Present:

• Discussion centered on how enactment differs from treatment adherence and treatment efficacy.

Action: Given the possibility for misinterpretation of this term, examples will be provided in the paper from both the biomedical and health behavior changes areas for clarification purposes.

• Since other treatment fidelity categories (in addition to enactment) may also be difficult to conceptualize, examples from the domains of diet, exercise, and smoking, will be provided for each in both the theory section of the paper and in the matrix.

  Action: You may submit examples from your study which operationalizes the treatment fidelity constructs and Al will integrate them into the paper.

• A draft of the Best Practices Paper has been completed. Members of our workgroup have already contributed feedback. This includes making sure the language of the treatment fidelity categories can accommodate the subjective/motivational states and attitudes of varying interventions; and accurately representing the Lichstein model, as well as acknowledging enhancements made to it.

  Action: If you have not yet done so, please submit your comments/feedback on the paper to Al by December 19, 2001. These may be faxed to 312-942-4039, mailed to Al Bellg, Ph.D., Rush Heart Institute, 1725 W. Harrison, Suite 1159, Chicago, IL 60612, or e-mailed with explicit reference to the section of the paper you are addressing to: albert_bellg@rush.edu

SBM Presentation

• A proposed outline for the seminar (which has been accepted) was created. This will include the following components:
   

  Topic		Length	Presenter
  1.	Introduction (Setting the Stage)	5-10 minutes	Belinda Borrelli
  2.	What do audience members hope to gain	5-10 minutes	Belinda Borrelli
  3.	Goals of workshop	5 minutes	Belinda Borrelli
  4.	Rationale- presentation of theoretical framework; how current model differs from previous ones	15 minutes	Al Bellg
  5.	Methods- introduction to Matrix; overview of BCC	15 minutes	Belinda Borrelli
  6.	Definition and examples/theory and application of each treatment fidelity category. (Examples from smoking, exercise, and diet domains)	1.5 hours	see below
  	Treatment Fidelity Category      Design      Training      Delivery      Receipt      Enactment	15-20 minutes 15-20 minutes 15-20 minutes 15-20 minutes 15-20 minutes	Susan Czajkowski Deborah Sepinwall Denise Orwig Gbenga Ogedegbe Barb Resnick
  7.	Problem Solving/Wrap-Up	30 minutes	Susan/All

• Logistics
  Handouts: seminar attendees will receive a packet of information including a copy of the Best Practices paper, examples from each of the treatment fidelity categories (such as provider checklists, self-monitoring forms…), and a copy of slide presentation.

  Each presenter will be responsible for preparing handouts for his or her part of presentation. The Brown site will serve as the central repository for collecting, integrating, and collating all handout materials.

  Action: Furnish the Brown site with your handout materials prior to the SBM conference

  Presentation: The presentation will be in Power Point format. Please prepare your slides in black and white. A uniform background will be applied later. The Maryland site will supply the LCD equipment.

Treatment Fidelity Review Paper

• Items from the coding checklist were revised and retooled.

  Action: Deborah will include definition of each of the treatment fidelity categories for coders to help increase agreement among raters

• Since substantive changes were made to the coding checklist, and since the inter-rater reliability for the first 2 articles coded by the group was only moderate, the checklist will need to go through a second test of inter-rater reliability.

  Action:             ·        You will receive 2 articles and 4 checklists by Dec. 17, 2001

  ·        Code both articles (the authors are by Lavigne et al., and Steptoe et al) without conferring with your on-site coding partner

  ·        Code both articles again 10-14 days later without conferring with your on-site coding partner

  ·        Submit coding sheets (a total of 4 from you; 8 from your site) to Deborah no later than January 14, 2002

  ·        You can mail your coding sheets to: Deborah Sepinwall, Center for Behavioral and Preventive Medicine, Coro Building West, Suite 500, One Hoppin Street, Providence, RI 02903; or fax them to 401-793-8078

Tuesday, Jan. 15, 2002, 2:30 p.m. to discuss SBM presentation
Tuesday, Jan. 22, 2002, 2:30 p.m. to discuss coding checklist

 Action: Susan to contact Mary Jo to set call dial information