Intervention fidelity
We will implement intervention fidelity procedures developed by the NIH Behavioral Change Consortium Counselors will audio record all sessions in both conditions and complete a self-report treatment fidelity checklist following each session in both conditions. Supervisors will review audio recordings of all sessions of each counselor’s first patient in each condition and a random 10% of all subsequent sessions in both conditions. Supervisors will complete the treatment fidelity checklist for each session they review. Counselors will have weekly supervision with clinical psychologists during which any barriers to fidelity or drift from the manual will be addressed.