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语境因素对学校整体预防针对妇女的暴力行为方法实施一致性的影响。

The influence of contextual factors on implementation fidelity in a whole school approach to prevention of violence against women.

机构信息

Faculty of Business and Law, Centre for Social Impact Swinburne, Swinburne University of Technology, Hawthorn, Vic., Australia.

Faculty of Arts and Education, School of Education, Deakin University, Burwood, Vic., Australia.

出版信息

Health Promot J Austr. 2019 Apr;30(2):238-245. doi: 10.1002/hpja.198. Epub 2018 Sep 19.

Abstract

ISSUE ADDRESSED

Implementation fidelity relates to the degree of adherence to implementation protocols and content and helps to guide replication of evidence-based programs. In settings-based research, notions of fidelity have been applied more often to delivery of education content rather than whole of setting change. The aims of this paper were firstly, to analyse how contextual factors influenced implementation of a whole school program on respectful relationships education, and secondly given the findings, discuss whether a more flexible approach to implementation fidelity may have yielded increased school engagement.

METHODS

The project was conducted in 19 secondary schools in Victoria in 2015. This paper reports on focus groups and interviews which were conducted with 81 school staff and 28 staff from the lead agency, community agency partners, and departmental staff to understand the contextual factors influencing implementation.

RESULTS

The program followed a traditional implementation fidelity approach of considering core elements and some minor scope for adaption which engaged some regions and schools but not others.

CONCLUSION

An alternative notion of implementation fidelity, "fidelity to function," may have permitted increased flexibility to tailor the intervention components to suit different school and community contexts and potentially, increasing both the reach and impact of the program. SO WHAT?: Understanding how to apply notions of fidelity to guide whole of setting change are important considerations if programs are to be replicated to have wider reach and greater impact and effectiveness.

摘要

问题解决

实施保真度与遵循实施协议和内容的程度有关,有助于指导基于证据的计划的复制。在基于环境的研究中,保真度的概念更多地应用于教育内容的传递,而不是整个环境的改变。本文的目的首先是分析情境因素如何影响尊重关系教育的整个学校计划的实施,其次根据研究结果,讨论更灵活的实施保真度方法是否可能增加学校的参与度。

方法

该项目于 2015 年在维多利亚州的 19 所中学进行。本文报告了对 81 名学校工作人员和 28 名来自牵头机构、社区机构合作伙伴和部门工作人员的焦点小组和访谈,以了解影响实施的情境因素。

结果

该计划遵循了传统的实施保真度方法,考虑了核心要素和一些较小的适应性范围,这在某些地区和学校引起了共鸣,但在其他地区和学校则没有。

结论

“功能保真度”的替代实施保真度概念可能允许更大的灵活性,根据不同的学校和社区环境调整干预措施,从而有可能提高计划的覆盖面和影响力。

因此

如果要复制计划以扩大覆盖面、提高影响力和有效性,那么了解如何应用保真度概念来指导整个环境的改变是一个重要的考虑因素。

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