Fidelity 101
Importance of program fidelity in delivering evidence-based programs for chronic disease management, such as Stanford University's various self-management programs. Learn how fidelity impacts program quality, participant outcomes, sustainability, and funding opportunities.
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Presentation Transcript
Select Programs Fidelity 101 Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Part one of a webinar series focusing on program fidelity and its importance with delivering EBP. 1 1
Select Programs What do you think program fidelity is? Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers 2 2
Select Programs Definition of Fidelity Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Higher program quality Participant outcomes The extent to which the program is delivered as intended based on the research that established its effectiveness Adhering to the curriculum and all guidelines set forth by Stanford means: 3 3
Select Programs Why is Fidelity Important? Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Outcomes for participants Sustainability Current Funders Future Funders 4 4
Select Programs Four Key Factors to Promote High Fidelity Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers resources and administrative support Leader and MT training, continuing education and support Program Manuals and materials Leaders and MT that adhere to fidelity Organizations and host sites with sufficient 5 5
Select Programs Benefits of Fidelity Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Meet funding requirements Required by Stanford Improve quality of programming Ensure that all phases of the program are implemented Create a culture of positive feedback and learning in your team/organization 6 6
Select Programs What is challenging about Fidelity? Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers 7 7
Select Programs Opportunities for Fidelity Leader/MT Recruitment Before Leader/MT trainings During Leader/MT trainings After Leader/MT trainings Before Workshops During Workshops After Workshops Continuing Education Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers 8 8
Select Programs Fidelity Before: Leader/MT trainings Fidelity starts as early as recruitment and screening of potential leaders and MT before trainings. The Leader Recruitment Tool Kit is a helpful tool to ensure that the potential leader/MT and his/her agency is informed of responsibilities Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers and requirements. 9 9
Select Programs Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Fidelity During: Leader/MT trainings Practice Sessions Counseling out potential leader and MT s Modeling by MT s/T Trainers 10 10
Select Programs Fidelity After: Leader/MT Training Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Leader and MT agreement contracts Leader and MT satisfaction surveys Fidelity observations during first workshop Pairing new leader/MT with seasoned Leader/MT 11 11
Select Programs Fidelity During Workshops Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Venue is safe, suitable, appropriate Fidelity observations of new leaders Workshop must have at least 10 participants on first day Attendance Log Sheets Drop-out Interviews Necessary materials 12 12
Select Programs Fidelity After Workshops Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Participant satisfaction surveys Leader and MT self & peer fidelity assessments Tracking leader/MT activity 13 13
Select Programs Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Ongoing Fidelity Support from HLCE Leader and MT ongoing education Webinars SYS Recertification/Training 14 14
Select Programs HLCE Fidelity: Now Leader Database Fidelity Calls- participant and completer numbers Observation of workshops Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers identify trends across the state The above will help gather data and 15 15
Select Programs HLCE Fidelity: Future Plan Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Roll out mandatory forms and fidelity tools Streamline some helpful, optional tools 16 16
Select Programs Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers Questions? 17 17
Select Programs Stanford University s Chronic Disease Self- Management Program (My Life, My Health) Better Choices, Better Health (On-line) Chronic Pain Self-Management Program Diabetes Self-Management Program A Matter of Balance (Falls Prevention) Healthy Eating for Successful Living in Older Adults Healthy IDEAS Enhance Wellness Care Transitions Fit For your Life (Physical Activity) Arthritis Foundation Exercise Program Tai Chi Arthritis Program Powerful Tools for Caregivers 18 18
