Developing a Fidelity Measure of Early Intervention Programs for Children with Neuromotor Disorders
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| Title: | Developing a Fidelity Measure of Early Intervention Programs for Children with Neuromotor Disorders |
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| Language: | English |
| Authors: | An, Mihee, Nord, Jayden (ORCID |
| Source: | Grantee Submission. 2021 63:97-103. |
| Peer Reviewed: | Y |
| Page Count: | 7 |
| Publication Date: | 2021 |
| Sponsoring Agency: | Institute of Education Sciences (ED) |
| Contract Number: | R324A150103 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Test Construction, Measures (Individuals), Fidelity, Early Intervention, Children, Psychomotor Skills, Motor Development, Physical Therapy, Play, Neurological Impairments, Test Reliability, Scores, Interrater Reliability, Randomized Controlled Trials |
| DOI: | 10.1111/dmcn.14702 |
| Abstract: | Aim: To describe the development of an intervention-specific fidelity measure and its utilization and to determine whether the newly developed Sitting Together and Reaching to Play (START-Play) intervention was implemented as intended. Also, to quantify differences between START-Play and usual early intervention (uEI) services. Method: A fidelity measure for the START-Play intervention was developed for children with neuromotor disorders by: (1) identifying key intervention components; (2) establishing a measurement coding system; and (3) testing the reliability of instrument scores. After establishing acceptable interrater reliability, 103 intervention videos from the START-Play randomized controlled trial were coded and compared between the START-Play and uEI groups to measure five dimensions of START-Play fidelity, including adherence, dosage, quality of intervention, participant responsiveness, and program differentiation. Results: Fifteen fidelity variables out of 17 had good to excellent interrater reliability evidence with intraclass correlation coefficients (ICCs) ranging from 0.77 to 0.95. The START-Play therapists met the criteria for acceptable fidelity of the intervention (rates of START-Play key component use [greater than or equal to]0.8; quality ratings [greater than or equal to]3 [on a scale of 1-4]). The START-Play and uEI groups differed significantly in rates of START-Play key component use and quality ratings. Interpretation: The START-Play fidelity measure successfully quantified key components of the START-Play intervention, serving to differentiate START-Play from uEI. |
| Abstractor: | As Provided |
| IES Funded: | Yes |
| Entry Date: | 2021 |
| Accession Number: | ED611809 |
| Database: | ERIC |
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