Measuring implementation fidelity in a community-based parenting intervention.
Measuring implementation fidelity in a community-based parenting intervention.
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DOI：
10.1097/nnr.0b013e3181dbb2e2
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发表时间：
2010-05
期刊：
影响因子：
2.5
通讯作者：
Gross D
中科院分区：
文献类型：
--
作者：
Breitenstein SM;Fogg L;Garvey C;Hill C;Resnick B;Gross D
建立实施保真度监测策略的可行性和有效性是大规模实施循证干预措施的重要方法步骤。本研究的目的是检查的信度和效度的忠诚度检查表，旨在评估小组领导人的坚持和能力提供家长培训干预（芝加哥家长计划）在儿童保育中心服务低收入家庭。样本包括9个家长小组（每个小组12次），12个组长和103名家长。独立评分员审查了106个家长小组会议的录音，并根据忠诚度检查表中的忠诚度和能力量表对组长的忠诚度进行了编码。小组领导人完成了自我报告遵守检查表和父母参与干预措施的措施。父母完成了消费者满意度和儿童行为的测量。忠诚度检查表达到了较高的评定者间一致性（依从性量表= 94%，能力量表= 85%）和足够的组内相关系数（依从性量表= 0.69，能力量表= 0.91）。团队领导者的忠诚度随着时间的推移而变化，但能力保持稳定。组长自我报告和独立评级的依从性量表之间的协议为85%，分歧更频繁，由于组长自我报告的积极偏见。正相关关系被发现之间的小组长坚持和家长出席和参与干预和小组长的能力和家长满意度。虽然儿童行为问题得到改善，但改善与忠诚度无关。研究结果表明，忠诚度检查表是一个可行的，可靠的，有效的措施，以小组为基础的亲职干预组长实施忠诚。未来的研究将集中在测试不同的和更大的样本和推广到其他群体为基础的干预措施，使用类似的干预模式的忠诚度检查表。
Establishing the feasibility and validity of implementation fidelity monitoring strategies is an important methodological step in implementing evidence-based interventions on a large scale. The objective of the study was to examine the reliability and validity of the Fidelity Checklist, a measure designed to assess group leader adherence and competence delivering a parent training intervention (the Chicago Parent Program) in child care centers serving low-income families. The sample included 9 parent groups (12 group sessions each), 12 group leaders, and 103 parents. Independent raters reviewed 106 audiotaped parent group sessions and coded group leaders’ fidelity on the Adherence and Competence Scales of the Fidelity Checklist. Group leaders completed self-report adherence checklists and a measure of parent engagement in the intervention. Parents completed measures of consumer satisfaction and child behavior. High interrater agreement (Adherence Scale = 94%, Competence Scale = 85%) and adequate intraclass correlation coefficients (Adherence Scale = .69, Competence Scale = .91) were achieved for the Fidelity Checklist. Group leader adherence changed over time, but competence remained stable. Agreement between group leader self-report and independent ratings on the Adherence Scale was 85%; disagreements were more frequently due to positive bias in group leader self-report. Positive correlations were found between group leader adherence and parent attendance and engagement in the intervention and between group leader competence and parent satisfaction. Although child behavior problems improved, improvements were not related to fidelity. The results suggest that the Fidelity Checklist is a feasible, reliable, and valid measure of group leader implementation fidelity in a group-based parenting intervention. Future research will be focused on testing the Fidelity Checklist with diverse and larger samples and generalizing to other group-based interventions using a similar intervention model.