Experience Corps Trial: Monitoring Training and Intervention Fidelity

体验队试验：监控培训和干预保真度

• 批准号: 7561785
• 负责人: GEORGE W. REBOK
• 金额: $ 33.29万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7561785
• 关键词: Address; Administrative Supplement; Administrator; Affect; Aging; BLase; Baltimore; Behavior assessment; Behavioral; Child; Cities; Climate; Cognitive; Communities; Conflict (Psychology); Control Groups; Data; Data Collection; Dependency; Education; Educational Curriculum; Educational Intervention; Elderly; Enrollment; Evaluation; Failure; Family Relationship; Feedback; Funding; Health; Health Promotion; Hour; Incentive Reimbursement; Income; Intervention; Interview; Knowledge; Lead; Leadership; Libraries; Life; Link; Manuals; Measures; Mission; Modeling; Modification; Monitor; Nature; Negative Finding; Outcome; Parents; Participant; Play; Population Intervention; Principal Investigator; Process; Program Evaluation; Program Research Project Grants; Randomized; Recommendation; Records; Reporting; Research; Research Infrastructure; Research Personnel; Research Training; Resolution; Retirement; Role; School Teachers; Schools; Services; Site; Statistical Models; Structure; Sum; Surveys; Time; Trainers Training; Training; Transportation; Ursidae Family; Woman; Work; base; contextual factors; cost; design; disability; effectiveness trial; elementary school; experience; high school; implementation research; improved; innovation; intervention effect; intervention program; literacy; meetings; men; outreach; prevent; primary outcome; programs; response; skills; social; social capital; success; teacher; volunteer

DESCRIPTION (provided by applicant): The Experience Corps (EC) is a community-based, health promotion model for older adults, embedded in a social engagement program designed to improve academic and behavioral outcomes of children in public elementary schools. With P01 funding we are conducting a 5-year randomized controlled effectiveness trial (RCT) of the impact of this program on older adults' health and function, as well as assessing the program's impact on schools and children. This competitive supplement proposes implementation of a study to monitor and improve the fidelity of the EC program, as recommended by the reviewers of our original P01 application. Data collected through this proposed fidelity study will allow for empirical evaluation of intervention fidelity as part of the evaluation of RCT findings. To date, administrative supplements provided funding to monitor the initial implementation of selected aspects of the training and intervention during Yr 01; and to begin developing data entry/management applications and monitor the controls in Yr 02. The current application outlines a formal plan to monitor and enhance implementation fidelity throughout the course of the trial, following "best practice" recommendations set forth by Bellg, Borrelli et al. (2004). Proposed fidelity monitoring includes three components - (1) monitoring the training that older adult volunteers receive before they are placed in the schools and in-service training and refresher training after they are placed in the schools, as well as monitoring training for EC site coordinators, teachers, and principals who have EC volunteers in their schools; (2) monitoring the on-going EC activities of the volunteers in the schools (i.e., the actual intervention itself) along with parallel monitoring of control activities; and (3) studying the organizational and contextual factors that may impact overall program implementation and RCT outcomes. We also propose to monitor the experience of principals, teachers, and administrative staff in intervention and control schools of serving as an EC or non-EC school. In sum, the specific aims of this competitive supplement are to augment existing, P01-funded data collection to include assessment and analysis of the level of implementation of the EC-RCT. These data will provide additional crucial information - missing from current P01-funded data collection - about fidelity of program implementation, thereby allowing for evaluation (and modification) of not only factors that may impact the fidelity of training/intervention, but also of possible reasons for positive (or negative) findings with respect to the P01-funded EC-RCT's primary outcomes.

描述（由申请人提供）：体验团（EC）是一个以社区为基础的老年人健康促进模式，嵌入在旨在改善公立小学儿童学业和行为结果的社会参与计划中。在P01的资助下，我们正在进行一项为期5年的随机对照有效性试验（RCT），研究该计划对老年人健康和功能的影响，并评估该计划对学校和儿童的影响。本竞争性补充建议实施一项研究，以监测和提高EC程序的保真度，正如我们最初的P01申请的评审员所建议的那样。通过这项拟议的保真度研究收集的数据将允许对干预保真度进行经验性评价，作为RCT结果评价的一部分。到目前为止，行政补助金提供了资金，以监测2001年期间培训和干预的选定方面的初步执行情况;并开始开发数据输入/管理应用程序，并监测2002年的控制情况。目前的应用程序概述了一个正式的计划，以监测和提高整个试验过程中的实施保真度，以下“最佳实践”的建议，由Bellg，Borrelli等人。（2004年）。拟议的忠诚度监测包括三个组成部分-（1）监测老年志愿者在进入学校之前接受的培训以及进入学校后接受的在职培训和复习培训，以及监测对EC现场协调员、教师的培训，以及学校有EC志愿者的校长;（2）监察义工在学校进行的教统会活动（即实际干预本身）沿着控制活动的平行监测;（3）研究可能影响整体计划实施和RCT结果的组织和背景因素。我们亦建议监察干预和管制学校的校长、教师和行政人员担任教统会或非教统会学校的经验。总之，本竞争性补充材料的具体目的是扩大现有的P01资助的数据收集，以包括对EC-RCT实施水平的评估和分析。这些数据将提供关于项目实施保真度的额外关键信息（目前P01资助的数据收集中缺失），从而不仅可以评价（和修改）可能影响培训/干预保真度的因素，还可以评价（和修改）P01资助的EC-RCT主要结局阳性（或阴性）结果的可能原因。