Fidelity of virtual self-management programs in pediatric autoimmune diseases: A scoping review protocol.

Pediatric autoimmune disorders represent chronic conditions in which the immune system erroneously targets healthy tissues, affecting children and adolescents. Virtual self-management programs have emerged as complementary approaches to traditional healthcare modalities, aimed at improving patient engagement and optimizing outcomes. However, the fidelity of these programs-defined as their adherence to intended design and delivery-remains underexplored, particularly in pediatric populations. This scoping review aims to provide an overview of the fidelity of virtual self-management programs tailored for children with autoimmune diseases. It will systematically document methodologies used to assess fidelity, evaluate its impact on program execution, and analyze its influence on patient outcomes. The review follows the Joanna Briggs Institute guidelines and employs the PRISMA-ScR framework. Comprehensive searches will be conducted through PubMed, CINAHL, Embase, PsycINFO, Web of Science, and Education Resources Information Center (ERIC). Eligible studies will focus on pediatric patients, with data extraction encompassing population characteristics, program features, fidelity metrics, and implementation determinants. The review will synthesize current evidence on fidelity in virtual self-management programs for pediatric autoimmune diseases, identify research gaps, and propose directions for future studies. These findings aim to inform program development, enhance implementation fidelity, and improve therapeutic outcomes in pediatric autoimmune care.•