Assessing intervention fidelity in a multi-level, multi-component, multi-site program: the Children’s Healthy Living (CHL) program

• DOI: 10.1007/s13142-015-0334-z
• Publication Date: 2015-08-03T16:12:24Z
• Authors: Jean Butel; Kathryn L. Braun; Rachel Novotny; Mark Acosta; Rose Castro; Travis Fleming; Julianne Powers; Claudio R. Nigg
• Keywords: Rubric; Component (thermodynamics)

Addressing complex chronic disease prevention, like childhood obesity, requires a multi-level, multi-component culturally relevant approach with broad reach. Models are lacking to guide fidelity monitoring across multiple levels, components, and sites engaged in such interventions. The aim of this study is describe the fidelity-monitoring Children's Healthy Living (CHL) Program, multi-level intervention five Pacific jurisdictions. A rubric was developed. About halfway during intervention, community partners were randomly selected interviewed independently by local CHL staff Coordinating Center representatives assess treatment fidelity. Ratings compared discussed staff. There good agreement between teams (Kappa = 0.50, p < 0.001), improvement opportunities identified through data review group discussion. Fidelity for multi-component, multi-site successfully assessed, identifying adaptations as well ways improve delivery prior end intervention.