Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the NIH Behavior Change Consortium

Albert J. Bellg, Barbara Resnick, Daryl Sharp Minicucci, Gbenga Ogedegbe, Denise Ernst, Belinda Borrelli, Jacki Hecht, Marcia Ory, Denise Orwig, Susan Czajkowski

Research output: Contribution to journalReview articlepeer-review

1753 Scopus citations

Abstract

Treatment fidelity refers to the methodological strategies used to monitor and enhance the reliability and validity of behavioral interventions. This article describes a multisite effort by the Treatment Fidelity Workgroup of the National Institutes of Health Behavior Change Consortium (BCC) to identify treatment fidelity concepts and strategies in health behavior intervention research. The work group reviewed treatment fidelity practices in the research literature, identified techniques used within the BCC, and developed recommendations for incorporating these practices more consistently. The recommendations cover study design, provider training, treatment delivery, treatment receipt, and enactment of treatment skills. Funding agencies, reviewers, and journal editors are encouraged to make treatment fidelity a standard part of the conduct and evaluation of health behavior intervention research.

Original languageEnglish (US)
Pages (from-to)443-451
Number of pages9
JournalHealth Psychology
Volume23
Issue number5
DOIs
StatePublished - Sep 2004

Keywords

  • Health behavior
  • Reliability
  • Translational research
  • Treatment fidelity
  • Validity

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

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