BACKGROUND Although the importance of evaluating implementation fidelity is acknowledged, little is known about heterogeneity in fidelity over time. This study aims to generate insight into the heterogeneity in implementation fidelity trajectories of a health promotion program in multidisciplinary settings and the relationship with changes in patients' health behavior. METHODS This study used...

OBJECTIVES AND DESIGN Despite an increasing awareness of the importance of fidelity of delivery within complex behaviour change interventions, it is often poorly assessed. This mixed methods study aimed to establish the fidelity of delivery of a complex self-management intervention and explore the reasons for these findings using a convergent/triangulation design. SETTING Feasibility trial of...

In turbomachinery optimisation problems, run time is often a critical factor due to high dimensionality of the design search space. This work explores the use of the multi-fidelity method to speed up an aerodynamic optimisation algorithm applied to axial compressor blades. A rotor blade is optimised in a two-stage blade geometry for maximum isentropic efficiency. The single-fidelity reference o...

BACKGROUND High-fidelity patient simulators in team training are becoming popular, though research showing benefits of the training process compared to low-fidelity models is rare. We explored in situ training for paediatric teams in an emergency department using a low-fidelity model (plastic doll) and a high-fidelity paediatric simulator, keeping other contextual factors constant. The goal was...

We demonstrate single-shot qubit readout with a fidelity sufficient for fault-tolerant quantum computation. For an optical qubit stored in 40Ca+ we achieve 99.991(1)% average readout fidelity in 10(6) trials, using time-resolved photon counting. An adaptive measurement technique allows 99.99% fidelity to be reached in 145 micros average detection time. For 43Ca+, we propose and implement an opt...

BACKGROUND Clinicians often modify evidence-based psychotherapies (EBPs) when delivering them in routine care settings. There has been little study of factors associated with or implications of modifications to EBP protocols. This paper differentiates between fidelity-consistent and fidelity-inconsistent modifications and it examines the potential influence of two clinician characteristics, tra...

BACKGROUND Surgical simulators provide a safe environment to learn and practise psychomotor skills. A goal for these simulators is to achieve high levels of fidelity. The purpose of this study was to develop a reliable surgical simulator fidelity questionnaire and to assess whether a newly developed virtual haptic simulator for fixation of an ulna has comparable levels of fidelity as Sawbones. ...

Rebecca Palmer Assessing the Relationship between SafeCare Fidelity and Competence Measures (Under the direction of Daniel Whitaker, Ph.D.) As more evidence-based programs are implemented in community settings, there is a strong need to ensure those models are implemented with integrity. Implementation of programs should be evaluated for fidelity, the degree of adherence to treatment protocols,...

Interface designs are currently tested in a mixture of fidelities and media. So far, there is insufficient research to indicate what level of fidelity and media will produce the best feedback from users. This experiment compared user testing with lowand high-fidelity prototypes in both computer and paper media. Task-based user tests of sketched (low-fidelity) and HTML (high-fidelity) website pr...

A computationally efficient and robust methodology for transonic airfoil design is presented. The approach replaces the direct optimization of an accurate, but computationally expensive, high-fidelity airfoil model by an iterative re-optimization of a corrected low-fidelity model. The low-fidelity model is based on the same governing fluid flow equations as the high-fidelity one, but uses coars...