Evidence map›Paper›PMID 42847362›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2026

Integrating coaching into digital behavioral interventions: a scalable training model and fidelity evaluation.

Susan M Breitenstein, Michelle M Greene, Grace Miller, Shea Smoske, Sara Alqasem, Jillian Harrington, Jennifer Filipkowski, Mason J Moser, Michael Schoeny

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05217615 (Parent Training for Parents of Toddlers Born Very Premature), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05217615 nacompletednot on this map

Parent Training for Parents of Toddlers Born Very Premature: A Factorial Design to Test Web Delivery and Telephone Coaching

TypeinterventionalSponsorOhio State UniversityRan2022 to 2026Enrolled452ConditionsParenting, Problem Behavior, Premature Birth, Parenting InterventionArmsezParent, Coaching calls, Active Control
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Susan M BreitensteinCollege of Nursing, The Ohio State University, Columbus, OH 43210, United States.ORCID 0000-0002-3081-5038
Michelle M GreeneRush University Medical Center, Chicago, IL 60612, United States.
Grace MillerRush University Medical Center, Chicago, IL 60612, United States.ORCID 0009-0005-1714-3221
Shea SmoskeThe Ohio State University, Columbus, OH 43210, United States.ORCID 0000-0002-1203-3139
Sara AlqasemThe Ohio State University, Columbus, OH 43210, United States.ORCID 0009-0004-0796-263X
Jillian HarringtonCleveland Clinic, Cleveland, OH 44195, United States.
Jennifer FilipkowskiNationwide Children's Hospital, Columbus, OH 43205, United States.ORCID 0009-0000-6019-7202
Mason J MoserCollege of Nursing, The Ohio State University, Columbus, OH 43210, United States.ORCID 0009-0002-1581-1255
Michael SchoenyCollege of Nursing, Rush University, Chicago, IL 60612, United States.ORCID 0000-0002-3066-708X

Funding

Parent training for parents of toddlers born very premature: A factorial design to test web delivery and telephone coachingR01HD104072 · NICHD · OHIO STATE UNIVERSITY · PI BREITENSTEIN, SUSAN M · 2021 to 2025
$3.0M
National Institute of Child Health and Human Development R01HD104072NICHD NIH HHS R01 HD104072
6 · The paper itself

Abstract

backgroundDigital interventions offer scalable solutions for program accessibility but face challenges with engagement and adherence. Hybrid delivery models integrating human support through coaching may enhance engagement outcomes, which can improve intervention or clinical outcomes. PURPOSE: This study describes a structured, intervention-agnostic coaching model and associated training procedures designed to reinforce digital intervention content without requiring specialist expertise. It evaluates the feasibility, fidelity, and acceptability of the coaching model, including participant satisfaction.

methodsParents of toddlers born very preterm (n = 113) received digital parent training or health education paired with weekly coaching calls. Eleven coaches from diverse educational backgrounds completed a standardized training protocol. Feasibility was assessed via observations and coach self-report of adherence and competence. Acceptability was evaluated through parent satisfaction surveys. Descriptive analyses summarized fidelity, engagement, and program completion.

resultsCoaches demonstrated high adherence (M = 94.9%) and competence (M = 88.9%) across 266 observed calls, with minimal variance. Parent call engagement was rated high (M = 2.70; 3-point scale). Most parents (75%) attended ≥6 of 11 coaching calls, and 64% completed all 6 digital program modules. Satisfaction was strong, with 93.6% of parents reporting being satisfied or very satisfied, and over 70% felt connected to their coach. Calls were brief (M = 12.9 minutes), supporting feasibility for busy families.

conclusionsAn intervention-agnostic coaching model delivered by non-specialists was feasible and acceptable for parent participants. Development of a standardized coaching manual and testing across additional digital interventions are planned to enhance scalability and replication. CLINICAL TRIAL IDENTIFICATION NUMBER: NCT05217615; ClinicalTrials.gov.

Indexed as

Behavior TherapyMentoringParentsAdultDigital MediaFeasibility StudiesFemaleHumansMalecoachingdigital behavioral interventionfidelityhybrid deliverynon-specialist workforceparent training

Identifiers

PMID42847362
PMCPMC13215083

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.