Table 6.

Treatment Fidelity Strategies for Receipt of Treatment.

Goal	NIH BCC description1	BIO-MUSE strategies
Goal 1: Ensure participant comprehension.Goal 2: Ensure participant ability to use cognitive skills.Goal 3: Ensure participant ability to perform behavioral skills.	Ensure that participants understand information provided during study sessions, especially when participants may be cognitively compromised, have a low level of literacy/education, or may not be proficient in English.Ensure that participants can use the cognitive skills taught in the intervention.Make sure that participants can use the behavioral skills taught in the intervention.	Assess comprehension: Providers use active listening, active questioning, and behavioral observation to assess participant comprehension and ability to use music play strategies. Session planning sheet: Providers and parents establish areas of needs and focus at the start of each session. Parent education: Together, providers and parents review music play strategies (including tip sheets) and identify at-home implementation strategies. Provider fieldnote & Likert Scales: Providers complete Likert-type scales and provide a narrative entry to document parent and child involvement, understanding, and ability to use content during sessions.
		Document independent use: Provider documents parent-reported use of play materials between study sessions (frequency, duration, how materials were used), as well as barriers and facilitators for use.