Table 1.

FBT Fidelity and Adherence Check (FBT-FACT) items

Item	Abbreviation	Session 1	Session 2	Session 3
Did the therapist greet the family in a sincere but grave manner?	Greet the Family	X
Did the therapist take a history that engages each family member in the process?	Family History	X
Did the therapist gather a history focused on AN, rather than collect a general history?	History of AN	X
Did the therapist separate the illness from the patient (e.g., through the use of metaphors, Venn diagrams)?	Externalization	X	X	X
Did the therapist orchestrate an intense scene around the seriousness of the illness and difficulty in recovery (raising parental motivation)?	Orchestrate Intense Scene	X
Did the therapist assist the family in reducing guilt and/or blame?	Reduce Parent Guilt	X
Did the therapist remain agnostic to the cause of AN?	Therapist Agnosticism	X	X	X
aDid the therapist modify parental and sibling criticisms (if present)?	Modify Criticism	X	X	X
aDid the therapist charge the parents with the task of re-feeding?	Charge with Re-feeding	X
Did the therapist provide feedback to the patient and family regarding weight?	Weight Feedback		X	X
Did the therapist take a history of the family patterns around food preparation, food serving, and family discussions about eating especially as it relates to the patient?	History of Eating Pattern		X
Did the therapist assist the family in understanding nutritional needs of the patient (if necessary)?	Nutritional Needs		X
aDid the therapist align the parents in an effort to work together in regard to renourishment of the patient?	Align Parents in Renourishment		X
Did the therapist help the parents convince their child to eat at least one mouthful more than s/he was prepared to?	One More Bite		X
Did the therapist help set the parents on their way to work out among themselves how best they can go about in re-feeding their child?	Best Re-feed		X
Did the therapist work to align the patient with her siblings for support?	Sibling Support		X	X
Did the therapist keep the focus on AN and eating disorder behavior?	Focus on AN		X
aDid the therapist direct, redirect, and focus therapeutic discussion on food and eating behaviors and their management until food, eating, and weight behaviors and concerns are relieved?	Focus on Eating			X
Did the therapist discuss, support, and help parental dyad's efforts at re-feeding?	Support Re-feeding			X
Overall, how would you rate the fidelity of this recording?	Overall Fidelity	X	X	X

Note.

^aItem removed due to low ICC; X=intervention should occur in the session per the FBT manual.