Enhancing treatment fidelity in health behavior change studies: best practices and recommendations from the NIH Behavior Change Consortium. Academic Article uri icon


  • 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.

published proceedings

  • Health Psychol

altmetric score

  • 16.858

author list (cited authors)

  • Bellg, A. J., Borrelli, B., Resnick, B., Hecht, J., Minicucci, D. S., Ory, M., ... Treatment Fidelity Workgroup of the NIH Behavior Change Consortium.

citation count

  • 1529

complete list of authors

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

publication date

  • September 2004