Intervention fidelity monitoring of Urban Zen Integrative Therapy (UZIT) for persons with pulmonary hypertension

Tania T. Von Visger, Susan E. Thrane, Maryanna D. Klatt, Annette De Vito Dabbs, Linda Chlan, Mary Beth Happ

Research output: Contribution to journalArticle

Abstract

Background: Systematic and consistent dose delivery is critical in intervention research. Few studies testing complementary health approach (CHA) interventions describe intervention fidelity monitoring (IFM) and measurement. Objective: To describe methodological processes in establishing and measuring consistent dose, delivery, and duration of a multi-component CHA intervention. Methods: Adults with pulmonary hypertension received six weekly, 1-hour Urban Zen Integrative Therapy (UZIT) sessions. A total of 78 sessions were delivered and 33% of these sessions were audited. Intervention dose (time allocated to each component), intervention consistency (protocol adherence audits), and intervention delivery (performance and sequence of components) were captured using remote video observation and review of the recorded video. IFM audits were performed at the beginning (n = 16), middle (n = 5), and end (n = 5) of the study. Results: UZIT interventionists adhered to the intervention protocol (99.3%) throughout the study period. Interventionists delivered UZIT components within the prescribed timeframe: 1) Beginning: gentle body movement (18.9 ± 5.8 min.), restorative pose with guided body awareness meditation (21.3 ± 2.7 min.), and Reiki (22.8 ± 3.1 min.); 2) Middle: gentle body movement (15.9 ± 1.5 min.), pose/body awareness meditation (30.1 ± 6.5 min.), and Reiki (30.1 ± 7.0 min.); 3) End: gentle body movement (18.1 ± 3.6 min.), pose/body awareness meditation (35.3 ± 6.4 min.), and Reiki (34.5 ± 7.0 min.). Essential oil inhalation was delivered during UZIT sessions 100% of the time. Interventionists adhered to treatment delivery behaviors throughout the study period: beginning (98.86%), middle (100%), and end (100%). Discussion: In this pilot study, we demonstrated that the dose, consistency, and delivery of multi-component CHA therapy can be standardized and monitored to ensure intervention fidelity.

Original languageEnglish (US)
Pages (from-to)45-49
Number of pages5
JournalComplementary Therapies in Medicine
Volume45
DOIs
StatePublished - Aug 1 2019

Fingerprint

Pulmonary Hypertension
Therapeutic Touch
Meditation
Health
Therapeutics
Volatile Oils
Inhalation
Observation
Research

Keywords

  • Complementary health approach (CHA)
  • Integrative therapy (IT)
  • Intervention fidelity
  • Intervention fidelity monitoring (IFM)
  • Urban Zen Integrative Therapy (UZIT)

ASJC Scopus subject areas

  • Complementary and Manual Therapy
  • Complementary and alternative medicine
  • Advanced and Specialized Nursing

Cite this

Intervention fidelity monitoring of Urban Zen Integrative Therapy (UZIT) for persons with pulmonary hypertension. / Von Visger, Tania T.; Thrane, Susan E.; Klatt, Maryanna D.; Dabbs, Annette De Vito; Chlan, Linda; Happ, Mary Beth.

In: Complementary Therapies in Medicine, Vol. 45, 01.08.2019, p. 45-49.

Research output: Contribution to journalArticle

Von Visger, Tania T. ; Thrane, Susan E. ; Klatt, Maryanna D. ; Dabbs, Annette De Vito ; Chlan, Linda ; Happ, Mary Beth. / Intervention fidelity monitoring of Urban Zen Integrative Therapy (UZIT) for persons with pulmonary hypertension. In: Complementary Therapies in Medicine. 2019 ; Vol. 45. pp. 45-49.
@article{2192a6322a5343a19b562ee691b28730,
title = "Intervention fidelity monitoring of Urban Zen Integrative Therapy (UZIT) for persons with pulmonary hypertension",
abstract = "Background: Systematic and consistent dose delivery is critical in intervention research. Few studies testing complementary health approach (CHA) interventions describe intervention fidelity monitoring (IFM) and measurement. Objective: To describe methodological processes in establishing and measuring consistent dose, delivery, and duration of a multi-component CHA intervention. Methods: Adults with pulmonary hypertension received six weekly, 1-hour Urban Zen Integrative Therapy (UZIT) sessions. A total of 78 sessions were delivered and 33{\%} of these sessions were audited. Intervention dose (time allocated to each component), intervention consistency (protocol adherence audits), and intervention delivery (performance and sequence of components) were captured using remote video observation and review of the recorded video. IFM audits were performed at the beginning (n = 16), middle (n = 5), and end (n = 5) of the study. Results: UZIT interventionists adhered to the intervention protocol (99.3{\%}) throughout the study period. Interventionists delivered UZIT components within the prescribed timeframe: 1) Beginning: gentle body movement (18.9 ± 5.8 min.), restorative pose with guided body awareness meditation (21.3 ± 2.7 min.), and Reiki (22.8 ± 3.1 min.); 2) Middle: gentle body movement (15.9 ± 1.5 min.), pose/body awareness meditation (30.1 ± 6.5 min.), and Reiki (30.1 ± 7.0 min.); 3) End: gentle body movement (18.1 ± 3.6 min.), pose/body awareness meditation (35.3 ± 6.4 min.), and Reiki (34.5 ± 7.0 min.). Essential oil inhalation was delivered during UZIT sessions 100{\%} of the time. Interventionists adhered to treatment delivery behaviors throughout the study period: beginning (98.86{\%}), middle (100{\%}), and end (100{\%}). Discussion: In this pilot study, we demonstrated that the dose, consistency, and delivery of multi-component CHA therapy can be standardized and monitored to ensure intervention fidelity.",
keywords = "Complementary health approach (CHA), Integrative therapy (IT), Intervention fidelity, Intervention fidelity monitoring (IFM), Urban Zen Integrative Therapy (UZIT)",
author = "{Von Visger}, {Tania T.} and Thrane, {Susan E.} and Klatt, {Maryanna D.} and Dabbs, {Annette De Vito} and Linda Chlan and Happ, {Mary Beth}",
year = "2019",
month = "8",
day = "1",
doi = "10.1016/j.ctim.2019.03.008",
language = "English (US)",
volume = "45",
pages = "45--49",
journal = "Complementary Therapies in Medicine",
issn = "0965-2299",
publisher = "Churchill Livingstone",

}

TY - JOUR

T1 - Intervention fidelity monitoring of Urban Zen Integrative Therapy (UZIT) for persons with pulmonary hypertension

AU - Von Visger, Tania T.

AU - Thrane, Susan E.

AU - Klatt, Maryanna D.

AU - Dabbs, Annette De Vito

AU - Chlan, Linda

AU - Happ, Mary Beth

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Background: Systematic and consistent dose delivery is critical in intervention research. Few studies testing complementary health approach (CHA) interventions describe intervention fidelity monitoring (IFM) and measurement. Objective: To describe methodological processes in establishing and measuring consistent dose, delivery, and duration of a multi-component CHA intervention. Methods: Adults with pulmonary hypertension received six weekly, 1-hour Urban Zen Integrative Therapy (UZIT) sessions. A total of 78 sessions were delivered and 33% of these sessions were audited. Intervention dose (time allocated to each component), intervention consistency (protocol adherence audits), and intervention delivery (performance and sequence of components) were captured using remote video observation and review of the recorded video. IFM audits were performed at the beginning (n = 16), middle (n = 5), and end (n = 5) of the study. Results: UZIT interventionists adhered to the intervention protocol (99.3%) throughout the study period. Interventionists delivered UZIT components within the prescribed timeframe: 1) Beginning: gentle body movement (18.9 ± 5.8 min.), restorative pose with guided body awareness meditation (21.3 ± 2.7 min.), and Reiki (22.8 ± 3.1 min.); 2) Middle: gentle body movement (15.9 ± 1.5 min.), pose/body awareness meditation (30.1 ± 6.5 min.), and Reiki (30.1 ± 7.0 min.); 3) End: gentle body movement (18.1 ± 3.6 min.), pose/body awareness meditation (35.3 ± 6.4 min.), and Reiki (34.5 ± 7.0 min.). Essential oil inhalation was delivered during UZIT sessions 100% of the time. Interventionists adhered to treatment delivery behaviors throughout the study period: beginning (98.86%), middle (100%), and end (100%). Discussion: In this pilot study, we demonstrated that the dose, consistency, and delivery of multi-component CHA therapy can be standardized and monitored to ensure intervention fidelity.

AB - Background: Systematic and consistent dose delivery is critical in intervention research. Few studies testing complementary health approach (CHA) interventions describe intervention fidelity monitoring (IFM) and measurement. Objective: To describe methodological processes in establishing and measuring consistent dose, delivery, and duration of a multi-component CHA intervention. Methods: Adults with pulmonary hypertension received six weekly, 1-hour Urban Zen Integrative Therapy (UZIT) sessions. A total of 78 sessions were delivered and 33% of these sessions were audited. Intervention dose (time allocated to each component), intervention consistency (protocol adherence audits), and intervention delivery (performance and sequence of components) were captured using remote video observation and review of the recorded video. IFM audits were performed at the beginning (n = 16), middle (n = 5), and end (n = 5) of the study. Results: UZIT interventionists adhered to the intervention protocol (99.3%) throughout the study period. Interventionists delivered UZIT components within the prescribed timeframe: 1) Beginning: gentle body movement (18.9 ± 5.8 min.), restorative pose with guided body awareness meditation (21.3 ± 2.7 min.), and Reiki (22.8 ± 3.1 min.); 2) Middle: gentle body movement (15.9 ± 1.5 min.), pose/body awareness meditation (30.1 ± 6.5 min.), and Reiki (30.1 ± 7.0 min.); 3) End: gentle body movement (18.1 ± 3.6 min.), pose/body awareness meditation (35.3 ± 6.4 min.), and Reiki (34.5 ± 7.0 min.). Essential oil inhalation was delivered during UZIT sessions 100% of the time. Interventionists adhered to treatment delivery behaviors throughout the study period: beginning (98.86%), middle (100%), and end (100%). Discussion: In this pilot study, we demonstrated that the dose, consistency, and delivery of multi-component CHA therapy can be standardized and monitored to ensure intervention fidelity.

KW - Complementary health approach (CHA)

KW - Integrative therapy (IT)

KW - Intervention fidelity

KW - Intervention fidelity monitoring (IFM)

KW - Urban Zen Integrative Therapy (UZIT)

UR - http://www.scopus.com/inward/record.url?scp=85065904697&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065904697&partnerID=8YFLogxK

U2 - 10.1016/j.ctim.2019.03.008

DO - 10.1016/j.ctim.2019.03.008

M3 - Article

AN - SCOPUS:85065904697

VL - 45

SP - 45

EP - 49

JO - Complementary Therapies in Medicine

JF - Complementary Therapies in Medicine

SN - 0965-2299

ER -