Understanding the art and science of implementation in the SAAF efficacy trial
Understanding the art and science of implementation in the SAAF efficacy trial
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DOI：
10.1108/09654281311329240
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发表时间：
2013-01-01
期刊：
影响因子：
1.3
通讯作者：
Brody, Gene
中科院分区：
文献类型：
--
作者：
Berkel, Cady;Murry, Velma;Brody, Gene
目的 - 本文的目的是证明在评估循证计划的实施时考虑保真度和适应性的重要性。设计/方法/途径 - 当前的研究采用多方法策略来理解强大的非裔美国人家庭 (SAAF) 计划的两个实施维度（保真度和适应性）。数据是功效试验中项目交付以及测试前和测试后访谈的视频记录。 Mplus 中的多级回归用于评估对独立观察员编写的手册的忠诚度对种族社会化结果的影响。一项关于种族社会化的活动是该计划的核心组成部分，被选择使用对话分析（一种分析互动中谈话的定性方法）进行深入检查。调查结果 - 定量分析的结果表明，所选活动的保真度与家长从测试前到测试后使用种族社会化的增加有关，但前提是模型中包含了参与者的出勤率。定性分析的结果表明，协调员正在对会议进行调整，并且这些调整似乎符合文化能力。研究局限性/影响 - 定量保真度衡量标准的制定可能存在问题，需要考虑许多决策点。当前的研究为制定基于家庭的育儿计划的适应性定量衡量标准提供了证据基础。原创性/价值——许多研究基于证据的计划实施情况的研究人员认为保真度和适应是单一谱系的两个极端。本文提供了独立审查每个问题的重要性的证据。
Purpose - The purpose of this paper is to demonstrate the importance of considering both fidelity and adaptation in assessing the implementation of evidence-based programs.Design/methodology/approach - The current study employs a multi-method strategy to understand two dimensions of implementation (fidelity and adaptation) in the Strong African American Families (SAAF) program. Data were video recordings of program delivery and pre-test and post-test interviews from the efficacy trial. Multilevel regression in Mplus was used to assess the impact of fidelity to the manual, coded by independent observers, on racial socialization outcomes. One activity on racial socialization, a core component of the program, was selected for an in-depth examination using conversation analysis (a qualitative method of analyzing talk in interactions).Findings - Results of the quantitative analyses demonstrated that fidelity of the selected activity was associated with increases in parent's use of racial socialization from pre-test to post-test, but only when participant attendance was included in the model. Results of the qualitative analyses demonstrated that facilitators were making adaptations to the session and that these adaptations appeared to be in line with cultural competence.Research limitations/implications - The development of quantitative fidelity measures can be problematic, with many decision points to consider. The current study contributes to the evidence base to develop a quantitative measure of adaptation for family-based parenting programs.Originality/value - Many researchers examining implementation of evidence-based programs consider fidelity and adaptation to be polar ends of a single spectrum. This paper provides evidence for the importance of examining each independently.