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Table 5 Program fidelity checklist items

From: The Aging, Community and Health Research Unit—Community Partnership Program for older adults with type 2 diabetes and multiple chronic conditions: a feasibility study

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