Table 1.

NIH BCC Components and Definitions.

Treatment fidelity component	NIH BCC definition1
Study design	Study design procedures ensure that a study can adequately test its hypotheses in relation to underlying theory and clinical practices.
Training providers	Standardized provider training includes procedures to ensure that interventionists have been satisfactorily trained to deliver the intervention to study participants.
Delivery of treatment	Treatment delivery procedures monitor and improve delivery of intervention and comparison conditions; ensuring that treatment is delivered as intended.
Receipt of treatment	Treatment receipt focuses on the participant and includes procedures to assure that the treatment was both received and understood.
Enactment of treatment skills	Enactment of treatment skills includes processes to monitor and improve participant ability to perform treatment-related behavioral skills and cognitive strategies in relevant real-life settings as intended.