Table 3.

BCC Treatment Fidelity Strategies Used to Strengthen Treatment Delivery in the Báa nnilah Program *.

BCC Goal	BCC Strategies Selected or Adapted	BCC Strategies Not Used
Control for provider differences.	Assess participants’ perceptions of provider warmth and credibility via self-report questionnaire and provide feedback to interventionist and include in analyses; select providers for specific characteristics; monitor participant complaints; conduct a qualitative interview at end of study.	Have providers work with all treatment groups; audiotape sessions and have different supervisors evaluate them and rate therapist factors.
2.Reduce differences within treatment.	Use scripted intervention protocol; provide a treatment manual.	Have supervisors rate audio- and videotapes.
3.Ensure adherence to treatment protocol.	Randomly monitor audiotapes for both protocol adherence and nonspecific treatment effects; check for errors of omission and commission in intervention delivery; after each encounter, have provider complete a behavioral checklist of intervention components delivered; ensure provider comfort in reporting deviations from treatment manual content.	Provide computerized prompts to providers during sessions about intervention content; audio- or videotape encounter and review with provider; review tapes without knowing treatment condition and guess condition.
4.Minimize contamination between conditions.	Conduct patient exit interviews to ensure that control subjects did not receive treatment.	Randomize sites rather than individuals; use treatment-specific handouts, presentation materials, manuals; train providers to criterion with role-playing; give specific training to providers regarding the rationale for keeping conditions separate; supervise providers frequently; audiotape or observe sessions with review and feedback.

* This table includes treatment fidelity strategies outlined by Bellg et al. [2] (p. 448).