Promoting Program Fidelity through Peer-Assisted Supervision and Support

Author(s):  
Kerri E. McPherson ◽  
Birgit Schroeter

This chapter makes the case for the adoption of practitioner supervision as a quality assurance mechanism for the implementation of parenting interventions. This chapter addresses the need for effective and efficient supervision and posttraining support for the evidence-based program workforce to ensure the sustainability of delivery and the ongoing maintenance of program fidelity. Alongside other fidelity mechanisms, supervision can help develop practitioners’ confidence and competence in delivery and promote adherence to intervention protocols. Peer supervision has the potential to be both efficient and effective and may be more acceptable to stakeholders than traditional hierarchical supervision models. The Peer-Assisted Supervision and Support model is described, and findings describing its acceptability and feasibility to parenting program practitioners are presented.

2016 ◽  
Vol 64 ◽  
pp. 42-50 ◽  
Author(s):  
Mariëlle E. Abrahamse ◽  
Larissa N. Niec ◽  
Marianne Junger ◽  
Frits Boer ◽  
Ramón J.L. Lindauer

2011 ◽  
Vol 135 (7) ◽  
pp. 874-881
Author(s):  
Nikita Makretsov ◽  
C. Blake Gilks ◽  
Reza Alaghehbandan ◽  
John Garratt ◽  
Louise Quenneville ◽  
...  

Abstract Context.—External quality assurance and proficiency testing programs for breast cancer predictive biomarkers are based largely on traditional ad hoc design; at present there is no universal consensus on definition of a standard reference value for samples used in external quality assurance programs. Objective.—To explore reference values for estrogen receptor and progesterone receptor immunohistochemistry in order to develop an evidence-based analytic platform for external quality assurance. Design.—There were 31 participating laboratories, 4 of which were previously designated as “expert” laboratories. Each participant tested a tissue microarray slide with 44 breast carcinomas for estrogen receptor and progesterone receptor and submitted it to the Canadian Immunohistochemistry Quality Control Program for analysis. Nuclear staining in 1% or more of the tumor cells was a positive score. Five methods for determining reference values were compared. Results.—All reference values showed 100% agreement for estrogen receptor and progesterone receptor scores, when indeterminate results were excluded. Individual laboratory performance (agreement rates, test sensitivity, test specificity, positive predictive value, negative predictive value, and κ value) was very similar for all reference values. Identification of suboptimal performance by all methods was identical for 30 of 31 laboratories. Estrogen receptor assessment of 1 laboratory was discordant: agreement was less than 90% for 3 of 5 reference values and greater than 90% with the use of 2 other reference values. Conclusions.—Various reference values provide equivalent laboratory rating. In addition to descriptive feedback, our approach allows calculation of technical test sensitivity and specificity, positive and negative predictive values, agreement rates, and κ values to guide corrective actions.


2021 ◽  
Vol 4 (2) ◽  
pp. 507-519
Author(s):  
Muhammad Zia-ur- Rehman ◽  
Asif Mahmood ◽  
Maria Zia

The outbreak of second wave of COVID-19 pandemic has again halted routine life of normal citizen across the globe. The nature always support the change for better future and covid-19 has provide chance to change challenges into opportunities. This study is sought to examine post Covid-19 effects on ICT infrastructure for e-learning education and its quality assurance mechanism in SAARC countries. This research is descriptive in nature and use comparative analysis of numerous challenges faced by SAARC member countries for implementation of E-learning. Challenges and limitation are also brush-up for further refinement in future in these areas. Future researchers may conduct survey techniques in explanatory research on implementation of ICT infrastructure of SAARC region countries. SAARC member countries may take lead from this study to address challenges and their solutions for development and implementation of E-learning.


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