A. Bellg, B. Borrelli, et al. (2004) previously developed a framework that consisted of strategies to enhance treatment fidelity of health behavior interventions. The present study used this framework to (a) develop a measure of treatment fidelity and (b) use the measure to evaluate treatment fidelity in articles published in 5 journals over 10 years. Three hundred forty-two articles met inclusion criteria; 22% reported strategies to maintain provider skills, 27% reported checking adherence to protocol, 35% reported using a treatment manual, 54% reported using none of these strategies, and 12% reported using all 3 strategies. The mean proportion adherence to treatment fidelity strategies was .55; 15.5% of articles achieved greater than or equal to .80. This tool may be useful for researchers, grant reviewers, and editors planning and evaluating trials.

The authors theorized that adversity elicits relationship maintenance responses when level of adversity is calibrated with level of commitment. To test this, the authors examined the commitment-devaluation effect: Those committed to a close relationship are thought to devalue attractive alternatives. Two levels of adversity were operationalized. Participants evaluated an attractive alternative (moderate threat), or participants evaluated the same target after learning that the target was attracted to them (high threat). Unmarried and low on a relationship commitment scale was considered low commitment; unmarried but high or married but low on the scale were considered moderately committed. Finally married and high on the scale was considered high commitment. Under moderate threat, moderately committed rated the alternative as less attractive than those low and high in commitment. Under high threat, those high in commitment rated the alternative as less attractive than those low and moderately committed. Gender differences and comparisons with single people were examined.

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