What Matters When Exploring Fidelity in Interventions Using Health IT to Reduce Health Disparities in Language-Diverse Populations?

Colloquium | November 27 | 12:40-2 p.m. | 1205 Berkeley Way West

 Margaret Handley

 Public Health, School of

When we implement evidence-based interventions, we are balancing efforts to incorporate flexibility to meet local site circumstances while also attempting to maintain external validity, and track fidelity to core components. When using health IT tools to deliver interventions focused on self-management support or patient-centered health coaching, systems-level technology requirements are often at odds with ‘on-the ground’ approaches to intervention delivery by providers employing patient-centered care models. In this talk I outline two Health IT interventions aimed at reducing diabetes risk among vulnerable linguistically diverse populations, and evaluate the fidelity to predetermined ‘core’ intervention components as well as important ‘modifiable’ components, of each intervention. Both utilize interactive voice response (IVR) technology, with weekly ‘push’ of diabetes-focused content in the form of recorded health queries, narratives and text messages, combined with ‘live’ health coaching follow-up based on predetermined triggers. Implications for using implementation frameworks for guiding work in this area will be discussed.