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Table 1 VA-DPP coordinator ratings of fidelity for delivery of VA-DPP and MOVE!

From: Implementation findings from a hybrid III implementation-effectiveness trial of the Diabetes Prevention Program (DPP) in the Veterans Health Administration (VHA)

 

VA-DPP

(n = 37)

MOVE!

(n = 34)

p b

Questiona

Mean (SD)

 

Delivery of educational content

 Coach elicited discussion of the educational content in order to help participants develop a self-management skill or change cognitions

6.62 (0.55)

6.00 (1.22)

0.0094

Goal setting, Cronbach’s alpha = 0.66c

   

 Type 2 diabetes prevention was discussed as a goal of the group

4.59 (2.20)

1.97 (1.70)

0.0000

 Coach presented standardized goals (i.e., everyone had the same goal to complete the following week) to the participants and asked them to commit to a goal

5.59 (1.64)

3.62 (2.12)

0.0001

Review of goal progress, Cronbach’s alpha = 0.94

   

 Coach prompted review of goal progress and attainmentd

6.41 (0.86)

4.76 (2.31)

0.0002

 Coach elicited discussion of successes and challenges since the last sessiond

6.38 (0.82)

4.62 (2.32)

0.0001

 Coach initiated problem-solving when necessary to address challenges since the last sessiond

6.44 (0.70)

5.21 (1.92)

0.0008

Group cohesion, Cronbach’s alpha = 0.81

   

 Group identity includes having a diagnosis of prediabetes

5.21 (1.63)

1.47 (0.90)

0.0000

 Group members communicated easily with one another

6.10 (1.22)

5.35 (1.57)

0.0385

 There were positive relationships among the group members

6.16 (1.10)

5.35 (1.54)

0.0184

 Group members had a positive attitude toward the coach

6.74 (0.51)

6.06 (1.28)

0.0056

 Group members participated actively in the group

6.41 (0.74)

5.59 (1.58)

0.0076

Coach characteristics, Cronbach’s alpha = 0.90

   

Managed the session

 Coach came prepared and organizedd

6.85 (0.36)

6.65 (0.65)

0.1091

 Coach elicited clarification of participant engagement by seeking feedback about didactic contentd

6.65 (0.60)

6.36 (0.96)

0.1510

 Coach delivered didactic material in an engaging, matter of fact, and respectful wayd

6.79 (0.41)

6.65 (0.69)

0.2900

 Coach facilitated discussion and interaction using open-ended questions, affirmations, reflections, and summariesd

6.53 (0.61)

6.26 (0.96)

0.1814

 Coach allocated time appropriately in order to cover the appropriate content focus points for the sessiond

6.62 (0.65)

6.47 (0.99)

0.4726

 Coach supplied the necessary materials for the participantsd

6.91 (0.29)

6.76 (0.43)

0.1026

Stayed on track

 Coach addressed process (tangential) issues but did not allow them to disrupt content agendad

6.53 (0.71)

6.18 (1.06)

0.1105

 Coach avoided delving too deeply into psychological issuesd

6.74 (0.51)

6.50 (0.71)

0.1206

Created a supportive and empathetic environment

 Coach responded empathetically and accurately to participant behavior (verbal, nonverbal)d

6.85 (0.36)

6.59 (0.61)

0.0326

  1. a1 = strongly disagree to 7 = strongly agree
  2. b t test
  3. cFactor analyses were conducted to confirm the appropriate groupings of items within domains; Cronbach’s alpha was calculated for each domain to determine internal reliability
  4. dItem was taken from published fidelity checklist [46]