Evidence-based practice in school substance use prevention: fidelity of implementation under real-world conditions
Evidence-based practice in school substance use prevention: fidelity of implementation under real-world conditions
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DOI：
10.1093/her/cyr013
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发表时间：
2011-04-01
影响因子：
2.4
通讯作者：
Rohrbach, L. A.
中科院分区：
文献类型：
--
作者：
Ennett, S. T.;Haws, S.;Rohrbach, L. A.
在现实条件下计划实施的保真度是传播基于证据的学校药物使用预防课程的一个关键问题。当计划的实施保真度较差时，计划效果就会减弱。我们评估了五个领域的忠诚度——依从性、暴露（剂量）、交付质量、参与者反应性和项目差异化（缺乏其他项目的污染）——在全国随机抽取初中年级公立学校样本（N = 1721）的受访者子集（N = 342）中。 2004-05 学年，受访者将 10 个基于证据的普遍药物使用预防项目中的 1 个作为主要项目进行教学。他们对有关其最近实施实践的调查问题的回答表明，交付质量和参与者响应度的保真度较高，计划差异化的保真度较低，而依从性和曝光度的保真度则较低，这是保真度的两个核心领域。结果表明需要继续强调计划材料、培训和持续技术支持的保真度。应特别注意支持交互式交付策略的使用。
Fidelity of program implementation under real-world conditions is a critical issue in the dissemination of evidence-based school substance use prevention curricula. Program effects are diminished when programs are implemented with poor fidelity. We assessed five domains of fidelity-adherence, exposure (dosage), quality of delivery, participant responsiveness and program differentiation (lack of contamination from other programs)-in a subset of respondents (N = 342) from a national random sample of public schools with middle school grades (N = 1721). Respondents taught 1 of 10 evidence-based universal substance use prevention programs as their primary program during the 2004-05 school year. Their responses to survey questions about their recent implementation practices indicated that fidelity was high for quality of delivery and participant responsiveness, low for program differentiation and modest for adherence and exposure-the two core domains of fidelity. Results suggest the need for continued emphasis on fidelity in program materials, trainings and on-going technical support. Particular attention should be paid to supporting use of interactive delivery strategies.