Pediatric tele-coaching fidelity evaluation: Feasibility, perceived satisfaction and usefulness of a new measure.

Background: To promote and ensure coaches' fidelity in delivering an online health coaching program to parents of children with suspected developmental delay, we developed and implemented a novel coaching fidelity rating tool, CO-FIDEL (COaches Fidelity in Intervention DELivery). We aimed to (1) Demonstrate CO-FIDEL's feasibility in evaluating coaches' fidelity and its change over time; and (2) Explore coaches' satisfaction with and usefulness of the tool.

Methods: In an observational study design, coaches ( = 4) were assessed using the CO-FIDEL following each coaching session ( = 13-14 sessions/parent-participant) during the pilot phase of a large randomized clinical trial involving eleven ( = 11) parent-participants.