Table 2.

Specific items coded using the NIH Treatment Fidelity Framework.

	Borelli 2005 Item	Adapted Operational Definition
Treatment Design	Provided information about treatment dose intended
	1. Length of contact sessions	Must report entire session length, not only the length of an activity within a session.
	2. Number of contact sessions	Must report for at least one component.
	3. Duration of treatment over time	Must report treatment duration specifically, not evaluation period.
	Provided information about treatment content intended	The next 3 items were added for this review.
	4. Behavior change techniques	Must report at least one strategy to induce behavior change (e.g., goal setting).
	5. Target behaviors	Must report targeting at least one weight-related behavior (e.g., physical activity).
	6. Therapeutic alliance	Must report a design element addressing the participant/provider relationship.
	X Provided information about the comparison treatment	This item was not coded for this review.
	7. Mention of provider credentials	Includes credentials for any provider, as originally designed or otherwise.
	8. Mention a theoretical model or clinical guidelines	May be referenced anywhere in the manuscript.
Provider Training	1. Description of how providers were trained	Must report the method of training (e.g., role play); training content not included.
	2. Standardized provider training	Must report how training was similar for all providers; training length not included.
	3. Measured provider skill acquisition post-training	Must be reported for at least one component and can include accreditation.
	4. Described how provider skills maintained over time	Must be reported for at least one component (e.g., supervision or ongoing training).
Treatment Delivery	Provided information about dose delivered	The next 3 items were added for this review.
	1. Length of contact sessions	Must report session length either delivered or received (e.g., average session length).
	2. Number of contact sessions	Must report the number of participants completing some portion of the treatment.
	3. Duration of treatment	Must report the average duration actually delivered or received across participants.
	4. Provided information about content delivered	This item was added for this review. Must report actual content delivered during treatment sessions.
	5. Method to ensure that content was delivered as specified	Must report method used during sessions with intent of improving content delivery.
	6. Method to ensure that dose was delivered as specified	Must report method used during sessions with the intent of improving dose delivery.
	7. Method to assess if the provider adhered to the content	Must report method used to evaluate and report actual content delivered.
	8. Assessed nonspecific treatment effects	May include participant satisfaction; therapeutic alliance methods not included.
	9. Used a treatment manual	Must state “treatment manual” or report written instructions given to providers.
Treatment Receipt	1. Assessed subject comprehension of the intervention during the intervention period	Must be a method used by the treatment team to assess skills learned during the intervention period; methods used by the evaluation team are not included.
	X Strategy to improve subject comprehension of the intervention	This item was not coded for this review.
	2. Assessed subject ability to use the intervention skills during the intervention period	Must be assessment of skills during the treatment session (e.g. evaluation role play) by the treatment team; methods used by the evaluation team are not included.
	X Strategy to improve subject performance of intervention skills	This item was not coded for this review.
Treatment Enactment	1. Assessed subject performance of the intervention skills in settings which the intervention might be applied	Must mention assessment of learned skills performed outside treatment sessions by the treatment team; methods used by the evaluation team are not included.
	X Strategy to improve subject performance of intervention skills in settings which the intervention might be applied	This item was not coded for this review.