Back to Search
Start Over
Developing a fidelity measure of early intervention programs for children with neuromotor disorders.
- Source :
-
Developmental medicine and child neurology [Dev Med Child Neurol] 2021 Jan; Vol. 63 (1), pp. 97-103. Date of Electronic Publication: 2020 Oct 13. - Publication Year :
- 2021
-
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.<br />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.<br />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 ≥0.8; quality ratings ≥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.<br />Interpretation: The START-Play fidelity measure successfully quantified key components of the START-Play intervention, serving to differentiate START-Play from uEI.<br /> (© 2020 Mac Keith Press.)
- Subjects :
- Child
Humans
Neurological Rehabilitation methods
Psychometrics methods
Randomized Controlled Trials as Topic
Reproducibility of Results
Early Intervention, Educational standards
Early Medical Intervention standards
Motor Skills Disorders rehabilitation
Neurological Rehabilitation standards
Process Assessment, Health Care standards
Program Development
Psychometrics standards
Subjects
Details
- Language :
- English
- ISSN :
- 1469-8749
- Volume :
- 63
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Developmental medicine and child neurology
- Publication Type :
- Academic Journal
- Accession number :
- 33051867
- Full Text :
- https://doi.org/10.1111/dmcn.14702