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Background. Fidelity in complex behavioural interventions is underexplored. This study examines fidelity of the INFORM trial and explores the relationship between fidelity, study arm and the trial's primary outcome – care aide involvement in formal team communications about resident care. Methods. A concurrent process evaluation of implementation fidelity was conducted in 33 nursing homes in Western Canada (Alberta and British Columbia). Study participants were from 106 clinical care unitsdoi:10.21203/rs.3.rs-17994/v2 fatcat:nw4b5o5rrvgirmz6g2wguz3rk4