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Examining implementer fidelity: conceptualising and measuring adherence and competence

Examining implementer fidelity: conceptualising and measuring adherence and competence The positive outcomes demonstrated in programme efficacy trials and the apparent ineffectiveness of programmes in community settings have prompted investigators and practitioners to examine implementation fidelity. Critically important, but often overlooked, are the implementers who deliver evidence‐based programmes. This article distinguishes fidelity at the programme level from implementer fidelity. Two components of implementer fidelity are defined. It is proposed that implementer adherence and competence are related but unique constructs that can be reliably measured for training, monitoring and outcomes research. Observational measures from a school‐based preventive intervention are used to illustrate the contributions of implementer adherence and competence. Distinguishing implementer adherence to the manual from competence in programme delivery is the next step in child mental health programme implementation research. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Children s Services Emerald Publishing

Examining implementer fidelity: conceptualising and measuring adherence and competence

Journal of Children s Services , Volume 6 (1): 16 – Mar 18, 2011

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References (71)

Publisher
Emerald Publishing
Copyright
Copyright © 2011 Emerald Group Publishing Limited. All rights reserved.
ISSN
1746-6660
DOI
10.5042/jcs.2011.0123
Publisher site
See Article on Publisher Site

Abstract

The positive outcomes demonstrated in programme efficacy trials and the apparent ineffectiveness of programmes in community settings have prompted investigators and practitioners to examine implementation fidelity. Critically important, but often overlooked, are the implementers who deliver evidence‐based programmes. This article distinguishes fidelity at the programme level from implementer fidelity. Two components of implementer fidelity are defined. It is proposed that implementer adherence and competence are related but unique constructs that can be reliably measured for training, monitoring and outcomes research. Observational measures from a school‐based preventive intervention are used to illustrate the contributions of implementer adherence and competence. Distinguishing implementer adherence to the manual from competence in programme delivery is the next step in child mental health programme implementation research.

Journal

Journal of Children s ServicesEmerald Publishing

Published: Mar 18, 2011

Keywords: Fidelity; Implementer skill; Adherence; Competence; Observational methods; Measurement

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