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Table 2 Framework of treatment fidelity strategies

From: The effectiveness of a value-based EMOtion-cognition-Focused educatIonal programme to reduce diabetes-related distress in Malay adults with Type 2 diabetes (VEMOFIT): study protocol for a cluster randomised controlled trial

Treatment design

Information provided about intervention

• Length of intervention programme sessions (2 to 2.5 h)

• Number of intervention programme sessions (5)

• Duration of intervention (5 months)

Information provided on standardized care

• Number of routine visits to HCs (every 2 to 4 months)

Training procedures

Training of nurses outlined

• A one-day training session

• One day pilot test with real patients (4 sessions) with feedback from investigators (2 sessions)

• A one-day refresher session

Delivery of treatment

Assurance that intervention has been delivered as per protocol

• Trainer’s manual

• Patient’s workbook

• Principle investigator contacts every nurse-coach after each of their sessions

• Nurse-coaches fill in log diaries

• Focus groups with participants and nurse-coaches

Receipt of treatment

• Record of each participant’s attendance at meetings

• Nurse-coach takes a record at each meeting