BRISC Fidelity
BECT
The BRISC External Coding Tool (BECT) was developed for the study and includes 24 items derived from the 4 to 8 treatment components of each of the four BRISC sessions (e.g., “conducted stress rating”). Items are scored dichotomously (0 = criteria not met; 1 = met). For each BRISC clinician, the two BRISC trainer-consultants listened to audiotapes of all four sessions for at least the first two student clients each clinician enrolled and scored each session for fidelity criteria, overall quality, and student engagement on a 1–5 scale (i.e., 1 = low engagement/quality, 5 = high engagement/quality). Trainers double coded 22 recordings across all sessions (210 total items), achieving a single-measure absolute consistency of BRISC fidelity was also assessed by coding randomly selected sessions using the Therapy Process Observation Coding System (TPOCS; Garland et al., 