The Family Group Depression Prevention Program: Assessment of Fidelity

Abstract

Fidelity to the intervention manual for a family-based, group cognitive-behavioral depression prevention program for children of depressed parents was examined. Fidelity was measured with regard to adherence and competence. The Family Depression Program was delivered as designed across sites, cohorts, and group leaders regarding both adherence and competence. Parental depression symptoms at baseline and the presence of a second group leader were significant predictors of adherence. A second group leader also predicted higher competence. Higher levels of fidelity did not predict greater reductions in depressive symptoms, controlling for baseline symptoms.