BRISC Fidelity
BECT
SESSION
Fidelity ratings via the BECT found excellent adherence for sessions 1, 2, and 4, at 94.2%, 90.8%, and 90.1% of items in each session, respectively. Adherence was acceptable but lower for session 3 with 77.4% of items meeting criteria. Session 3 focused on continued problem solving and skill-based elements of mental health care are taught to facilitate step completion. The lowest fidelity items for session 3 were “create a game plan for the coming week” (74.6% of sessions) and “obtained stress rating associated with identified problem” (89.8% of sessions). Items regarding fidelity for problem-solving tasks were high (98.3% of the sessions). Session quality ranged from 3.0 (session 3) to 3.7 (session 1) on the 5-point scale, and engagement ranged from 3.9 (session 3) to 4.2 (session 1) on the 5-point scale.Mixed-effect modeling of TPOCS scores confirmed treatment fidelity. Sessions from the BRISC condition featured more elements 