Fidelity Assessment Checklist Development for Community Nursing Research in Early Childhood

Frontiers in Public Health

Lubna Anis¹  Martha J. Hart²  Nicole Letourneau²  Karen M. Benzies³  Carol Ewashen⁴ 

[1] Department of Pediatrics, Faculty of Nursing, Owerko Centre, Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada;Department of Pediatrics, Faculty of Nursing, Owerko Centre, Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada;Department of Community Health Sciences, Faculty of Nursing, Owerko Centre, Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada;Department of Pediatrics, Faculty of Nursing, University of Calgary, Calgary, AB, Canada;Faculty of Nursing, University of Calgary, Calgary, AB, Canada;

关键词: parenting;    intervention;    program;    fidelity tools;    checklist;    measure;    early childhood;    ATTACH;   

DOI  :  10.3389/fpubh.2021.582950

来源: Frontiers

【 摘 要 】

Nurses play an important role in promoting positive childhood development via early interventions intended to support parenting. Despite recognizing the need to deliver vital parenting programs, monitoring fidelity has largely been ignored. Fidelity refers to the degree to which healthcare programs follow a well-defined set of criteria specifically designed for a particular program model. With increasing demands for early intervention programs to be delivered by non-specialists, rigorous yet pragmatic strategies for maintaining fidelity are needed. This paper describes the step-by-step development and evaluation of a program fidelity measure, using the Attachment and Child Health (ATTACH™) parenting program as an exemplar. The overall quality index for program delivery varied between “very good” to “excellent,” with a mean of 4.3/5. Development of checklists like the ATTACH™ fidelity assessment checklist enables the systematic evaluation of program delivery and identification of therapeutic components that enable targeted efforts at improvement. In future, research should examine links between program fidelity and targeted outcomes to ascertain if increased fidelity scores yield more favorable effects of parenting programs.

【 授权许可】

CC BY