A Conceptual Framework of Participant Responsiveness (PR) in Behavioral Health Interventions
摘要
Participant Responsiveness (PR), an understudied dimension of fidelity, measures the degree of participant engagement in interventions. PR’s mechanistic effects remain underexplored in Implementation Science, partly due to inconsistent definitions and operationalization. This paper presents an initial conceptual framework of PR based on two targeted scans of the literature. First we conducted a targeted scan of studies examining PR in four major Implementation Science (IS) journals. Second, to contextualize PR within the broader engagement literature, we conducted a targeted scan of existing systematic and scoping reviews of participant engagement measures in US-based mental health and substance use studies. Across 40 IS articles, PR domains mostly aligned with the domains identified in the engagement literature, encompassing behavioral (e.g., attendance, follow-through), attitudinal (e.g., satisfaction, buy-in), and relational (e.g., trust, support) domains. By identifying gaps in measurement and conceptualization of PR, this study informs future efforts to develop and test tailored implementation strategies targeting PR, contributing to ongoing advances in IS.