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发展和验证基于证据的育儿计划中的保真度监测和增强。

Development and Validation of Fidelity Monitoring and Enhancement in an Evidence-Based Parenting Program.

机构信息

Parenting and Family Support Centre, School of Psychology, The University of Queensland, St Lucia, QLD, 4072, Australia.

Oregon Research Institute, Eugene, OR, USA.

出版信息

J Behav Health Serv Res. 2020 Oct;47(4):569-580. doi: 10.1007/s11414-020-09713-5.

Abstract

This article adds to current research by examining treatment fidelity of an evidence-based parenting program (namely Triple P) as part of a large clinical trial which included a range of procedures for promoting fidelity including both expert and peer supervision. Procedures for monitoring and promoting fidelity are described, and two major aspects of fidelity, namely content adherence and process fidelity, were evaluated. All treatment sessions for 166 families participating in the Standard Triple P-Positive Parenting Program were video-recorded and then sampled for evaluation without advanced knowledge by delivery practitioners. Independent coders at an external site assessed content adherence and rated delivery process. Fidelity promotion included high-quality training of practitioners on a standardized protocol, ongoing clinical supervision by peers and supervisors, and fidelity feedback sessions. Average content fidelity was consistently high (i.e., over 80%). Process fidelity scores were similarly high across sessions. A brief survey indicated practitioners found that the fidelity and implementation model was useful and contributed to increasing self-efficacy over the course of the initiative.

摘要

本文通过考察一项大型临床试验中基于证据的育儿计划(即 Triple P)的治疗保真度,为当前的研究做出了贡献。该试验采用了一系列促进保真度的程序,包括专家和同行监督。本文介绍了监测和促进保真度的程序,并评估了保真度的两个主要方面,即内容一致性和过程一致性。参与标准 Triple P-积极育儿计划的 166 个家庭的所有治疗课程都进行了视频记录,然后由交付从业者在不知情的情况下进行抽样评估。外部地点的独立编码员评估了内容一致性,并对交付过程进行了评分。保真度促进包括对从业者进行标准化协议的高质量培训、同行和主管的持续临床监督以及保真度反馈会议。内容一致性的平均水平始终很高(即超过 80%)。各次会议的过程一致性评分也很高。一项简短的调查表明,从业者认为保真度和实施模式很有用,并有助于在整个计划实施过程中提高自我效能感。

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