Table 4.

Strategies for improving clinical research fidelity: treatment fidelity.

Area addressed	Strategies
Ongoing clinician treatment training and support	Use treatment programs with strong validity and reliability
	Create detailed, written manuals for all treatment tasks including a cuing hierarchy
	Have experts in specific treatment protocols serve as consultants as needed
	Provide ongoing professional development support
	Hold regular clinician meetings to discuss treatment questions and concerns
Monitoring of treatment delivery	Have fidelity coordinators observe clinicians' treatment sessions regularly (either live or video-recorded) and provide feedback
	Have clinicians complete self-assessments and peer assessments for additional feedback
Monitoring of treatment receipt	Have fidelity coordinators observe clinicians' treatment sessions regularly (either live or video-recorded) and provide feedback
	Ask participants to complete a satisfaction survey including questions about treatment delivery/receipt