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. 2023 Oct 28;20(21):6989. doi: 10.3390/ijerph20216989

Table 2.

Behavior Change Consortium (BCC) Treatment Fidelity Strategies Used to Strengthen Provider Training in the Báa nnilah Program *.

BCC Goal BCC Strategies Selected or Adapted BCC Strategies Not Used

  1. Standardize training.

 Ensure that providers meet a priori performance criteria; have providers train together; use standardized training manuals/materials/provider resources/field guides; have training take into account the different experience levels of providers; use structured practice and role-playing; observe intervention implementation with pilot participants; use same instructors for all providers; design training to allow for diverse implementation styles. Use standardized patients; videotape training in case there needs to be future training for other providers.
  • 2.

    Ensure provider skill acquisition.

 Observe intervention implementation with standardized patients and/or pilot participants (role-playing); conduct provider-identified problem solving and debriefing; certify interventionists initially (before the intervention) and periodically (during intervention implementation). Score provider adherence according to an a priori checklist; provide written exam pre- and post-training.
  • 3.

    Minimize “drift” in provider skills.

 Conduct regular booster sessions; conduct in vivo observation or recorded (audio- or videotaped) encounters and review (score providers on their adherence using a priori checklist); provide multiple training sessions; conduct weekly supervision or periodic meetings with providers; allow providers easy access to project staff for questions about the intervention; have providers complete self-report questionnaire. Conduct patient exit interviews to assess whether certain treatment components were delivered.
  • 4.

    Accommodate provider differences.

 Have professional leaders supervise lay group leaders/paraprofessionals; give all providers intensive training; use regular debriefing meetings; use provider-centered training according to needs, background, or clinical experience; have inexperienced providers add to training by attending workshops or training programs. Monitor differential drop-out rates; evaluate differential effectiveness by professional experience.

* This table includes treatment fidelity strategies outlined by Bellg et al. [2] (p. 447).