Table 3 Fidelity components being assessed for the current study
Treatment Fidelity Component | Fidelity Assessments Being Implemented in the Current Study |
|---|---|
FORMAT OF DELIVERY | |
 1. Rationale for MBI adaptations | 1. MBSR and LifeEd materials adapted for older adults and include discussions around healthy living, barriers, challenges, and ideal outcomes |
 2. MBI and control group matching | 2. MBSR and LifeEd sessions take place for 2.5 h (first session is for three hours), 1 × per week, for 8 weeks |
 3. Plan for implementation setbacks | 3. Trained back-up facilitators for MBSR and control groups; scheduled website maintenance and back-up technicians for web failures |
TRAINING | |
 4. Formal facilitator training | 4. 25 h. of face-to-face facilitator training for MBSR and 25 h. of training control groups with MBSR instructor and PI with 22 and 12 years of experience, respectively |
 5. New facilitator monitoring | 5. PI and MBSR consultant will provide weekly 1.5 h. group supervision + 30 min. of individual supervision |
DELIVERY | |
 6. Electronic recording of program sessions | 6. Research coordinator will monitor web-app delivery; all inquiry discussions will be recorded and saved |
 7. Program sessions reviewed and rated | 7. Interventions will be delivered via the same format across the two groups; facilitators will discuss weekly group-based participant feedback at supervision |
 8. Facilitator supervision and feedback | 8. PI and MBSR consultant will provide weekly 2-h supervision (group + individual) with new facilitators to ensure standardized delivery |
RECEIPT | |
 9. Participant attendance | 9. Participant attendance and meta-data will be recorded; participants who miss sessions will receive call from facilitator |
ENACTMENT | |
 10. Practice adherence | 10. Participants' intervention engagement and homework completion will be recorded and monitored |
 11. Measurement of participant skill and strategy use in real-world settings | 11. Participants' engagement level will be correlated with outcome measures |
 12. Dispositional mindfulness measures | 12. Participants will complete mindfulness scales at pre- and post-intervention (e.g., MAAS) |