Background. Preserving fidelity ascertains that the intervention is delivered as intended in occupational therapy (OT) contexts. The process of conceptualizing and developing fidelity standards, however, is seldom documented in the existing literature. Purpose. The purpose of this methodological description paper was to (a) describe the process of generating a comprehensive fidelity plan based on the National Institutes of Health Behavioral Change Consortium's five-domain fidelity framework and (b) evaluate the development process and utility of the end product, the Occupation-Based Coaching (OBC) Fidelity Protocol. Key Issues. There is no known research that documents the process of developing fidelity standards and tools to support the OBC intervention. Implications. The OBC Fidelity Protocol proposes an example of how a comprehensive fidelity plan and tools can be developed from a well-established scientific framework. This can also inform OT practitioners and researchers to deliver OBC sessions with consistency across clients, providers, and interventions/studies.

背景。保持保真度可确保干预在职业治疗 (OT) 环境中按预期进行。然而，现有文献中很少记录概念化和制定保真度标准的过程。目的。本方法描述文件的目的是 (a) 描述基于美国国立卫生研究院行为改变联盟的五域保真度框架生成综合保真计划的过程，以及 (b) 评估最终产品的开发过程和效用，基于职业的教练 (OBC) 忠诚度协议。关键的问题。没有已知的研究记录开发保真度标准和工具以支持 OBC 干预的过程。影响。OBC Fidelity Protocol 提出了一个示例，说明如何从完善的科学框架开发全面的保真计划和工具。这也可以告知 OT 从业者和研究人员在客户、提供者和干预/研究之间提供一致的 OBC 会话。