Table 7.

Treatment Fidelity Strategies for Enactment of Treatment Skills.

Goal	NIH BCC description1	BIO-MUSE strategies
Goal 1: Ensure participant use of cognitive skills.	Ensure that participants use the cognitive skills provided in the intervention in appropriate life settings.	Parent education: Together, providers and parents review music play strategies (including tip sheets) and identify at-home implementation strategies. Music play kit: Children are given a kit to keep and use at home (or other settings). It includes recorded music, instruments, activity cards, and materials used during provider-directed sessions. Encourage use: Providers encourage participants to use play materials between 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. Qualitative interviews: Provide details about parent and child use of music play strategies and materials outside study sessions.
Goal 2: Ensure participant use of behavioral skills.	Ensure that participants use the behavioral skills provided in the intervention in appropriate life settings.