Table 1.
Women Weigh-In for Wellness Intervention Fidelity Plan.
Study Component | Fidelity Plan |
---|---|
Design | 1. Ensure same intervention dose within conditions |
• Fixed content in internet web-messaging | |
• Feedback about weight logs and eating activity goals provided at fixed intervals | |
• Professional weight loss counseling provided using fixed length, frequency and number of contact sessions | |
• Peer support group provided using fixed frequency and fixed content of discussion topics posted | |
• Any deviations from protocol recorded | |
2. Ensure equivalent dose across conditions | |
• Web-messaging content identical across intervention groups | |
• Frequency of additional contact for women in professional counseling email group and peer-led discussion group is similar | |
3. Plan for implementation setbacks | |
• Train back-up providers for professional weight loss counselor and peer support leader positions | |
Training | 1. Training of all personnel by investigators initially and at specified intervals |
2. Guidelines for content of email messages and discussion board postings established | |
Intervention Delivery | 1. Investigator-prepared guide for content/concepts in newsletters and hot topics |
2. Investigator oversight of newsletters and hot topics before website posting | |
3. For professional weight loss counseling via email | |
• Emails copied to and monitored by investigators | |
• Email messages sent and received printed and filed weekly | |
4. For peer-led online support group | |
• List of topics prepared have oversight by investigators prior to testing | |
• Project coordinator and/or investigators monitors discussion board weekly | |
• Record of discussions printed and filed weekly | |
Intervention Receipt | 1. Monitoring of all participants |
• Goal-setting forms | |
• Weight logs | |
• Weekly hits by each participant | |
2. Monitoring of participants in peer-led online support group | |
• Log-in | |
• Postings | |
3. Monitoring of professional weight loss counseling via email | |
• Return receipt used to monitor opening of email messages | |
• Replies from participants printed and filed | |
Enactment | 1. Monitoring of behavioral skills and cognitive strategies of participants |
• Attainment of goals | |
• Assessments of weight, and eating and activity behavioral and biomarkers | |
• Assessments of cognitive-perceptual influences at 6,18, and 30 months |