Table 4 Most frequently identified barriers to enhancing, addressing or reporting intervention fidelity
Barrier | Number (%) |
|---|---|
Poor knowledge or understanding | 202 (77.4) |
Lack of practical guidance | 167 (64) |
Lack of criteria specifying acceptable levels | 164 (62.8) |
Inconsistent terminology | 148 (56.7) |
Time restraints | 131 (50.2) |
Lack of perceived importance | 129 (49.4) |
Inconsistent definitions | 112 (42.9) |
Lack of agreement around appropriate strategies | 109 (41.8) |
Core components of interventions not sufficiently identified | 105 (40.2) |
Cost | 97 (37.2) |
Lack of journal requirement for publication | 92 (35.2) |
Resistance to monitoring/assessment by providers | 82 (31.4) |
Resistance to the use of treatment manuals by providers | 79 (30.3) |
Space limitations for publication | 77 (29.5) |
None | 1 (0.4) |
Othera | 12 (4.6) |
“Real-world” complexity and constraints | 4 (1.6) |
Difficulty quantifying fidelity data | 3 (1.2) |
Willingness of principal investigator | 2 (0.8) |
Insufficient teaching/education | 1 (0.4) |
Rigidity/lack of flexibility may limit patient care | 1 (0.4) |
Practitioners’ desire for independence | 1 (0.4) |