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The current exploratory study sought to develop and pilot a Facebook-delivered health-promoting self-care intervention for caregivers of children with developmental disabilities (DD). Survey and focus group methods were used to gain information about the participation of caregivers of children with DD in existing Facebook support groups and their experiences related to stress, self-care, and social support that would aid in intervention development. Results were used in concert with existing guidance to determine the content and targets of the intervention. Caregivers were recruited to participate in a Facebook group-delivered intervention focused on broad areas of self-care including physical health, psychological health, social health, and work health. The Facebook group-delivered intervention, designed to target these identified areas using social support, was piloted over an 8-week period with caregivers of children with DD. Across all variables, differences from pretest to posttest were statistically significant, with small to large effect sizes.

When assessed, treatment fidelity is most often evaluated by checklists of intervention steps after an observation session, though estimates can vary depending on how intervention steps are operati...

Given the alarming increase in teacher stress, and the association between high levels of stress and negative outcomes for teachers, students, and relevant educational stakeholders, it is necessary to determine methods school psychologists might implement to decrease teacher stress and improve teacher well-being. Specifically, stress has been shown to negatively impact teachers’ physical and mental well-being, teacher-student relationships, and retention in the field. This review focuses on identifying stress-reduction interventions evaluated with teachers and associated outcomes. Results indicate the most commonly evaluated stress-reduction intervention incorporated meditation or mindfulness-based practices. Findings further identify a need for future research to examine theoretically and empirically based theories of change to facilitate future research within the area of teacher stress.

Available data indicate educators struggle to implement interventions consistently across time, which negatively impacts student outcomes. Implementation strategies have been developed to improve t...

Research suggests that class-wide academic engagement can be improved by research-based classroom management. However, teachers struggle to implement classroom management consistently and ...

Children with autism spectrum disorder (ASD) and other developmental disabilities may benefit from home-based interventions to promote positive, prosocial behavior. Frequently, a practitioner (e.g., behavior analyst) provides training and support to parents to achieve behavior change. When this occurs, progress-monitoring data pertaining to both treatment fidelity and child outcomes are important to deciding if supports delivered are effective. Yet, little is known about treatment fidelity assessment in this setting. In the current study, behavior analysts working across the United States in homes ( n = 314) were surveyed. Results indicate that nearly all participants reported having received some or extensive training on the importance of treatment fidelity. Most respondents also indicated that treatment fidelity is assessed in at least 30% of sessions in homes when working with parents, primarily by means of direct observation versus indirect methods. Implications for future consultation research and the practice are provided.

Decades of research and billions of dollars have been spent to develop and evaluate evidence-based interventions and develop multitiered systems of support (MTSS) toward the goal of more effectively delivering interventions and improving student outcomes. Available evidence, however, suggests interventions are often adopted slowly and delivered with poor fidelity, resulting in uninspiring outcomes for students. The field of implementation science has emerged to address the science-to-practice gap in human service sectors (e.g., education) as a way of improving service recipient (e.g., student) outcomes. For the considerable investment in school-based intervention development and evaluation to have a significant public health impact for students, educators must integrate key findings from implementation science into their practice and research. Toward this end, the purpose of this article is four-fold. First, it overviews implementation science and implementation theories, models, and frameworks. Second, it discusses the relevance of implementation science and fidelity to both the systems-level implementation of MTSS and individual-level implementation of interventions to students with learning disability (LD). Third, it reviews the unique legal aspects related to service implementation for students with LD and the gap between state-level mandates and available science. Finally, it provides additional resources and recommendations for readers.

Treatment fidelity is generally defined as the degree to which an intervention is implemented as planned (Sanetti & Collier-Meek, 2015). It is also referred to as treatment integrity, intervention integrity, or procedural fidelity. As an umbrella term, treatment fidelity includes multiple dimensions (Sanetti & Kratochwill, 2009). Among these dimensions, three are widely agreed upon and have differentially predicted intervention outcomes: (a) adherence, what intervention components or steps were implemented; (b) quality, how well the intervention was delivered; and (c) exposure, how frequently or for how long the intervention was delivered (Sanetti & Kratochwill, 2009). All three dimensions are important, but adherence is often considered foundational, as quality and exposure are irrelevant if the intervention components or steps are not being implemented. Consider a classroom in which the teacher implements the Good Behavior Game (see Chap. 9). If the teacher implemented all components of the Good Behavior Game well, but only did so 2 days per week and interacted with students in a sarcastic manner, she may demonstrate adequate adherence, but inadequate quality and exposure. If the teacher implemented all of the components of the Good Behavior Game well, but only implemented them two times per week, she may demonstrate adequate adherence and quality, but inadequate exposure. If the teacher implemented all of the components of the Good Behavior Game daily, for the prescribed duration, but interacted with students in a sarcastic manner, she may demonstrate adequate adherence and exposure, but inadequate quality. If the teacher implemented most components of the Good Behavior Game well daily, but rarely delivered daily rewards, she may demonstrate inadequate adherence, but adequate exposure and quality.

Many teachers struggle to deliver interventions with sufficient treatment integrity, perhaps due to implementation variables that mediate or moderate treatment integrity. Potential implementation variables have frequently been conceptualized in ecological frameworks, including the intervention, implementer, organization, and external environmental levels. Although the ecological framework is a useful organizational tool, a measure aligned with this model of implementation variables has not yet been developed. This article describes the development of the Assessment of Ecological Implementation Influences (AEII), a measure to evaluate implementation variables across ecological levels. Exploratory factor analyses were conducted to evaluate to what extent responses on the AEII reflect the hypothesized ecological factor structure. The model of variables from the intervention to external environment level was not reflected within the factor structure here. Rather, factors emerged that were not previously accounted for in the implementation variables literature. Implications for future research on the measurement of treatment integrity and implementation variables are described.

Students who demonstrate the most challenging behaviors are at risk of school failure and are often placed in alternative schools, in which a primary goal is remediating behavioral and academic concerns to facilitate students’ return to their community school. Consistently implemented evidence-based classroom management is necessary toward this goal; yet, many teachers report not having the necessary knowledge or skills to effectively manage behavior in their classroom. Implementation Planning (IP) is a proactive and efficient implementation support that has evidence of being effective when delivered by a consultant during behavioral consultation. The primary aim of this multiple baseline design study was to extend the findings on consultant-mediated IP by evaluating the effect of a self-guided, computer-based version of IP on teacher treatment integrity of classroom management plans. Unlike previous studies of consultant-mediated IP, results from this study indicated a minimal effect across dimensions of teachers’ implementation, and thus also on student disruptions.

Home–school interventions can facilitate positive family–school relationships and improve student outcomes. However, there is little research that attends to parents’ treatment integrity, even thou...

To evaluate students’ responsiveness to an intervention, both student outcome and implementer treatment integrity data are needed. Teachers are often asked to self-report treatment integrity data. However, when self-report responses are compared with those from a direct observer, it is apparent that teachers commonly overestimate the extent to which an intervention was implemented as planned. As such, more research related to teacher self-report to assess treatment integrity is needed. The objective of this preliminary single-case multiple-baseline design study was to improve interrater agreement between observers’ and teachers’ self-report ratings of treatment integrity by providing teachers with comprehensive, direct training (including an intervention description, modeling, practice, and feedback). Results indicate that after this training, agreement between observers’ and teachers’ ratings of treatment integrity improved.

Nearly a quarter of the students in the U.S. education system have a chronic health condition, disability, or special healthcare need. Students living in poverty and those at risk for or with disabilities have higher rates of health issues and encounter more barriers to accessing appropriate health care than their peers. The reciprocal influences between health and education as critical social determinants for youth are well established and prompted the development of a comprehensive model of school-based coordinated health, the Whole School, Whole Community, Whole Child (WSCC) model. A brief overview of (a) education-related health issues experienced by students living in poverty and those at risk for or with disabilities, (b) access to health care, (c) the need for coordinated care, and (d) the WSCC model are provided. The WSCC model represents an unprecedented opportunity to increase equitable care for youth through coordinated school health.

Numerous evidence-based classroom management strategies to prevent and respond to problem behavior have been identified, but research consistently indicates teachers rarely implement them with sufficient implementation fidelity. The purpose of this study was to evaluate the effectiveness of implementation planning, a strategy involving logistical intervention implementation planning and identification of implementation barriers, and participant modeling, a strategy involving didactic and in vivo intervention training, on teachers’ implementation of an evidence-based classroom management plan. A randomized multiple treatment embedded within a multiple baseline design across participants was used to assess (a) teachers’ adherence to the classroom management plans and quality of implementation and (b) student disruptive behavior in the classroom immediately and at follow-up. Results indicated that teachers’ adherence and quality increased with both implementation planning and participant modeling, but these improvements were not fully maintained at 1- and 2-month follow-up. A similar pattern in student disruptive behavior was also observed. These findings highlight the need for ongoing implementation support for behavioral interventions in schools. Implications for future research and practice are discussed.

For evidence-based interventions to be effective for students they must be consistently implemented, however, many teachers struggle with treatment integrity and require support. Although many implementation support strategies are research based, there is little empirical guidance about the types of treatment integrity, implementers, and contexts these strategies are best suited to address. To facilitate the data-driven identification of implementation supports, treatment integrity and the implementation context could be evaluated through an applied behavior analysis (ABA) lens. That is, teachers’ engagement in intervention implementation or competing behaviors could be considered to be occasioned by antecedents (e.g., prompts, setting) and maintained by consequences (e.g., escape intervention, access to attention). This article describes the conceptualization of treatment integrity within an antecedent-behavior-consequence framework. The current landscape and limitations of school-based treatment integrity research are reviewed and the application of ABA technology to address implementer behavior is described. Further, the article provides practical strategies for how school psychologists might apply this conceptualization to support teachers. A case study is provided to illustrate associated research-based strategies. Last, implications and limitations are described.

Many evidence-based practices have not achieved their potential to broadly impact student outcomes as schools struggle with their adoption and implementation. This costly and consequential implementation gap must be addressed within school psychology through the focused study of implementation processes and outcomes. Implementation science is a multidisciplinary, translational field focused on increasing the usage and implementation of evidence-based practices into typical practice to improve outcomes. Despite the rapid development of the field of implementation science over the past decade it has been underexamined in school psychology research. As a step toward decreasing the implementation gap, the purpose of this introductory article is to increase school psychology researchers' implementation literacy. Specifically, this article provides an overview of implementation science, including (a) key terminology; (b) theories, models, and frameworks designed to explain, describe, or illustrate implementation processes or constructs; (c) strategies to support implementation across levels (e.g., provider, organization); (d) measures to capture implementation and related context; and (e) utilized research designs. By increasing school psychology researchers' implementation literacy, it is hoped that future research will attend to and evaluate implementation process and outcomes and thus facilitate the adoption and implementation of evidence-based practices to improve student outcomes.

Increasingly teachers are the primary implementer responsible for providing evidence-based interventions to students. However, there is little knowledge regarding the extent to which teachers plan for intervention implementation, receive implementation support, or identify and address implementation barriers. This study explores survey data from over 1200 preschool through grade 12 teachers from 46 public school districts in a Northeastern state. Results indicate that teachers spend significant time engaging in intervention-related behavior and may be a primary source responsible for selecting student interventions. However, the current extent to which they plan for implementation and present levels of implementation support are inadequate to produce high levels of sustained intervention implementation. In addition, almost 60% of implementation barriers reported related to aspects of the intervention itself. Findings from this study provide guidance for future research and preliminary recommendations for ameliorating implementation barriers and proactively supporting treatment integrity in schools.

Healthy students are better learners. Establishing positive school climates where students are healthy, engaged, and prepared to learn is a critical component in increasing student engagement and closing the achievement gap. As such, educators need to be aware of the impact of education-related outcomes on student outcomes and schools' ability to provide support to students in order to maximize their ability to be successful. The purpose of the current paper is to present prevalence data on student health problems, discuss the effects of student health problems on student achievement and engagement, and present recommendations for school psychologists and educators to address student health problems within the school setting.

Paraeducators, who increasingly serve as implementers for students in special education, can struggle with intervention fidelity. Special educators, often responsible for providing paraeducators with support, receive limited supervision training. From organizational behavior management, the Performance Diagnostic Checklist-Human Services (PDC-HS) is a checklist to detect reasons for poor workplace performance and identify aligned support. Utilizing a multiple baseline design, this study evaluated the impact of PDC-HS indicated implementation support on the intervention fidelity of five paraeducators implementing six behavior intervention plans for students receiving special education services. The PDC-HS indicated that all paraeducators would benefit from behavior skills training and visuals of the plans, in addition to other specific supports for individual paraeducators (e.g., prompts, feedback). These implementation supports were effective in improving intervention fidelity for four paraeducators, whereas one paraeducator (across two students) did not respond to these supports. Changes in student outcomes (i.e., academic engagement, disruptive behavior) were inconsistent, suggesting that the behavior intervention plans may have needed to be revised. Usability data suggested that the PDC-HS and indicated supports were generally acceptable, but revisions may be warranted. The implications of this study for school-based implementation support research are discussed.

Teachers participating in problem-solving consultation often struggle to maintain adequate treatment fidelity, which is necessary to improve student outcomes. Low levels of treatment fidelity may result from implementation barriers, such as intervention compatibility, implementer skill, and implementer motivation. This study involves the evaluation of five implementation supports designed to address implementation barriers (i.e., Implementation Planning, Role Play, Participant Modeling, Raising Awareness, Motivational Consulting) within problem-solving consultation. Across 14 randomized individual single-case AB intervention designs, we evaluated the impact of these implementation supports on teacher treatment fidelity of classroom management plans and class-wide academic engagement and disruptive behavior. Visual analysis, descriptive statistics, and randomization test analyses suggest that these implementation supports have the potential to be broadly effective in improving teachers' fidelity and student outcomes. Teachers required a different number of supports to increase fidelity levels and rated the implementation supports positively. Implications of the study's findings are described.

Behavioral interventions delivered across home and school settings can promote positive outcomes for youth with autism spectrum disorders (ASD). Yet, stakeholders who deliver these interventions may struggle to implement interventions as intended. Low levels of treatment integrity can undermine potentially positive intervention outcomes. One way to promote implementers' treatment integrity is Implementation Planning, a logistical planning and barrier reduction strategy that is supported by emerging school-based research. The current study extended the research on Implementation Planning and evaluated the effectiveness of the strategy with parents implementing a behavioral intervention at home within a Conjoint Behavioral Consultation model. The behavioral intervention aimed to increase compliance and decrease aggression for two children with ASD at home. Initially, parents struggled to deliver the intervention consistently; however, after Implementation Planning, parents' treatment integrity increased and...

For multi-tiered systems of support, such as Response-to-Intervention and Positive Behavior Interventions and Supports, to effectively impact student outcomes, interventions delivered across the tiers must be implemented as planned (i.e., with adequate treatment integrity). However, research suggests that most school personnel struggle to deliver interventions with treatment integrity, which negatively impacts the potential effectiveness of these interventions. Numerous strategies to support treatment integrity have been developed, but no guidance has been provided regarding how to efficiently and effectively use them. The purpose of this study was to conduct a pilot evaluation of these strategies delivered through a Multi-Tiered Implementation Supports framework; that is, proactive, feasible treatment integrity strategies were initially delivered to all implementers and based on their responsiveness, increasingly intensive implementation supports were provided as needed. Results suggest that (a) all teachers responded to these supports, but response magnitude was different across teachers and supports; (b) higher levels of treatment integrity generally were associated with fewer disruptive behaviors; and (c) the duration of these support strategies increased across tiers. Future directions for research and implications for the feasible provision of implementation support in schools are described.

Optimal levels of treatment fidelity, a critical moderator of intervention effectiveness, are often difficult to sustain in applied settings. It is unknown whether performance feedback, a widely researched method for increasing educators’ treatment fidelity, is an evidence-based practice. The purpose of this review was to evaluate the current research on performance feedback as a strategy to promote the implementation of school-based practices. Studies were evaluated according to What Works Clearinghouse (WWC; Kratochwill et al., 2010) technical guidelines for single-case design, utilizing both the design and evidence standards to determine whether studies provided sufficient evidence for the effectiveness of performance feedback. Results indicate that performance feedback can be termed an evidence-based intervention based on criteria set by the WWC. Implications for future research are described.

Evidence-based practices within a response-to-intervention framework must be implemented with adequate treatment integrity to promote student outcomes. However, research findings indicate educators struggle to implement interventions and logistical considerations may limit the utility of performance feedback, an evidence-based treatment integrity promotion strategy. This study evaluates the effect of implementation planning, a treatment integrity promotion strategy that includes detailed logistical planning and barrier identification adapted from an adult behavior change theory from heath psychology (i.e., the Health Action Process Approach). A multiple baseline across participants design was used to evaluate teachers’ adherence to a behavior support plan as well as their quality of implementation. Results indicated that after intervention training, adherence was initially low and variable, and quality of implementation was moderate to high and variable, but both adherence and quality increased and became less variable after implementation planning. The increases in implementation were more pronounced for two teachers, whose students also had subsequent improvements in their academic engagement and disruptive behavior. These findings highlight the relationship between adequate levels of treatment integrity and student outcomes as well as provide initial support for implementation planning.

Performance feedback (PF) is an empirically supported method of increasing teachers' treatment adherence. In the evaluations of PF to date, however, PF was delivered by someone external to the school. The primary purpose of this case study was to provide an exploratory evaluation of the effectiveness and feasibility of PF when delivered by a school-based consultant to teachers implementing a classwide behavioral intervention. Teacher treatment adherence and student outcomes were also evaluated. Results indicate that overall, (a) teachers demonstrated moderate-to-high, but variable, levels of treatment adherence; (b) when teachers demonstrated lower levels of treatment adherence, the school-based consultant implemented PF with high adherence for 5 weeks, after which adherence varied; and (c) student outcomes improved.

Reviews of treatment outcome literature indicate treatment integrity is not regularly assessed. In consultation, two levels of treatment integrity (i.e., consultant procedural integrity [CPI] and intervention treatment integrity [ITI]) provide relevant implementation data. Specifically, assessment of CPI and ITI are necessary to conclude (a) consultation is functionally related to consultee implementation behavior and (b) intervention implementation is functionally related to student outcomes. In this article, study characteristics and the presence of treatment integrity at both levels are examined in 21 studies utilizing Conjoint Behavioral Consultation, a model of consultation that includes multiple consultees. Results indicate that in approximately half of studies, CPI, ITI, or both are assessed and, when reported, treatment integrity is moderately high across both levels. However, there are distinct differences in the assessment and reporting of these levels of treatment integrity. Limitations and imp...

The number of schools implementing school-wide positive behavior support (SWPBS) practices nationwide is increasing, but still little is known about the fidelity with which teachers implement SWPBS practices in the classroom. Specifically, data are needed that reflect the consistency with which classroom-based SWPBS practices are implemented, as well as challenges to implementation faced by school personnel, to ensure the best possible behavioral and academic outcomes for students. In this study, personnel in Connecticut schools implementing SWPBS (N = 171) were surveyed, and results indicate that although classroom-based SWPBS practices are implemented very consistently by the majority of respondents, certain practices are somewhat challenging to implement. Implications for improving practice and training are offered.

Treatment integrity (TI) refers to the degree to which an intervention is implemented as intended. We analyzed 67 youth intervention studies published in Professional School Counseling from 1997 to 2018. More than half (55%) of the interventions were operationally defined and 16.4% of the studies monitored TI, but only 6% systematically evaluated TI. Results provide insight into school counseling interventions with implications for practicing school counselors.

Although it is widely accepted that procedural fidelity data are important for making valid decisions about intervention effectiveness, there is little empirical guidance for researchers and practitioners regarding how to assess procedural fidelity. A first step in moving procedural fidelity assessment research forward is to develop a comprehensive understanding of the relation between currently recommended assessment methods, systematic direct observation (SDO) and permanent product review (PPR). To this end, we first discuss methodological issues related to procedural fidelity assessment via SDO and PPR, and how they are evidenced in the behavioral intervention outcome literature. Second, we present a single-case design study in which teachers’ implementation of behavior support plans was assessed via SDO and PPR. Third, we analyze the SDO and PPR data with regard to (a) relation between the methods; (b) methodological issues including definitions of procedural fidelity and intervention steps, representativeness of intervention steps, and collection of an adequate sample; and (c) association with student outcomes. Finally, we discuss implications for research and practice.

Although intuitively appealing, teacher self-report of treatment integrity is not currently recommended as a method for collecting treatment integrity data. Education researchers have not, however, evaluated features of a treatment integrity self-reporting system that may facilitate accurate self-report. In this preliminary investigation, four treatment integrity assessment conditions were investigated: (a) weekly verbal self-report, (b) weekly written self-report, (c) daily verbal self-report, and (d) daily written self-report. Results indicated that teachers who reported treatment integrity daily had the highest overall treatment integrity levels, but neither the frequency nor method of treatment integrity assessment significantly influenced the teachers’ level of treatment integrity. However, results suggested that frequency and method of treatment integrity self-report may be related to accuracy of teacher report.

Over the past two decades, the role of school psychologists internationally has shifted from a more narrow focus on assessment to a broader emphasis on problem solving and delivering intervention services via consultation. Defining interventions is important for replication and translation of practice. Further, to make valid, data-based decisions about intervention effectiveness, school psychologists need to consider student outcomes in light of treatment integrity data. Reviews of treatment outcome research in many applied fields indicate that although many researchers operationally define interventions, a majority of researchers fail to report treatment integrity data. The purpose of this study was to review the treatment integrity data reported in intervention studies published in School Psychology International between 1995–2010. Results indicate a majority of published studies include neither a definition of the independent variable nor quantitative treatment integrity data. Implications for research and practice are discussed.

When implementing behavioral interventions in educational settings, some implementers need support to maintain high levels of treatment integrity. Performance feedback has a large body of research supporting it as a strategy for improving teachers’ implementation of classroom interventions. However, in most prior studies, performance feedback has been delivered by a researcher, not by a school staff member, which limits generalizability of results to applied settings. In this study, school personnel (i.e., internal consultants) assessed teachers’ treatment integrity when implementing a classwide behavioral intervention and, when low, provided performance feedback. Further, researchers assessed internal consultants’ treatment integrity and provided performance feedback as needed. Results indicate that internal consultants are able to assess and briefly increase teachers’ treatment integrity with performance feedback, although some teachers needed more support than did others. Likewise, internal consultants’ treatment integrity was fairly high initially, but required consistent performance feedback to increase treatment integrity levels toward the end of the study. Implications for research and practice are discussed.

Research has linked the use of evidence-supported treatments to effective, efficient therapeutic outcomes. Questions related to the best way to disseminate and implement evidence-supported treatments in the field has led to discussions about transportability of treatments from controlled to applied settings. Specifically, scholars have focused on issues related to treatment fidelity, acceptability, and adoption versus adaptation of evidence-based treatments in practice. Treatment fidelity, a multidimensional construct, pertains to how extensively a treatment is delivered to a client, and it may be affected by several variables. Although the relationship is complex, treatment fidelity is considered an important moderator of client outcomes. Furthermore, the acceptability of a treatment appears to be of importance. Simply, if a treatment is perceived to be acceptable, it is more likely to be implemented with high levels of fidelity, increasing the chances that successful therapeutic outcomes will result. Nevertheless data indicate that some clinicians are wary of using evidence-supported treatments; their chief concern is feasibility of implementation, which could affect treatment fidelity and acceptability. Thus, there is a debate about whether evidence-supported treatments should be adopted strictly as developed or whether they might be adapted to improve implementation and acceptability. In adaptation of a treatment, relevant clinician variables (e.g., training received, availability of resources) and client factors (e.g., cultural fit) might be considered to promote therapeutic outcomes. This chapter describes how the key to treatment success may be to strike a balance between fidelity and adaptation of evidence-based treatments and fidelity with flexibility.

The present study investigated the effects of an intensive training protocol on levels of paraeducator fidelity to a group contingency intervention used to manage the classroom behavior of students with EBD. A multiple baseline design across classrooms was used to determine whether the training was associated with initial and sustained increases in treatment fidelity. Data were also collected on the effects of paraeducator use of the group contingency program on rates of paraeducator, teacher, and student behavior. Results indicated that the training package was associated with immediate increases in paraeducator fidelity, which were subsequently sustained following the removal of systematic performance feedback on paraeducator adherence to the protocol. The implementation of the group contingency program by paraeducators also led to increases in the rates of interactions between paraeducators and students, increases in the rates of teacher instruction, and decreases in the rates of aggressive behavior by students. Findings of the study are discussed within the context of developing effective training methods for paraeducators working alongside students with EBD.

In this study, the researchers evaluated the sensitivity of Direct Behavior Rating Single-Item Scales (DBR-SIS) for assessing behavior change in response to an intervention. Included in the analyses were data from 20 completed behavioral consultation cases involving a diverse sample of elementary participants and contexts using a common intervention in an A-B design. Secondary purposes of the study were to investigate the utility of 5 metrics proposed for understanding behavioral response, as well as the correspondence among these metrics and teachers' ratings of intervention acceptability. Overall, results suggest that DBR-SIS demonstrated sensitivity to behavior change regardless of the metric used. Further, we found limited association between student change and teachers' ratings of acceptability.

Treatment integrity data are essential to drawing valid conclusions in treatment outcome studies. Such data, however, are not always included in peer-reviewed research articles in school psychology or related fields. To gain a better understanding of why treatment integrity data are lacking in the school psychology research, we surveyed the authors of the 210 treatment outcome articles published in four school psychology journals from 1995 through 2008 regarding their perceptions of barriers to implementing treatment integrity procedures. Results indicated that (a) lack of theory and specific guidelines on treatment integrity procedures; (b) lack of general knowledge about treatment integrity; (c) time, cost, and labor demands; and (d) lack of editorial requirement were broadly perceived as barriers by school psychology researchers to implementing treatment integrity procedures. Implications for future research are discussed.

Although widely recommended, evidence-based interventions are not regularly utilized by school practitioners. Video self-modeling is an effective and efficient evidence-based intervention for a variety of student problem behaviors. However, like many other evidence-based interventions, it is not frequently used in schools. As video creation technology becomes increasingly accessible, school psychologists are better able to incorporate video self-modeling into their practice. Built on a comprehensive review, this article describes the procedures for implementing a video self-modeling intervention in educational settings. Video self-modeling procedures described herein include (a) deciding whether video self-modeling is an appropriate intervention for a situation, (b) planning for and preparing video self-modeling procedures, (c) videotaping, (d) editing the video, (e) presenting the video, and (f) using video self-modeling with other behavioral techniques. Additionally, further resources are offered. © 2011 Wiley Periodicals, Inc.

The evidence-based practice movement has focused on identifying, disseminating, and promoting the adoption of evidence-based interventions. Despite advances in this movement, numerous barriers, such as the lack of treatment integrity assessment methods, remain as challenges in implementation. Accurate teacher self-report could be an efficient treatment integrity assessment method. A multiple baseline across participants design was used to evaluate the effect of the (a) Treatment Integrity Planning Protocol on treatment integrity, (b) accuracy of teachers' self-report when collected daily or weekly, and (c) Good Behavior Game on students' behavior. Results indicate teachers demonstrated a relatively high level of treatment integrity across phases, teachers accurately reported their treatment integrity during daily reporting, and there was no relationship between treatment integrity and behavioral outcomes.

The effectiveness of an intervention package involving self-management and a group contingency at increasing appropriate classroom behaviors was evaluated in a sample of middle school students. Participants included all students in each of the 3 eighth-grade general education classrooms and their teachers. The intervention package included strategies recommended as part of best practice in classroom management to involve both building skill (self-management) and reinforcing appropriate behavior (group contingency). Data sources involved assessment of targeted behaviors using Direct Behavior Rating—single item scales completed by students and systematic direct observations completed by external observers. Outcomes suggested that, on average, student behavior moderately improved during intervention as compared to baseline when examining observational data for off-task behavior. Results for Direct Behavior Rating data were not as pronounced across all targets and classrooms in suggesting improvement for students. Limitations and future directions, along with implications for school-based practitioners working in middle school general education settings, are discussed.

The assessment of treatment integrity is important for determining the effectiveness of an intervention. Treatment integrity, a multidimensional construct, can be evaluated in two ways: by session or component. In this study, adherence, quality, and exposure data are estimated using permanent product data from implementation of the PAX Good Behavior Game to demonstrate how varied assessment of treatment integrity can influence interpretation of implementation. Implications for implementers and school-based decisions are discussed.

For more than 10 years, the Journal of Positive Behavior Interventions has published, among other types of articles, behavioral intervention outcome studies related to positive behavior support. Operationally defining interventions is important to facilitating replication studies and adoption of intervention in applied settings. Furthermore, treatment integrity data are necessary to make valid claims that changes in outcomes resulted from intervention implementation and are thus essential to the internal validity of intervention outcome research. Reviews of treatment outcome research in related fields (e.g., applied behavior analysis) indicate that although many researchers operationally define interventions, a majority of researchers fail to report treatment integrity data. The purpose of this study was to review the treatment integrity data reported in all experimental intervention studies published in the Journal of Positive Behavior Interventions between 1999 and 2009. Results indicate that in recent years, a majority of published studies include a definition of the independent variable but do not provide quantitative treatment integrity data.