Table 3. Fidelity of provider training strategies and monitoring plan for 24-START.

Goal	Description from NIH BCC	Strategies used in 24-START	Fidelity Monitoring Plan for 24-START
Standardized Training	Ensure that training is conducted similarly for all providers	Standardized protocols and training materials:	Provider training records
		□ Study design
		□ Behavior Change Taxonomy training
		□ Motivational Interviewing training
		□ Fidelity protocol overview
		□ Data collection procedures
		□ Data quality procedures
Ensure provider skill acquisition	Train providers to well-defined performance criteria	Role playing	Provider training records
		Participant scenarios	Provider training records
		Coaching calls checklists†	Monthly audit of coaching call checklists
		Recording coaching calls	Quarterly review of random selection of calls
		Coaching calls checklists	Monthly audit of coaching call checklists
Minimize ‘drift’ in provider skills	Ensure provider skills do not decay over time	Audio record coaching calls	Quarterly review of random selection of calls
		Weekly meetings with PI and intervention staff to discuss intervention strategies and problem solve difficult situations	NA
		Standardized training of all providers:	Provider training records
		□ Behavior Change Taxonomy training
		□ Motivational Interviewing training
Accommodate provider differences	Ensure adequate level of training in providers of different skills level, experience or professional background	Coaching call checklist	Monthly audit of coaching call checklists
		Recording coaching calls	Quarterly review of random selection of calls

^†, coaching call checklists include standard methods for preparing for coaching calls, content areas to be covered in calls, and prompts for use of Motivational Interviewing. NIH BCC, NIH Behavior Change Consortium.