Concordance between Community Supervisor and Provider Ratings of Fidelity: Examination of Multi-Level Predictors and Outcomes.
Fidelity is conceptualized as a key mechanism impacting treatment outcomes, yet community examination of fidelity is limited, partly due to limited feasible training methods and tools. Provider-report tools represent a feasible method for improving routine fidelity monitoring. Additional work examin...
| Published in: | Journal of Child & Family Studies Vol. 30; no. 2; pp. 542 - 556 |
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| Main Authors: | , |
| Format: | Article |
| Published: |
Springer Nature
Feb2021
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=148629501&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 148629501 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10621024 JFM jtl: Journal of Child & Family Studies issn: 10621024 maglogo: N pubinfo: dt: Feb2021 vid: 30 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 148629501 10.1007/s10826-020-01877-0 ppf: 542 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P size: 739KB tig: atl: Concordance between Community Supervisor and Provider Ratings of Fidelity: Examination of Multi-Level Predictors and Outcomes. aug: au: Dickson, Kelsey S. Suhrheinrich, Jessica affil: San Diego State University, 5500 Campanile Drive, 92182, San Diego, CA, USA Child and Adolescent Services Research Center, 3020 Children's Way MC5033, 92123, San Diego, CA, USA su: Attitude (Psychology) Autism Community health services Medical care Medical personnel Supervision Evidence-based medicine Professional practice sug: subj: Attitude (Psychology) Autism Community health services Medical care Medical personnel All Other Outpatient Care Centers Other local, municipal and regional public administration Other Individual and Family Services Residential Mental Health and Substance Abuse Facilities Community health centres Supervision Evidence-based medicine Professional practice keyword: Autism Spectrum Disorder Community Measurement Concordance Evidenced-Based Intervention Fidelity Autism Spectrum Disorder Community Measurement Concordance Evidenced-Based Intervention Fidelity ab: Fidelity is conceptualized as a key mechanism impacting treatment outcomes, yet community examination of fidelity is limited, partly due to limited feasible training methods and tools. Provider-report tools represent a feasible method for improving routine fidelity monitoring. Additional work examining the effectiveness of these methods and concordance with other fidelity sources is needed. Further, provider and client factors impact both intervention implementation and concordance, but their impact on fidelity measurement is poorly understood. Using a train-the-trainer methodology, we examine concordance between three methods of assessing fidelity (trained independent coders, supervisor evaluation and provider self-report) using a fidelity assessment tool adapted for community use. Multilevel models examined predictors (provider- and child-level factors) and outcomes (provider average fidelity) of concordance. Results suggest supervisors and providers are able to use the fidelity tool, but demonstrated variable concordance, with higher concordance with trained coders for supervisors than providers. Provider credentials and child language were marginally predictive of rater concordance. Higher supervisor accuracy was associated with higher provider fidelity. Findings inform broader efforts to improve the development and implementation of feasible fidelity tools for routine use in community settings and highlight multi-level factors impacting the adoption and implementation of such tools. Highlights: This study examined a fidelity assessment tool adapted for community use, including concordance with other fidelity measures and predictors and outcomes of this tool. Community supervisors and providers learned to use our fidelity tool, supporting initial feasibility and reliability. Findings highlight multilevel factors impacting the adoption and implementation of such tools. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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