Effects as a function of implementation fidelity of a transdiagnostic prevention program in young school-aged children

2021 ◽  
Vol 89 ◽  
pp. 102011
Author(s):  
Iván Fernández-Martínez ◽  
Mireia Orgilés ◽  
José P. Espada ◽  
Cecilia A. Essau ◽  
Alexandra Morales
Keyword(s):  
Prevention Program ◽  
Implementation Fidelity ◽  
School Aged Children

Program implementation fidelity and substance use outcomes among middle school students in a drug abuse prevention program / Fidelidad de la implementación y resultados de consumo de sustancias entre estudiantes de secundaria en un programa de prevención

2006 ◽  
Vol 6 (1) ◽  
Author(s):  
Kenneth W. Griffin ◽  
Madhuvanti Mahadeo ◽  
Jonathan Weinstein ◽  
Gilbert J. Botvin
Keyword(s):  
Substance Use ◽  
Drug Abuse ◽  
Classroom Management ◽  
Prevention Program ◽  
Implementation Fidelity ◽  
Abuse Prevention ◽  
Drug Abuse Prevention ◽  
School Students ◽  
Effective Prevention ◽  
Consumo De Sustancias

La fidelidad en la implementación de programas está siendo cadavez más reconocida como un componente clave en los programas deprevención efectivos. El presente estudio examina la asociación entre la fidelidad en la implementación y los datos de consumo de drogas entre jóvenes estudiantes en 11 escuelas medias de Nueva York donde se han aplicado programas de prevención de drogas. Observadores entrenados supervisaron la implementación de un programa de prevención aplicado por profesores (N=38), los alumnos participantes (N=1857) completaron cuestionarios sobre el uso de tabaco y alcohol en un periodo de 15 meses. Los resultados indican que los profesores que prefi rieron las clases magistrales cuando impartían el programa, utilizaban con menor probabilidad el debate y la demostración como métodos educativos.Asimismo, los profesores que prefi rieron las clases magistrales fueron valorados por los observadores como menos preparados para dar clase y con menor capacidad de gestión de la clase. Los resultados indican que los factores relacionados con la calidad de implementación predicen significativamente el cambio en los datos de consumo de sustancias entre los estudiantes. AbstractImplementation fi delity is increasingly recognized as a key component of effective prevention programming. The present study examined the association between implementation fi delity and youth substance use outcomes among students in 11 New York City middle schools receiving a drug abuse prevention program. Trained observers monitored the implementation of a research-based prevention program by classroom teachers (N = 38), and participating students (N = 1,857) completed surveys assessing smoking and alcohol use over a 15-month period.Findings indicated that teachers who relied more on lecturing whenteaching the program were less likely to use discussion and demonstration as teaching methods. Teachers who relied on lecturing were rated by observers as being less ready to teach and having poorer classroom management skills. Findings indicated that factors related to the quality of implementation signifi cantly predicted change in student substance use outcomes. Students who were taught by the most skilled providers reported signifi cantly lower increases in smoking and drinking at the follow-up assessments compared to students taught by other providers.These fi ndings suggest that teacher training to enhance implementation fidelity is a crucial component to program success in terms of student behavioral outcomes.

scholarly journals A mixed methods process evaluation of a person-centred falls prevention program

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebecca L. Morris ◽  
Keith D. Hill ◽  
Ilana N. Ackerman ◽  
Darshini Ayton ◽  
Glenn Arendts ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Process Evaluation ◽  
Prevention Program ◽  
Social Issues ◽  
Controlled Trial ◽  
Intervention Group ◽  
Implementation Fidelity ◽  
Falls Prevention ◽  
Barriers And Facilitators ◽  
Trial Registration

Abstract Background RESPOND is a telephone-based falls prevention program for older people who present to a hospital emergency department (ED) with a fall. A randomised controlled trial (RCT) found RESPOND to be effective at reducing the rate of falls and fractures, compared with usual care, but not fall injuries or hospitalisations. This process evaluation aimed to determine whether RESPOND was implemented as planned, and identify implementation barriers and facilitators. Methods A mixed-methods evaluation was conducted alongside the RCT. Evaluation participants were the RESPOND intervention group (n = 263) and the clinicians delivering RESPOND (n = 7). Evaluation data were collected from participant recruitment and intervention records, hospital administrative records, audio-recordings of intervention sessions, and participant questionnaires. The Rochester Participatory Decision-Making Scale (RPAD) was used to evaluate person-centredness (score range 0 (worst) - 9 (best)). Process factors were compared with pre-specified criteria to determine implementation fidelity. Six focus groups were held with participants (n = 41), and interviews were conducted with RESPOND clinicians (n = 6). Quantitative data were analysed descriptively and qualitative data thematically. Barriers and facilitators to implementation were mapped to the ‘Capability, Opportunity, Motivation – Behaviour’ (COM-B) behaviour change framework. Results RESPOND was implemented at a lower dose than the planned 10 h over 6 months, with a median (IQR) of 2.9 h (2.1, 4). The majority (76%) of participants received their first intervention session within 1 month of hospital discharge with a median (IQR) of 18 (12, 30) days. Clinicians delivered the program in a person-centred manner with a median (IQR) RPAD score of 7 (6.5, 7.5) and 87% of questionnaire respondents were satisfied with the program. The reports from participants and clinicians suggested that implementation was facilitated by the use of positive and personally relevant health messages. Complex health and social issues were the main barriers to implementation. Conclusions RESPOND was person-centred and reduced falls and fractures at a substantially lower dose, using fewer resources, than anticipated. However, the low dose delivered may account for the lack of effect on falls injuries and hospitalisations. The results from this evaluation provide detailed information to guide future implementation of RESPOND or similar programs. Trial registration This study was registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12614000336684 (27 March 2014).

Being Real and Being Realistic: Chemical Abuse Prevention, Teen Counselors, and an Ethic of Care

1997 ◽  
Vol 27 (4) ◽  
pp. 335-348 ◽  
Author(s):  
Nina G. Dorsch
Keyword(s):  
Prevention Program ◽  
Ethic Of Care ◽  
Abuse Prevention ◽  
National Goal ◽  
Unique Case ◽  
Nel Noddings ◽  
School Aged Children ◽  
Chemical Abuse ◽  
Drug Free

Despite the national goal of “drug-free” schools, recent data suggest that chemical abuse among school-aged children remains a concern. This qualitative case study presents a “unique case” within one school's substance abuse prevention program. In this program, pioneered in 1973, pairs of teen counselors “adopt” a middle school classroom and make regularly scheduled visits to conduct chemical abuse prevention sessions. Two of the teen counselors were perceived by both themselves and the faculty advisor as unlike other teen counselors. This study explores themes surrounding how they viewed their mission and carried it out. Two themes emerged as significant. These particular teen counselors saw both their role and their mission as being “real” and being “realistic.” This perspective represents a concrete expression of the ethic of care described by Nel Noddings. It is a perspective which should be considered in developing teen counselor programs or any chemical abuse prevention program.

scholarly journals Unintentional Injuries among School-Aged Children in Palestine: Findings from the National Study of Palestinian Schoolchildren (HBSC-WBG2006)

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Christine Jildeh ◽  
Ziad Abdeen ◽  
Haleama Al Sabbah ◽  
Anastas Philalithis
Keyword(s):  
Health Behaviour ◽  
Prevention Program ◽  
National Study ◽  
Cross Sectional Survey ◽  
The West ◽  
Unintentional Injuries ◽  
Cross Sectional ◽  
School Aged Children ◽  
Injury Prevention Program ◽  
Nonfatal Injuries

Purpose. This study describes the nonfatal injuries among adolescents in Palestine. Methods. The 2006 Palestinian Health Behaviour in School-aged Children (HBSC) is a cross-sectional survey. Students of grades 6, 8, 10, and 12 completed a modified version of the international HBSC questionnaire, resulting in 15,963 students (47.3% boys and 52.7% girls) included in this study (56.9% from the West Bank and 43.1% from Gaza). Results. Of the total 15,963 adolescents, 47.6% were injured, with boys (53.5%) being statistically higher than girls (42.1%) (P<0.001). The prevalence of those injured more than once decreased by age and was also found significantly higher in boys than in girls (27.3% and 17.9%, resp.) (P<0.001). Children living in low FAS families showed significantly lower ratios of injuries than those living in moderate and high FAS families (P<0.001). Injuries while biking were significantly higher among boys (46.3%) than girls (41.7%) (P<0.001), and injuries while walking/running were more prevalent among girls (32.5%) than boys (28.0%) (P<0.001). Conclusion. Despite these considerably high rates, injury remains relatively underappreciated. Results of this study are useful to develop a national injury prevention program aimed at enhancing the safety of Palestinian adolescents.

scholarly journals School Coordinators’ Perceptions of Organizational Readiness Is Associated with Implementation Fidelity in a Smoking Prevention Program: Findings from the X:IT II Study

2021 ◽  
Author(s):  
Lotus Sofie Bast ◽  
Henriette Bondo Andersen ◽  
Anette Andersen ◽  
Stine Glenstrup Lauemøller ◽  
Camilla Thørring Bonnesen ◽  
...  
Keyword(s):  
Parental Involvement ◽  
Prevention Program ◽  
Specific Capacity ◽  
Implementation Fidelity ◽  
Organizational Readiness ◽  
Smoking Prevention ◽  
First Year ◽  
Free School ◽  
School Time ◽  
General Capacity

AbstractSchool organizational readiness to implement interventions may play an important role for the actual obtained implementation level, and knowledge about organizational readiness prior to intervention start can help pinpoint how to optimize support to the schools. In this study, we applied a novel heuristic, R = MC2 to assess school organizational readiness prior to implementation of a multicomponent smoking prevention program. Furthermore, we examined the association to actual implementation after the first year of study. We used questionnaire data from school coordinators at 40 schools in Denmark who had accepted to implement the multi-component smoking prevention intervention—X:IT II—in the school year 2017–2018 including three main components: (1) Rules on smoke-free school time, (2) A smoke-free curriculum, and (3) Parental involvement. On behalf of the school, a school coordinator answered a baseline questionnaire about the organizational readiness and a follow-up questionnaire about implementation of the three components after first year of study. Readiness was measured by summing aspects of motivation (relative advantage, compatibility, complexity, and priority), general capacity (culture, climate, and staff capacity), and innovation-specific capacity (knowledge, skills, and abilities). Based on school coordinators’ perceptions, almost all schools had good general capacity while the other two areas of readiness varied across schools; overall, 56.8% of schools (N = 25) had good motivation for implementing the X:IT II intervention and 61.3% (N = 27) had high innovation-specific capacity. Half of the schools had high overall readiness defined as high motivation and high innovation-specific capacity. Schools with high overall readiness implemented the rules on smoke-free school time, smoke-free curriculum, and parental involvement to a higher degree than schools with low overall readiness. All participating schools possessed sufficient levels of general capacity, e.g., a well-functioning organizational culture and sufficient staff capacity. High levels of motivation and innovation-specific capacity were positively associated with the schools’ actual implementation of the main intervention components. This way of conceptualizing and measuring organizational readiness may be useful in future studies, i.e., in studies where enhancing readiness is a main objective.

scholarly journals A High School Counselor's Leadership in Providing School-Wide Screenings for Depression and Enhancing Suicide Awareness

2013 ◽  
Vol 16 (5) ◽  
pp. 2156759X1201600 ◽  
Author(s):  
Anne Erickson ◽  
Nicholas R. Abel
Keyword(s):  
Mental Health ◽  
High School ◽  
School Counselors ◽  
Prevention Program ◽  
School Counselor ◽  
Health Issues ◽  
Screening Programs ◽  
School Aged Children ◽  
Classroom Guidance ◽  
Screening And Prevention

The prevalence of mental health issues and suicidal thoughts and actions among school-aged children and adolescents is a serious issue. This article examines the scope of the problem nationwide and provides a brief overview of the literature regarding the effectiveness of school-wide screening programs for depression and suicide risk. The authors describe a suicide prevention program that has been implemented by the first author (a high school counselor in Minnesota) that combines classroom guidance, screening, and referrals for outside mental health services. This article includes recommendations for school counselors interested in implementing a school-wide screening and prevention program.

scholarly journals Implementation fidelity and effect on smoking: X:IT - a school-randomized smoking prevention program

2015 ◽  
Vol 25 (suppl_3) ◽  
Author(s):  
L Bast ◽  
P Due ◽  
P Bendtsen ◽  
A Ersbøll ◽  
A Andersen
Keyword(s):  
Prevention Program ◽  
Implementation Fidelity ◽  
Smoking Prevention
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