Table 4.

Summary of Enhancement, Measurement and Monitoring Fidelity Strategies

Fidelity Component	Enhancement	Measurement	Monitoring
Delivery (Accuracy of ADS Plus presentation)	Manualization; Experiential and didactic training; Checklists; Guiding scripts	Delivery Assessment form measuring dose, intensity, assessment scores completed by interventionists following completion of each session	PIs will conduct ongoing coaching calls in which cases are presented. PIs will monitor delivery assessment forms to assure they completion.
Receipt (How ADS Plus is utilized)	Modeling skills; Caregiver-centric-approach; Practice opportunities; Written materials and ADS Plus Prescriptions tailored to caregiver identified concerns	-Interventionist ratings of caregiver understanding, level of engagement, therapeutic relationship; Caregiver rating of relationship to interventionist	PIs review delivery assessment forms, number of prescriptions
Enactment (Caregiver use of Prescriptions)	Practice opportunities; Problem solving; Action Plans to reinforce strategy use	-Interventionist rating of caregiver strategy use, perceived benefits, reduction of unmet needs	PIs review on-going assessments of needs and whether they have been met on the Caregiver Assessment of Management Protocol – Revised (CAMP-R)