The trajectory of fidelity in a multiyear trial of the family check-up predicts change in child problem behavior.
The trajectory of fidelity in a multiyear trial of the family check-up predicts change in child problem behavior.
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DOI：
10.1037/ccp0000034
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发表时间：
2015-10
影响因子：
5.9
通讯作者：
Wilson, Melvin N.
中科院分区：
文献类型：
--
作者：
Chiapa, Amanda;Kim, Hanjoe;Shaw, Daniel S.;Smith, Justin D.;Dishion, Thomas J.;Wilson, Melvin N.
治疗师对基于证据的家庭干预的忠诚度始终与儿童和家庭的结果相关。然而，很少有研究评估治疗师忠诚度随时间的潜在潮起潮落。我们在幼儿期（2-5 岁）家庭检查预防服务的背景下，研究了四年来治疗师的忠诚度漂移。在 2 岁时，参与妇女、婴儿和儿童营养补充计划 (WIC) 服务的家庭被随机分组，并接受年度家庭检查。本次分析纳入了 79 个孩子在 2 岁时出现临床问题行为的家庭。潜在生长模型显示，随着时间的推移，保真度显着线性下降（M = -0.35，SD = 0.35），而更急剧的下降与护理人员在 7.5/8.5 岁时评估的问题行为改善较少有关（b = -.69，p = .003；β = -.95，CI：-2.11 | -0.22）。这些发现增加了有关需要随着时间的推移不断监测治疗师对循证实践的忠诚度以优化家庭福利的文献。讨论了未来研究的局限性和方向。
Therapist fidelity to evidence-based family interventions has consistently been linked to child and family outcomes. However, few studies evaluate the potential ebb and flow of fidelity of therapists over time. We examined therapist drift in fidelity over four years in the context of a Family Check-Up prevention services in early childhood (age 2–5). At age 2, families engaging in Women, Infants, and Children Nutritional Supplement Program (WIC) services were randomized and offered annual Family Check-Ups. Seventy-nine families with a child in the clinical range of problem behaviors at age 2 were included in this analysis. Latent growth modeling revealed a significant linear decline in fidelity over time (M = −0.35, SD = 0.35) and steeper declines were related to less improvement in caregiver-reported problem behaviors assessed at ages 7.5/8.5 (b = −.69, p = .003; β = −.95, CI: −2.11 | −0.22). These findings add to the literature concerning the need to continually monitor therapist fidelity to an evidence-based practice over time to optimize family benefits. Limitations and directions for future research are discussed.
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DOI：
10.1080/15374416.2013.777917
发表时间：
2013
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Smith JD;Dishion TJ;Moore KJ;Shaw DS;Wilson MN
通讯作者：
Wilson MN
影响因子：
5.9
作者：
Henggeler, SW;Melton, GB;Hanley, JH
通讯作者：
Hanley, JH
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S
影响因子：
3.6
作者：
Dishion, Thomas J.;Brennan, Lauretta M.;Jo, Booil
通讯作者：
Jo, Booil
影响因子：
5.9
作者：
Hukkelberg, Silje S.;Ogden, Terje
通讯作者：
Ogden, Terje