biostudies-literatureEaton LHNINR NIH HHSNCI NIH HHS430-5https://www.ebi.ac.uk/biostudies/studies/S-EPMC3235349biostudies-literatureUnknown60(6)<h4>Background</h4>: Treatment fidelity pertains to the methodological strategies used to monitor and enhance the reliability and validity of behavioral interventions. Approaches to establishing treatment fidelity in Web-based interventions differ from those used in interventions that are delivered in person.<h4>Objective</h4>: The aim of this study was to describe a methodology for ensuring treatment fidelity in a Web-based cognitive behavioral stress management intervention.<h4>Methods</h4>: The intervention Coping With Cancer Workbook, adapted for Web-based delivery from an in-person intervention, was tested in a randomized controlled trial with 123 breast cancer survivors. Strategies for ensuring treatment fidelity were implemented and assessed.<h4>Results</h4>: The National Institutes of Health Behavior Change Consortium Treatment Fidelity Guidelines were relevant to establishing treatment fidelity for the Web-based intervention.<h4>Discussion</h4>: Web-based delivery of behavioral interventions is both a strength and a threat to treatment fidelity. Investigators must be cognizant of the elements of treatment fidelity and implement strategies to monitor and improve the reliability and validity of Web-based interventions.Nursing researchEstablishing treatment fidelity in a web-based behavioral intervention study.PMC3235349R21 NR010725-01R21 NR010725R44 CA106154R21NR010725-01R44 CA106154-02A12 R44 CA10615402A1Doorenbos AZCarpenter KMMcGregor BASchmitz KLEaton LHfalseEstablishing treatment fidelity in a web-based behavioral intervention study.<h4>Background</h4>: Treatment fidelity pertains to the methodological strategies used to monitor and enhance the reliability and validity of behavioral interventions. Approaches to establishing treatment fidelity in Web-based interventions differ from those used in interventions that are delivered in person.<h4>Objective</h4>: The aim of this study was to describe a methodology for ensuring treatment fidelity in a Web-based cognitive behavioral stress management intervention.<h4>Methods</h4>: The intervention Coping With Cancer Workbook, adapted for Web-based delivery from an in-person intervention, was tested in a randomized controlled trial with 123 breast cancer survivors. Strategies for ensuring treatment fidelity were implemented and assessed.<h4>Results</h4>: The National Institutes of Health Behavior Change Consortium Treatment Fidelity Guidelines were relevant to establishing treatment fidelity for the Web-based intervention.<h4>Discussion</h4>: Web-based delivery of behavioral interventions is both a strength and a threat to treatment fidelity. Investigators must be cognizant of the elements of treatment fidelity and implement strategies to monitor and improve the reliability and validity of Web-based interventions.2011-01-01T00:00:00Z2011 Nov-Dec2024-11-09T14:26:22.562Z2019-03-27T00:46:55ZS-EPMC32353492204855910.1097/nnr.0b013e31823386aa10.1097/NNR.0b013e31823386aa