Goal | NIH description | Strategies used in HeLTI SA | Fidelity monitoring tools for HeLTI SA |
---|---|---|---|
Control for provider differences | Monitor and control for participant perceptions of non-specific intervention effects across the intervention group | - Providers are selected for specific characteristics. | - Qualitative methods are used to assess participants’ perceptions of intervention delivery. - Any participant complaints are reviewed by the researcher and project coordinator. - Debrief sessions with health helpers. |
Reduce differences within the intervention | Ensure that providers are delivering the same intervention | - The intervention manual developed for each phase is used. - Rather than a script, session checklists on REDCap have been developed to encourage session standardization. | - Electronic activity logs and checklists will be monitored in REDCap by the project coordinator. |
Ensure adherence to the intervention protocol | Ensure that the intervention is being delivered in the way in which it was conceived with regard to content and dose | - The intervention manual per phase outlines relevant content. - Session checklists on REDCap guide the intervention content. - Health helpers keep a contact and activity log per participant on REDCap. | - Electronic activity logs and checklists monitored for completion and adherence by the project coordinator. - Monitoring of health assessment outcomes and actions taken on REDCap. - Health helper’s debrief notes and recorded sessions are reviewed by the process evaluation team for non-specific intervention effects, omissions, and intervention delivery. - External audit of standard operating procedures and trial documents. - Quarterly quality assurance reports. |
Minimize contamination between groups | Minimize contamination across intervention and control groups, especially when implemented | - HeLTI SA intervention materials and manuals are intervention-specific and not publicly available. - Health helpers are specific to the intervention or control group. | - Observation and recording of sessions are part of the process evaluation. |