2016-11-18
- Volume
- 16
- Issue
- 1
- Pages
- 663-663
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC5116196
- OpenAlex
- W2553147471
- Cited by
- 117
- References
- 107
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 3 · 2022: 19 · 2021: 12 · 2020: 62 · 2019: 8 · 2018: 3 · 2017: 3
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Bristol Research (University of Bristol) (publishedVersion)
- City Research Online (City University London) (acceptedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- uO Research (University of Ottawa) (submittedVersion, public-domain)
- Funders
- City University London (GB)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Keywords
- fidelity, health behavior change interventions, process evaluation, participant engagement, intervention attendance, intervention satisfaction, reliability and validity
- MeSH terms
- Clinical Trials as Topic, Health Education, Health Services Research, Humans, Reproducibility of Results, Health Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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