Oregon Social Learning Center, Eugene, OR 97401-2426, USA.
Behav Ther. 2005;36(1):3-13. doi: 10.1016/s0005-7894(05)80049-8.
When efficacious interventions are implemented in real-world conditions, it is important to evaluate whether or not the programs are practiced as intended. This article presents the Fidelity of Implementation Rating System (FIMP), an observation-based measure assessing competent adherence to the Oregon model of Parent Management Training (PMTO). FIMP evaluates 5 dimensions of competent adherence to PMTO (i.e., knowledge, structure, teaching skill, clinical skill, and overall effectiveness) specified in the intervention model. Predictive validity for FIMP was evaluated with a subsample of stepfamilies participating in a preventive PMTO intervention. As hypothesized, high FIMP ratings predicted change in observed parenting practices from baseline to 12 months. The rigor and scope of adherence measures are discussed.
当有效的干预措施在实际情况下实施时,评估这些项目是否按预期实施是很重要的。本文介绍了实施保真度评级系统(FIMP),这是一种基于观察的衡量标准,用于评估对俄勒冈州父母管理培训(PMTO)模式的熟练遵守情况。FIMP 评估了干预模型中规定的 PMTO 熟练遵守的 5 个维度(即知识、结构、教学技能、临床技能和整体效果)。使用参与预防性 PMTO 干预的继亲家庭的子样本评估了 FIMP 的预测效度。正如假设的那样,FIMP 的高评分预测了从基线到 12 个月观察到的养育实践的变化。讨论了遵守措施的严格性和范围。