The Leader Observation Tool: a process skills treatment fidelity measure for the Incredible Years parenting programme
The Leader Observation Tool: a process skills treatment fidelity measure for the Incredible Years parenting programme
复制标题
DOI：
10.1111/j.1365-2214.2008.00828.x
复制
发表时间：
2008-05-01
影响因子：
1.9
通讯作者：
Bywater, T.
中科院分区：
文献类型：
--
作者：
Eames, C.;Daley, D.;Bywater, T.
背景尽管认识到需要在精神卫生领域提供循证方案，但很少强调忠实地实施这些方案。方案开发者为确保遵守其方案所作的努力包括制定培训、手册和内容量表，但仅凭这些可能不足以确保复制的准确性。观察措施借给自己作为一个潜在的有用的评估干预成果，提供准确和客观的帐户的干预process.Aim开发一个可靠的和有效的观察治疗保真度工具的过程中的技能，需要提供的不可思议的岁月（IY）基本parenting programmes effectively.Methods一个客观的观察保真度措施，以评估遵守IY基本parenting programme protocol。观察进行了12 IY基本亲职方案组，出席了由家长的学龄前儿童表现出早发性conducteddisorder.Results迹象的领导观察工具（LOT）实现了高的内部信度和良好的代码-recode和评分员间的信度。同时效度的证据也gathered.Conclusion已经证明，LOT是一个可靠和有效的措施，实施保真度，进一步的研究是必要的，以检查LOT分数和干预结果之间的关系。
Background Despite recognition of the need to deliver evidence-based programmes in the field of mental health, there is little emphasis on implementing such programmes with fidelity. Attempts by programme developers to ensure adherence to their programmes include the development of training, manuals and content scales, but these alone may be insufficient to ensure fidelity in replication. Observational measures lend themselves as a potentially useful assessment of intervention outcomes, providing accurate and objective accounts of the intervention process.Aim To develop a reliable and valid observational treatment fidelity tool of process skills required to deliver the Incredible Years (IY) BASIC parenting programme effectively.Methods An objective observational fidelity measure was developed to assess adherence to the IY BASIC parenting programme protocol. Observations were conducted on 12 IY BASIC parenting programme groups, attended by parents of pre-school children displaying signs of early onset conduct disorder.Results The Leader Observation Tool (LOT) achieved high internal reliability and good code-recode and inter-rater reliability. Evidence of concurrent validity was also obtained.Conclusion Having demonstrated that the LOT is a reliable and valid measure of implementation fidelity, further research is necessary to examine the relationship between LOT scores and intervention outcome.