TY - JOUR
T1 - Development and evaluation of a fidelity tool in a post-discharge responsive parenting intervention program for very preterm born children
AU - Flierman, Monique
AU - Vriend, Eline
AU - Leemhuis, Aleid G.
AU - Engelbert, Raoul H. H.
AU - Jeukens-Visser, Martine
N1 - Funding Information: Phase I of this study was supported by Harvard University , the Center on the Developing Child’s R&D platform. Agreement number: 256529-5108674 . Funding bodies played no role in the study's design, data interpretations, or manuscript writing. Publisher Copyright: © 2023 The Authors
PY - 2023/8/1
Y1 - 2023/8/1
N2 - The TOP program is a fully implemented responsive parenting intervention for very preterm born infants. Fidelity monitoring of interventions is important for preserving program adherence, impact outcomes and to make evidence-based adaptations. The aim of this study was to develop a fidelity tool for the TOP program following an iterative and co-creative process and subsequently evaluate the reliability of the tool. Three consecutive phases were carried out. Phase I: Initial development and pilot testing two methods namely self-report and video based observation. Phase II: Adaptations and refinements. Phase III: Evaluation of the psychometric properties of the tool based on 20 intervention videos rated by three experts.The interrater reliability of the adherence and competence subscales was good (ICC.81 to.84) and varied from moderate to excellent for specific items (ICC between.51 and.98). The FITT displayed a high correlation (Spearman's rho.79 to.82) between the subscales and total impression item. The co-creative and iterative process resulted in a clinical useful and reliable tool for evaluating fidelity in the TOP program. This study offers insights in the practical steps in the development of a fidelity assessment tool which can be used by other intervention developers.
AB - The TOP program is a fully implemented responsive parenting intervention for very preterm born infants. Fidelity monitoring of interventions is important for preserving program adherence, impact outcomes and to make evidence-based adaptations. The aim of this study was to develop a fidelity tool for the TOP program following an iterative and co-creative process and subsequently evaluate the reliability of the tool. Three consecutive phases were carried out. Phase I: Initial development and pilot testing two methods namely self-report and video based observation. Phase II: Adaptations and refinements. Phase III: Evaluation of the psychometric properties of the tool based on 20 intervention videos rated by three experts.The interrater reliability of the adherence and competence subscales was good (ICC.81 to.84) and varied from moderate to excellent for specific items (ICC between.51 and.98). The FITT displayed a high correlation (Spearman's rho.79 to.82) between the subscales and total impression item. The co-creative and iterative process resulted in a clinical useful and reliable tool for evaluating fidelity in the TOP program. This study offers insights in the practical steps in the development of a fidelity assessment tool which can be used by other intervention developers.
KW - Early intervention
KW - Fidelity tool
KW - Implementation
KW - Parent-child interaction
KW - Very preterm birth
UR - http://www.scopus.com/inward/record.url?scp=85159195720&partnerID=8YFLogxK
UR - https://pure.hva.nl/ws/files/44844512/1-s2.0-S0149718923000769-mmc1.pdf
UR - https://pure.hva.nl/ws/files/44844514/1-s2.0-S0149718923000769-mmc2.pdf
U2 - https://doi.org/10.1016/j.evalprogplan.2023.102299
DO - https://doi.org/10.1016/j.evalprogplan.2023.102299
M3 - Article
C2 - 37187117
SN - 0149-7189
VL - 99
SP - 1
EP - 7
JO - Evaluation and program planning
JF - Evaluation and program planning
M1 - 102299
ER -