Measuring fidelity of brief cognitive behavior therapy for insomnia: Development, reliability and validity

Wendi F. Cross, Janet McCarten, Jennifer S. Funderburk, Hugh F. Crean, Jennifer Lockman, Caitlin E. Titus and Wilfred R. Pigeon

Evaluation and Program Planning, 2025, vol. 109, issue C

Abstract: Measuring fidelity is critical in program evaluations to assess how implementation influences outcomes. Implementer fidelity is comprised of adherence to the treatment content and competence of treatment delivery. Cognitive behavioral therapy for insomnia (CBT-I) is well-established and empirically supported with variants such as brief CBTi (bCBTi) showing promise in reducing both insomnia and depression. The impact of therapist fidelity on treatment outcomes is unknown in part because reliable measures have not been available. We developed measures of therapist fidelity for bCBT-i and assessed the impact of fidelity in the context of a pilot study with veterans in primary care.

Keywords: CBT-I; Therapist fidelity; Measurement; Observational coding; Veterans (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:eee:epplan:v:109:y:2025:i:c:s0149718924001332

DOI: 10.1016/j.evalprogplan.2024.102531

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