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Setting Goals and Accepting Challenges for Behavior Change—Analysis of Participants’ Interactions With a Digital Multiple Health Behavior Intervention: Mixed Methods Study

Setting Goals and Accepting Challenges for Behavior Change—Analysis of Participants’ Interactions With a Digital Multiple Health Behavior Intervention: Mixed Methods Study

Evaluating this implementation fidelity can help identify any deviations from the protocol, such as when an intervention component is not delivered or used as planned [31]. Deviations may compromise the impact that an intervention may have; thus, identifying them and revising protocols is important. Despite this, the practical application and fidelity of goal-setting within both digital and face-to-face interventions are rarely evaluated [32,33].

Katarina Åsberg, Marie Löf, Marcus Bendtsen

JMIR Hum Factors 2025;12:e66208


Digital Health Interventions for Depression and Anxiety in Low- and Middle-Income Countries: Rapid Scoping Review

Digital Health Interventions for Depression and Anxiety in Low- and Middle-Income Countries: Rapid Scoping Review

The third article mentioned the development of 1 video per session to deliver the therapeutic ingredients with fidelity and at the right dose [57]. The last of the 4 articles mentioned that the intervention delivery format (mobile app) ensured that key therapeutic elements were delivered with fidelity and at the appropriate dose using the app’s automated features [64].

Leena W Chau, Raymond W Lam, Harry Minas, Kanna Hayashi, Vu Cong Nguyen, John O'Neil

JMIR Ment Health 2025;12:e68296


Scalable Precision Psychiatry With an Objective Measure of Psychological Stress: Prospective Real-World Study

Scalable Precision Psychiatry With an Objective Measure of Psychological Stress: Prospective Real-World Study

The platform, therefore, provides an attractive means to investigate the fidelity of therapy recommendation algorithms. The use of recommendation systems within mobile apps is not new; for example, see the studies by Bidargaddi et al [34], Mohr et al [35], and Cheung et al [36]. However, to our knowledge, there have been no attempts to train a recommendation algorithm with an objective measure of mental well-being.

Helena Wang, Norman Farb, Bechara Saab

J Med Internet Res 2025;27:e56086


Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study

Tracking Implementation Outcomes of an Intensive Case Management Program for HIV: Protocol for a Mixed Methods Study

Each of the 3 measured outcomes (fidelity, reach, and sustainability) will have its own set of questions, with fidelity being the most finely tuned, with an initial probing questionnaire that will eventually develop into a mature and finalized version. Fidelity is a crucial outcome that we will closely monitor, as it ensures consistent program implementation across different settings.

Meron Mengistu, Kris Tom, Liben Gebremikael, Notisha Massaquoi, Obidimma Ezezika

JMIR Res Protoc 2024;13:e57452


Harnessing Innovative Technologies to Train Nurses in Suicide Safety Planning With Hospital Patients: Formative Acceptability Evaluation of an eLearning Continuing Education Training

Harnessing Innovative Technologies to Train Nurses in Suicide Safety Planning With Hospital Patients: Formative Acceptability Evaluation of an eLearning Continuing Education Training

Reference 34: Fidelity in the field: developing infrastructure and fine-tuning measurement Reference 36: A systematic review of machine learning for assessment and feedback of treatment fidelity Reference 76: Assessing variability and implementation fidelity of suicide prevention safety planningfidelity

Doyanne Darnell, Andria Pierson, Michael J Tanana, Shannon Dorsey, Edwin D Boudreaux, Patricia A Areán, Katherine Anne Comtois

JMIR Form Res 2024;8:e56402


How the Behavior Change Content of a Nationally Implemented Digital Diabetes Prevention Program Is Understood and Used by Participants: Qualitative Study of Fidelity of Receipt and Enactment

How the Behavior Change Content of a Nationally Implemented Digital Diabetes Prevention Program Is Understood and Used by Participants: Qualitative Study of Fidelity of Receipt and Enactment

To fully understand why interventions are ineffective or effective we need to understand whether these interventions are designed, delivered, and received as planned (fidelity). Without an assessment of fidelity, the reported effectiveness of an intervention could be a function of either an effective intervention or the influence of other unknown factors added to, or omitted from, the intervention [19].

Lisa M Miles, Rhiannon E Hawkes, David P French

J Med Internet Res 2023;25:e41214


Changes in a Digital Type 2 Diabetes Self-management Intervention During National Rollout: Mixed Methods Study of Fidelity

Changes in a Digital Type 2 Diabetes Self-management Intervention During National Rollout: Mixed Methods Study of Fidelity

This study explored the fidelity of the national rollout of Healthy Living to the original He LP-Diabetes intervention. Intervention fidelity is defined as the extent to which an intervention is delivered as intended [16]. Without good fidelity to the original He LP-Diabetes intervention, there would be no strong justification for the implementation of Healthy Living, and reasons for intervention effectiveness would be unclear.

Jack S Benton, Sarah Cotterill, Rhiannon E Hawkes, Lisa M Miles, David P French

J Med Internet Res 2022;24(12):e39483


An Alternative to Traditional Bedside Teaching During COVID-19: High-Fidelity Simulation-Based Study

An Alternative to Traditional Bedside Teaching During COVID-19: High-Fidelity Simulation-Based Study

Simulators can be classified according to the degree of realism known as fidelity. High-fidelity simulators provide the user with immersive and often complex scenarios with a high degree of realism [9]. Low-fidelity simulators replicate the real world to a lesser extent and include part-task trainers, for example, an inanimate model of a limb to allow learners to practice venipuncture skills [9].

Shereen Ajab, Emma Pearson, Steven Dumont, Alicia Mitchell, Jack Kastelik, Packianathaswamy Balaji, David Hepburn

JMIR Med Educ 2022;8(2):e33565


A Multifaceted Intervention to Improve Medication Adherence in Kidney Transplant Recipients: An Exploratory Analysis of the Fidelity of the TAKE IT Trial

A Multifaceted Intervention to Improve Medication Adherence in Kidney Transplant Recipients: An Exploratory Analysis of the Fidelity of the TAKE IT Trial

While evaluations of intervention effectiveness have not yet been performed, in the meantime, we sought, as planned, to examine the initial fidelity of the intervention’s ability to engage KT recipients beyond the point of care through the use of monthly invitations to complete brief portal assessments that allowed them to report on their regimen adherence and any specific concerns.

Esther S Yoon, Scott Hur, Laura M Curtis, Aiden H Wynia, Pauline Zheng, Sumi S Nair, Stacy C Bailey, Marina Serper, Peter P Reese, Daniela P Ladner, Michael S Wolf

JMIR Form Res 2022;6(5):e27277


Fidelity to Program Specification of the National Health Service Digital Diabetes Prevention Program Behavior Change Technique Content and Underpinning Theory: Document Analysis

Fidelity to Program Specification of the National Health Service Digital Diabetes Prevention Program Behavior Change Technique Content and Underpinning Theory: Document Analysis

Intervention fidelity is used to describe whether an intervention is delivered as intended [15,16]. Without an assessment of fidelity, it cannot be ascertained whether intervention effectiveness, or a lack thereof, is because of the intervention content or other factors added or omitted in the intervention delivery.

Rhiannon E Hawkes, Lisa M Miles, David P French

J Med Internet Res 2022;24(4):e34253