Table 5 Program fidelity checklist items
Type of fidelity | Component | Data sources |
|---|---|---|
Fidelity to theory | Program includes relevant “active ingredients” based on theory | Program protocol, training manual |
Provider training | Providers received between 11.5 and 13.5 h of training at the beginning of the program (case conferences, home visits, group sessions, HSEP) | Training protocols and standardized training manuals |
Ongoing supervision provided throughout program period | “Outreach” meeting records | |
Periodic training at “outreach” meetings to prevent “drift” | “Outreach” meeting records | |
Recruiter training | Recruiters receive 1–2 h of training prior to the start of the program, and throughout program as needed | Training protocol, attendance records |
Research assistant training | Research assistants received 3 h of training at the beginning of the program and additional training, as needed | Training protocol, attendance records |
Program implementation | Standardized training protocol developed | Training protocol |
Strategy exists to avoid contamination (e.g., RN and RD dedicated to program and not providing usual care) | Study protocol | |
Delivered “active ingredients” (holistic care, caregiver involvement, inter-professional collaboration, motivational interviewing) | Visit records, case conference reports | |
Regular provider monitoring over program period | “Outreach” meeting records | |
≥1 case conference for each client | Case conference reports | |
≥1 home visit for each client | Visit record | |
≥1 group session attended by each client | Group session attendance record | |
Provider perception of program | “Outreach” meeting records, 6-month focus group sessions | |
Peer support volunteer perception of program | 6-month focus group sessions | |
Treatment receipt | Self-reported client knowledge | 6-month interviews |
Client perceptions of program | 6-month interviews | |
Treatment enactment | Client progress during program | Visit record |
Change in self-efficacy | Baseline and 6-month data collection form, effects analysis | |
Change in self-management behavior (SDSCA) | Baseline and 6-month data collection form, effects analysis | |
Change in HRQoL (PCS, MCS) | Baseline and 6-month data collection form, effects analysis | |
Change in HbA1C | Baseline and 6-month data collection form, effects analysis | |
Change in CES-D (depressive symptoms) | Baseline and 6-month data collection form, effects analysis | |
Change in GAD-7 (anxiety) | Baseline and 6-month data collection form, effects analysis |