Factors contributing to intervention fidelity in a multi-site chronic disease self-management program.

Background And Objectives: Disease self-management programs have been a popular approach to reducing morbidity and mortality from chronic disease. Replicating an evidence-based disease management program successfully requires practitioners to ensure fidelity to the original program design.

Methods: The Florida Health Literacy Study (FHLS) was conducted to investigate the implementation impact of the Pfizer, Inc.