A Procedure for Assessing Intervention Fidelity in Experiments Testing Educational and Behavioral Interventions

被引:117
|
作者
Nelson, Michael C. [1 ]
Cordray, David S. [1 ]
Hulleman, Chris S. [2 ]
Darrow, Catherine L. [3 ]
Sommer, Evan C. [1 ]
机构
[1] Vanderbilt Univ, Dept Psychol & Human Dev, Nashville, TN 37203 USA
[2] James Madison Univ, Ctr Assessment & Res Studies, Harrisonburg, VA 22807 USA
[3] ABT Associates Inc, Cambridge, MA 02138 USA
关键词
MATHEMATICAL DEVELOPMENT; IMPLEMENTATION; PROGRAM; SCHOOL; PREVENTION; INTEGRITY; OUTCOMES; CHILDREN;
D O I
10.1007/s11414-012-9295-x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
An intervention's effectiveness is judged by whether it produces positive outcomes for participants, with the randomized experiment being the gold standard for determining intervention effects. However, the intervention-as-implemented in an experiment frequently differs from the intervention-as-designed, making it unclear whether unfavorable results are due to an ineffective intervention model or the failure to implement the model fully. It is therefore vital to accurately and systematically assess intervention fidelity and, where possible, incorporate fidelity data in the analysis of outcomes. This paper elaborates a five-step procedure for systematically assessing intervention fidelity in the context of randomized controlled trials (RCTs), describes the advantages of assessing fidelity with this approach, and uses examples to illustrate how this procedure can be applied.
引用
收藏
页码:374 / 396
页数:23
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