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Developing a fidelity measure of early intervention programs for children with neuromotor disorders.
An, Mihee; Nord, Jayden; Koziol, Natalie A; Dusing, Stacey C; Kane, Audrey E; Lobo, Michele A; Mccoy, Sarah W; Harbourne, Regina T.
Afiliação
  • An M; Department of Physical Therapy, Kaya University, Gimhae, Republic of Korea.
  • Nord J; Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska, Lincoln, NE, USA.
  • Koziol NA; Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska, Lincoln, NE, USA.
  • Dusing SC; Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA.
  • Kane AE; Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, USA.
  • Lobo MA; Department of Physical Therapy, University of Delaware, Newark, DE, USA.
  • Mccoy SW; Department of Physical Therapy, University of Washington, Seattle, WA, USA.
  • Harbourne RT; Department of Physical Therapy, Duquesne University, Pittsburgh, PA, USA.
Dev Med Child Neurol ; 63(1): 97-103, 2021 01.
Article em En | MEDLINE | ID: mdl-33051867
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 ≥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. INTERPRETATION: The START-Play fidelity measure successfully quantified key components of the START-Play intervention, serving to differentiate START-Play from uEI.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Psicometria / Desenvolvimento de Programas / Avaliação de Processos em Cuidados de Saúde / Intervenção Educacional Precoce / Transtornos das Habilidades Motoras / Intervenção Médica Precoce / Reabilitação Neurológica Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Psicometria / Desenvolvimento de Programas / Avaliação de Processos em Cuidados de Saúde / Intervenção Educacional Precoce / Transtornos das Habilidades Motoras / Intervenção Médica Precoce / Reabilitação Neurológica Idioma: En Ano de publicação: 2021 Tipo de documento: Article