Teacher Fidelity in the COPE Healthy Lifestyles TEEN Randomized Controlled Trial: Lessons Learned and Implications for Future Research

2.50
Hdl Handle:
http://hdl.handle.net/10755/307925
Category:
Abstract
Type:
Presentation
Title:
Teacher Fidelity in the COPE Healthy Lifestyles TEEN Randomized Controlled Trial: Lessons Learned and Implications for Future Research
Author(s):
Kelly, Stephanie A.; Jacobson, Diana L.; Melnyk, Bernadette Mazurek
Lead Author STTI Affiliation:
Beta Upsilon
Author Details:
Stephanie A. Kelly, PhD, FNP-C, stephanie.vanblankenstein@asu.edu; Diana L. Jacobson, PhD, RN, PNP-BC; Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN
Abstract:

Session presented on: Sunday, November 17, 2013

Purpose: To report on the intervention fidelity by teachers in a large scale randomized controlled trial that tested the efficacy of the COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition) Program with 779 adolescents in 11 high schools in a large southwest metropolitan area.

Methods:  Fidelity to the COPE intervention delivered by the health teachers was assessed through direct observation by research team members. 

Results: Thirty classroom teachers delivered the 15-session COPE cognitive-behavioral intervention to teens as part of their health course. The majority of teens were Hispanic (67.52%).  Observers rated approximately 25% of the teachers’ intervention sessions using an observation instrument of intervention fidelity that was developed for use in the study.  There were a total of 107 observations completed during the study with 30 teachers (mean per teacher=3.6, SD=0.8). There was excellent inter-rater reliability of 90% for the fidelity observations between raters.  Observed incidents of decreased fidelity to the intervention occurred at least once, in approximately half of the classrooms.

Conclusions: Findings from this study demonstrate the importance of monitoring fidelity to intervention implementation.  It is common for intervention components to be delivered in a manner not consistent with the research protocol, which may decrease intervention effects. Early identification and resolution of deviations from the research protocol can improve overall fidelity.  It is imperative for future studies to monitor teacher implementation and provide added supports to increase intervention fidelity.

Keywords:
Randomized controlled trial; School-based research; Intervention fidelity
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTeacher Fidelity in the COPE Healthy Lifestyles TEEN Randomized Controlled Trial: Lessons Learned and Implications for Future Researchen_GB
dc.contributor.authorKelly, Stephanie A.en_GB
dc.contributor.authorJacobson, Diana L.en_GB
dc.contributor.authorMelnyk, Bernadette Mazureken_GB
dc.contributor.departmentBeta Upsilonen_GB
dc.author.detailsStephanie A. Kelly, PhD, FNP-C, stephanie.vanblankenstein@asu.edu; Diana L. Jacobson, PhD, RN, PNP-BC; Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAANen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307925-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p><b>Purpose:</b> To report on the intervention fidelity by teachers in a large scale randomized controlled trial that tested the efficacy of the COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition) Program with 779 adolescents in 11 high schools in a large southwest metropolitan area. <p><b>Methods:</b>  Fidelity to the COPE intervention delivered by the health teachers was assessed through direct observation by research team members.  <p><b>Results:</b> Thirty classroom teachers delivered the 15-session COPE cognitive-behavioral intervention to teens as part of their health course. The majority of teens were Hispanic (67.52%).  Observers rated approximately 25% of the teachers’ intervention sessions using an observation instrument of intervention fidelity that was developed for use in the study.  There were a total of 107 observations completed during the study with 30 teachers (mean per teacher=3.6, SD=0.8). There was excellent inter-rater reliability of 90% for the fidelity observations between raters.  Observed incidents of decreased fidelity to the intervention occurred at least once, in approximately half of the classrooms. <p><b>Conclusions: </b>Findings from this study demonstrate the importance of monitoring fidelity to intervention implementation.  It is common for intervention components to be delivered in a manner not consistent with the research protocol, which may decrease intervention effects. Early identification and resolution of deviations from the research protocol can improve overall fidelity.  It is imperative for future studies to monitor teacher implementation and provide added supports to increase intervention fidelity.en_GB
dc.subjectRandomized controlled trialen_GB
dc.subjectSchool-based researchen_GB
dc.subjectIntervention fidelityen_GB
dc.date.available2013-12-19T17:24:12Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:24:12Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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