Table 2

Fidelity criteria for treatment delivery within the goal-setting session for the experimental treatment and the attention control treatment

Active ingredientBehaviourFidelity componentExperimental treatmentAttention control treatment
Principles of supported conversationUsed appropriate level of communication strategies to support the person with aphasia’s (PWA) receptive language skills
For example, adapted resources, writing, gesture, drawing, repetition
CompetenceEssential criteriaEssential criteria
Principles of supported conversationUsed appropriate level of communication strategies to support the PWA’s expressive language skills
For example, suggested using drawing, writing, pointing, gesture, verification
CompetenceEssential criteriaEssential criteria
Collaborative learning
Person-centred approach
Did not use preset goals without discussion with the PWA (and family member)ContentEssential criteriaEssential criteria
Person-centred approach
Goal-oriented approach
The therapist delivered only the target treatment as described in the manual and in training sessionsContentEssential criteriaEssential criteria
Person-centred approach
Goal-oriented approach
Gave a rationale for goal-settingContentEssential criteriaEssential criteria
Person-centred approach
Goal-oriented approach
Collaborative learning
Problem solved with the PWA (and family member) to set personally relevant goals
For example, guided discussion about the goals and options within the treatment; explained why specific goals do not fall under the study treatment and how to address these concerns; helped PWA (and family member) gain new understanding of problems/goals; helped PWA (and family member) to prioritise goals
ContentEssential criteriaEssential criteria
Collaborative learningDemonstrated an appropriate level of engagement, rapport and warmth, in line with their familiarity with the PWA (and family member)
For example, warm tone of voice; appropriate use of humour; avoidance of criticism; encouragement of communication attempts
CompetenceDesirable criteriaDesirable criteria
Collaborative learningEvidence of therapeutic alliance
For example, checked that the goals reflect the PWA’s (and family member’s) needs; avoided dominating the discussion; used active listening; adapted approach to engage the PWA (and family member)
CompetenceDesirable criteriaDesirable criteria
Total score (max 8, min 6.4)
Essential behaviours score (min 6)