Assessing Treatment Integrity: A Case Example

作者: Anita Reithoffer , Anat Zeira , Betty Blythe

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摘要: This paper presents an example of assessing treatment integrity as part experimental study home-based, intensive family preservation services (IFPS). Participants were 103 IFPS workers and 24 state public child welfare agency (FC). The structured, self-report questionnaire included questions about specific components the services, well characteristics themselves. Findings suggest that delivered according to model guidelines. procedure yielded a good estimate whether structural delineated in manual. discusses advantages disadvantages this approach integrity. Family including (IFPS) are offered alternative intervention for children at imminent risk removal from their families, before placed substitute care (cf. Fraser, Pecora, & Haapala, 1991; McCroskey, 2001; Whittaker, Kinney, Tracy, Booth, 1990). Early studies reported very positive findings (Kinney, Madson, Fleming, 1977). In response calls increased rigor, series outcome utilizing or quasi-experimental designs was implemented effectiveness called into question (Feldman, 1990; Shuerman, Rzepnicki, Littell, Chak, 1993; Yuan, McDonald, Wheeler, Struckman-Johnson, Rivest, While some found evidence suggesting programs effective avoiding unnecessary out-of-home placements, others did not show significant difference between receiving those other (Blythe, Salley, Jayaratne, 1994). Various reasons have been proffered these mixed concerns research methodology studies. fact, debate around difficulty determining what (i.e., do) if it protocol. is larger experiment aimed program. A major component record certain process facilitate better inferences regarding Many follow general providing families home with ultimate goal keeping safely together placements. Programs vary, however, terms interventions employed means attaining goals (Berry, 1995). complexity variation may be another cause inconclusive compared usual

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