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. 2025 Feb 17;26:43. doi: 10.1186/s12875-025-02732-1

Table 1.

NIH BCC intervention fidelity domains and strategy aims [1]

NIH BCC Fidelity Domain Domain specific strategy aims Strategy target
Study design Strategies to ensure that a behaviour change study adequately tests it hypotheses in line with its underlying theory and / or clinical guidelines Interventionist
Training Strategies to standardise (or individualise where required) training to ensure that all trainees have been satisfactorily trained to deliver the behaviour change intervention consistently and competently Interventionist
Delivery Strategies to monitor and improve the delivery of a behaviour change intervention through its standardisation to ensure the intervention is delivered as it was intended Interventionist
Receipt Strategies to monitor and improve the ability of patients to perform the intervention skills provided through intervention delivery Patient
Enactment Strategies to monitor and improve the ability of patients to perform the intervention skills provided through delivery in real-life settings Patient