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Table 3 Aspects of fidelity in intervention research

From: Tool for evaluating research implementation challenges: A sense-making protocol for addressing implementation challenges in complex research settings

Aspect of Fidelity[18] Examples of Issues considered
Design · Is the design consistent with the study theories?
· Are intervention protocols standardized to a specified dose (e.g., number, frequency, and length of contact)?
· Is there a procedure specifying how to handle deviations from the specified treatment condition?
· Is there a procedure for recording related issues in the study database?
Training · Is there a standardized training protocol that specifies how interventionists are to be trained?
· Is there separate training for interventionists delivering different treatment conditions?
· Is there a plan for training new research team members?
· Is there refresher training if there is more than one wave of recruitment?
Delivery · Is there a procedure to ensure that interventions are delivered as intended?
· How will intervention dose be tracked and recorded in the study database?
Receipt of Treatment · Is there a procedure to measure participant adherence and behavior change?
· Is there a procedure to measure change in knowledge level?
· Is there a procedure for recording receipt-related data in the study database?
Enactment of Skills · Is there a procedure for systematically assessing participants’ use of new behaviors?
· Is there a procedure for recording enactment-related data in the study database?