Developing and Implementing a Culturally Consonant Treatment Fidelity Support Plan with the Apsáalooke Nation
Bibliographic Data
Treatment fidelity remains underreported in health intervention research, particularly among Indigenous communities. One explanation for this gap is the lack of culturally consonant strategies listed in the National Institutes of Health (NIH) Behavior Change Consortium (BCC) treatment fidelity framework, the gold standard for understanding and measuring fidelity. This paper focuses on the development and implementation of a culturally consonant treatment fidelity support plan across two of the five BCC fidelity areas, provider training and treatment delivery, within a chronic illness self-management program for the Apsáalooke (Crow) Nation. Our team selected and adapted strategies from, and added strategies to, the BCC framework, that centered on relational accountability and the Apsáalooke culture. To be culturally consonant, we approached treatment fidelity as supporting Aakbaabaaniilea (Apsáalooke program facilitators) rather than monitoring them. This resulted in the development of a fifth treatment fidelity area: building and fostering relationships. We propose that fidelity to relational accountability is the foundation of successful programs in Indigenous communities. This suggests an important shift from tracking what was conducted in an intervention to prioritizing how things were conducted. We encourage others to view the BCC framework as a starting point in developing fidelity strategies that are consonant with local cultures
Accountability · Fidelity · Indigenous · Intervention (counseling · Political science · Community Health and Development · Computer Science · Evaluation and Performance Assessment · Health Policy Implementation Science · Medicine · Nursing · Psychology · Ecology
Treatment fidelity in outcome studies
A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research.
Major ingredients of fidelity
Enhancing Treatment Fidelity in Health Behavior Change Studies
The Impact of Historical and Current Loss on Chronic Illness
Study protocol
Implementation Matters
The Efficacy of an American Indian Culturally-Based Risk Prevention Program for Upper Elementary School Youth Residing on the Northern Plains Reservations
The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials
Creating Qungasvik (A Yup'ik Intervention “Toolbox”)
Community sharing
Theorising Interventions as Events in Systems
Adapting Western Research Methods to Indigenous Ways of Knowing
Suspending Damage
Improving chronic illness self-management with the Apsáalooke Nation
| Citation velocity | historical |
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| Highly cited | No |