In the dynamic world of evidence-based interventions (EBIs), practitioners often face the challenge of modifying programs to better fit their unique contexts. A recent study titled "Fidelity-consistency and deliberateness of modifications in parenting programs" sheds light on how these modifications can be made deliberately to ensure fidelity-consistency, ultimately enhancing the effectiveness of parenting programs.
Understanding Fidelity-Consistency and Deliberateness
The study explores the types of modifications practitioners make during the delivery of parenting programs, such as tailoring content or adding new elements. It also examines whether these changes are consistent with the core functions of each program and how deliberate decision-making impacts fidelity-consistency.
Fidelity-consistent modifications preserve essential features of an intervention, ensuring that its core functions remain intact. Deliberateness refers to the intentionality behind these changes, with more carefully considered modifications being more likely to align with program goals.
The Role of the FRAME Model
The Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) was used in this study to categorize modifications. This model helps practitioners identify and assess changes while maintaining fidelity to core program components. The study found that most modifications were fidelity-consistent, but consistency varied among different categories.
Key Findings for Practitioners
- Tailoring Content: Minor adjustments to address specific needs were common and often consistent with program goals.
- Adding Elements: While some additions were beneficial, others strayed from core functions and were deemed inconsistent.
- Removing Elements: Skipping exercises without clear rationale often led to inconsistency.
- Deliberateness Matters: Modifications made without deliberate consideration were more likely to be inconsistent.
Implications for Practice
The findings suggest that practitioners should engage in deliberate reasoning when considering modifications. This involves reflecting on the reasons for changes, exploring modification options, and assessing their potential impact on outcomes. By fostering a culture of deliberate decision-making, practitioners can enhance the effectiveness of parenting programs while adapting them to local needs.
Encouraging Further Research
This study highlights the importance of understanding the relationship between deliberateness and fidelity-consistency in program modifications. Practitioners are encouraged to explore further research on this topic to refine their skills and improve program delivery.
To read the original research paper, please follow this link: Fidelity-consistency and deliberateness of modifications in parenting programs.
