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Table 6 Overview of the intervention receipt fidelity strategies and monitoring plan for HeLTI SA

From: A protocol for monitoring fidelity of a preconception-life course intervention in a middle-income setting: the Healthy Life Trajectories Initiative (HeLTI), South Africa

Goal

NIH description

Strategies used in HeLTI SA

Fidelity monitoring tools for HeLTI SA

Ensure participant comprehension

Ensure that participants understand the information provided in the intervention

- HCS, based on questions and discussion of content, underpins the intervention sessions.

- The intervention is based on achievement-based goals using the SMARTER planning tool.

- Activity logs are completed to guide the subsequent sessions.

- Health helpers review and monitor the understanding of the intervention by reviewing SMARTER goals and discussing barriers to progress.

- Review of electronic activity logs.

Ensure participant ability to use cognitive and behavioural skills

Ensure that participants are able to use the cognitive and behavioural skills taught in the intervention

- Health helpers guide participants on SMARTER goals, review actual or potential barriers, and assess confidence in achieving SMARTER goals.

- Exploratory questions during sessions guide participants to problem-solve barriers and identify solutions.

- Health helpers monitor participants’ ability during intervention sessions.

- Health helpers’ debrief notes and recorded sessions are reviewed by the process evaluation team.

  1. NIH National Institute of Health [19], HCS Healthy Conversation Skills