title: Development and validation of the ASPIRE-VA coaching fidelity checklist (ACFC): a tool to help ensure delivery of high-quality weight management interventions.
abstract: Practical and valid instruments are needed to assess fidelity of coaching for weight loss. The purpose of this study was to develop and validate the ASPIRE Coaching Fidelity Checklist (ACFC). Classical test theory guided ACFC development. Principal component analyses were used to determine item groupings. Psychometric properties, internal consistency, and inter-rater reliability were evaluated for each subscale. Criterion validity was tested by predicting weight loss as a function of coaching fidelity. The final 19-item ACFC consists of two domains (session process and session structure) and five subscales (sets goals and monitor progress, assess and personalize self-regulatory content, manages the session, creates a supportive and empathetic climate, and stays on track). Four of five subscales showed high internal consistency (Cronbach alphas > 0.70) for group-based coaching; only two of five subscales had high internal reliability for phone-based coaching. All five sub-scales were positively and significantly associated with weight loss for group- but not for phone-based coaching. The ACFC is a reliable and valid instrument that can be used to assess fidelity and guide skill-building for weight management interventionists.
authors.affiliation: VA Ann Arbor Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Rd., Mailstop 152, Ann Arbor, MI, 48105, USA. laura.damschroder@va.gov.
authors.forename: Laura J
authors.identifier: 0000-0002-3657-8459
authors.initials: LJ
authors.lastname: Damschroder
authors.affiliation: VA Ann Arbor Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Rd., Mailstop 152, Ann Arbor, MI, 48105, USA.
authors.forename: David E
authors.initials: DE
authors.lastname: Goodrich
authors.affiliation: VA Ann Arbor Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Rd., Mailstop 152, Ann Arbor, MI, 48105, USA.|University of Michigan Center for Statistical Consulting & Research, 3550 Rackham CSCAR, 915 E. Washington, Ann Arbor, MI, 48109-1070, USA.
authors.forename: Hyungjin Myra
authors.initials: HM
authors.lastname: Kim
authors.affiliation: VA Ann Arbor Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Rd., Mailstop 152, Ann Arbor, MI, 48105, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Holleman
authors.affiliation: VA Ann Arbor Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Rd., Mailstop 152, Ann Arbor, MI, 48105, USA.
authors.forename: Leah
authors.initials: L
authors.lastname: Gillon
authors.affiliation: Louis Stokes Veterans Affairs Medical Center, 10701 East Blvd., Cleveland, OH, 44106, USA.|Clinical Consultant Office of Primary Care, VA Central Office, Washington, DC, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Kirsh
authors.affiliation: Department of Family Medicine, University of Michigan School of Medicine, 1018 Fuller St., Ann Arbor, MI, 48109-0708, USA.
authors.forename: Caroline R
authors.initials: CR
authors.lastname: Richardson
authors.affiliation: Department of Psychology, East Carolina University, 344-B Rawl, East Fifth St., Greenville, NC, 27858-4353, USA.
authors.forename: Lesley D
authors.initials: LD
authors.lastname: Lutes
mesh_terms: D057189:Checklist / Q000379:methods*; D003695:Delivery of Health Care / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D000071252:Mentoring / Q000379:methods*; D008875:Middle Aged; D009765:Obesity / Q000178:diet therapy / Q000517:prevention & control; D011594:Psychometrics; D015203:Reproducibility of Results; D014481:United States; D014493:United States Department of Veterans Affairs; D061217:Weight Reduction Programs / Q000379:methods*
keywords: Intervention; Obesity; Process evaluation; Treatment fidelity; Weight management