A method for defining the CORE of a psychosocial intervention to guide adaptation in practice: Reciprocal imitation teaching as a case example.
A method for defining the CORE of a psychosocial intervention to guide adaptation in practice: Reciprocal imitation teaching as a case example.
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DOI：
10.1177/13623613211064431
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Broder-Fingert S
中科院分区：
文献类型：
--
作者：
Edmunds SR;Frost KM;Sheldrick RC;Bravo A;Straiton D;Pickard K;Grim V;Drahota A;Kuhn J;Azad G;Pomales Ramos A;Ingersoll B;Wainer A;Ibanez LV;Stone WL;Carter A;Broder-Fingert S
确定干预措施的核心组成部分对于在研究环境和社区实践中平衡保真度和灵活实施至关重要。实施科学家区分干预的基本组成部分（被认为引起临床变化）和适应性外围（推荐，但不是必需的）。虽然忠实地实施核心组件可能对有效性至关重要，但要求忠实于可适应的外围可能会扼杀创新，而创新对于个性化护理和实现成功的社区实施至关重要。没有系统的方法可以先验地定义基本成分。我们提出了CORE （COmponents & Rationales for Effectiveness）保真度方法——一种定义循证干预的关键组成部分的新方法，并将其应用于互惠模仿教学的一个案例，这是一种由家长实施的社会沟通干预。CORE保真度方法包括三个步骤：(1)从已发表和未发表的材料中收集信息；(2)综合信息，包括对成分有效性的实证和假设的因果解释；(3)起草核心核心模型并确保其在实施工作中持续使用。这种方法的好处包括：(a)确保干预和保真材料之间的对齐；(b)厘清可适应的外围范围，以优化实施；(c)假设——以及之后的经验验证——干预的有效成分及其相关的变化机制。
Defining the central components of an intervention is critical for balancing fidelity with flexible implementation in both research settings and community practice. Implementation scientists distinguish an intervention’s essential components (thought to cause clinical change) and adaptable periphery (recommended, but not necessary). While implementing core components with fidelity may be essential for effectiveness, requiring fidelity to the adaptable periphery may stifle innovation critical for personalizing care and achieving successful community implementation. No systematic method exists for defining essential components a priori. We present the CORE (COmponents & Rationales for Effectiveness) Fidelity Method —a novel method for defining key components of evidence-based interventions—and apply it to a case example of Reciprocal Imitation Teaching, a parent-implemented social communication intervention. The CORE Fidelity Method involves three steps: (1) gathering information from published and unpublished materials; (2) synthesizing information, including empirical and hypothesized causal explanations of component effectiveness; and (3) drafting a CORE model and ensuring its ongoing use in implementation efforts. Benefits of this method include: (a) ensuring alignment between intervention and fidelity materials; (b) clarifying the scope of the adaptable periphery to optimize implementation; and (c) hypothesizing—and later, empirically validating—the intervention’s active ingredients and their associated mechanisms of change.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
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作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.1177/13623613211003747
发表时间：
2021-10
期刊：
Autism : the international journal of research and practice
影响因子：
--
作者：
Frost KM;Russell K;Ingersoll B
通讯作者：
Ingersoll B
影响因子：
5.7
作者：
Jolles, Monica Perez;Lengnick-Hall, Rebecca;Mittman, Brian S.
通讯作者：
Mittman, Brian S.
影响因子：
5.5
作者：
Collins, Linda M.;Dziak, John J.;Kugler, Kari C.;Trail, Jessica B.
通讯作者：
Trail, Jessica B.
DOI：
10.1007/s10488-020-01064-9
发表时间：
2021-03
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Azad GF;Minton KE;Mandell DS;Landa RJ
通讯作者：
Landa RJ