3 research outputs found
Implementing an Evidence-Based Intervention for Children in Europe: Evaluating the Full-Transfer Approach
Objectives—This study evaluated implementation outcomes in three European countries of
GenerationPMTO, an evidence-based parenting intervention for child and adolescent behavior
problems.
Method—The implementation approach was full transfer, in which purveyors train a first
generation (G1) of practitioners; adopting sites assume oversight, training, certification, and
fidelity assessment for subsequent generations (Forgatch & DeGarmo, 2011; Forgatch & Gewirtz,
2017). Three hundred therapists participated in trainings in GenerationPMTO in Iceland,
Denmark, and the Netherlands. Data are from the implementation’s initiation in each country
through 2016, resulting in six generations in Iceland, eight in Denmark, and four in the
Netherlands. Therapist fidelity was measured at certification with an observation-based tool,
Fidelity of Implementation Rating System (FIMP; Knutson, Forgatch, Rains, & Sigmarsdóttir,
2009).
Results—Candidates in all generations achieved fidelity scores at or above the required standard.
Certification fidelity scores were evaluated for G1 candidates, who were trained by the purveyor,
and subsequent generations trained by the adopting implementation site. In each country,
certification fidelity scores declined for G2 candidates compared with G1 and recovered to G1
levels for subsequent generations, partially replicating findings from a previous Norwegian study
(Forgatch & DeGarmo, 2011). Recovery to G1 levels of fidelity scores was obtained in Iceland
and the Netherlands by G3; in Denmark, the recovery was obtained by G5. The mean percentage
of certification in each country was more than 80%; approximately 70% of certified therapists
remained active in 2017.
Conclusions—Findings support full transfer as an effective implementation approach with longterm sustainability and fidelity.Peer Reviewe
Five-year fidelity assessment of an evidence-based parenting program (GenerationPMTO): inter-rater reliability following international implementation
Abstract Background Implementing evidence-based programs in community service settings introduces the challenge of ensuring sustained fidelity to the original program. We employ a fidelity measure based on direct observation of practitioners’ competence and adherence to the evidence-based parenting program (EBPP) GenerationPMTO following installation in national and international sites. Fidelity monitoring is crucial, especially when the program purveyor transfers administration of the program to the community as was done in this case. In previous studies, the Fidelity of Implementation rating system (FIMP) was used to evaluate practitioners’ fidelity to the GenerationPMTO intervention in six countries following implementation showing high levels of adherence up to 17 years post certification. Other studies showed FIMP to have predictive validity. The present study provides inter-rater reliability data for this fidelity tool across teams of the purveyor, Implementation Sciences International, Inc./ISII, and national and international sites over a five-year period. Methods Data assess inter-rater reliability in terms of percent agreement and intraclass correlation (ICC) for the purveyor’s two fidelity teams and the fidelity teams in seven implementation sites. Results Results report stable good to excellent levels of inter-rater reliability and ICCs as well as good attendance at fidelity meetings for all fidelity teams. Conclusions This observational method of assessing fidelity post implementation is a promising approach to enable EBPPs to be transferred safely from purveyors to communities while maintaining reliable fidelity to the intervention