1. 1 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 1 Fidelity 101 Part one of a webinar series focusing on program fidelity and its importance with delivering EBP.

2. 2 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 2 What do you think program fidelity is?

3. 3 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 3 Definition of Fidelity 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:  Higher program quality  Participant outcomes

4. 4 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 4 Why is Fidelity Important? Outcomes for participants Sustainability Current Funders Future Funders

5. 5 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 5 Four Key Factors to Promote High Fidelity 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 resources and administrative support

6. 6 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 6 Benefits of Fidelity 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 Meet funding requirements Required by Stanford

7. 7 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 7 What is challenging about Fidelity?

8. 8 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 8 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

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 9 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 and requirements.

10. 10 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 10 Fidelity During: Leader/MT trainings Practice Sessions Counseling out potential leader and MT’s Modeling by MT’s/T Trainers

11. 11 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 11 Fidelity After: Leader/MT Training Leader and MT agreement contracts Leader and MT satisfaction surveys Fidelity observations during first workshop Pairing new leader/MT with seasoned Leader/MT

12. 12 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 12 Fidelity During Workshops Workshop must have at least 10 participants on first day Attendance Log Sheets Drop-out Interviews Necessary materials Venue is safe, suitable, appropriate Fidelity observations of new leaders

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 13 Fidelity After Workshops Participant satisfaction surveys Leader and MT self & peer fidelity assessments Tracking leader/MT activity

14. 14 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 14 Ongoing Fidelity Support from HLCE Leader and MT ongoing education  Webinars  SYS  Recertification/Training

15. 15 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 15 HLCE Fidelity: Now Leader Database Fidelity Calls- participant and completer numbers Observation of workshops The above will help gather data and identify trends across the state

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 16 HLCE Fidelity: Future Plan Roll out mandatory forms and fidelity tools Streamline some helpful, optional tools

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 17 Questions?

18. 18 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