3 Catrin Eames poster by shimeiyan4


									The Incredible Years
Collaborative Leader Model
                                  Developing a Leader Observation Instrument for                                                                            u
                                                                                                                                                           Q i ckTim e™ an d a
                                                                                                                                                      Ph oto - J PEG de com pres sor
                                                                                                                                                    are n eed ed to s ee thi s p ic tu re .

                                   the assessment of Implementation Fidelity of
                                      the Webster-Stratton BASIC Parenting
                                                                              Catrin Eames
                                                                       University of Wales, Bangor.
Collaborative Leader Role #2                                            (c.eames@bangor.ac.uk)

                                The rationale for supporting and educating parents
                                More than 10% of the child population in Britain exhibit severely disruptive
                                behaviour that meets criteria for a diagnosis of conduct disorder.
                                Up to 40% of conduct disordered children grow to develop serious psychosocial
                                problems in adulthood, to include continued aggression, criminality, personality
                                disorder and violent behaviour.
                                Many studies have demonstrated that parenting which involves inconsistent                                     Collaborative
                                                                                                                                               Leader Role #2:
                                discipline, nagging, ineffectual commands and punishment plays a significant role                              Empowering
Collaborative Leader Role #2
                                in the development and/or maintenance of child conduct problems.                                               parents:
                                The Incredible Years Series                                                                                    Modifying
                                                                                                                                               parents thoughts
                                The Incredible Years Series has been selected as a model Blueprint programme for Violence
                                It has demonstrated reduced parental criticism, increased parental praise and use of non-
                                aversive discipline strategies, improved parent-child relations and increased child compliance with
                                parental instruction.                                                           Main components of
                                                                                                                      implementation fidelity:
                                History of Implementation Fidelity Research
Collaborative Leader Role #1:
Building a supportive
                                Fidelity may be referred to as the degree to which intervention                      • Adherence
                                delivery adheres to the original intervention protocol.
                                                                                                                      • Exposure
Advocating with parents         Not until the 1970’s did researchers emphasise the importance
                                of collecting in-session data to ensure adherence to treatment protocol.              • Quality of programme
                                With an increased focus on treatment procedure and adherence                         delivery
                                came the surge of treatment manuals.                                                  • Participant
                                Using manuals alone does not guarantee implementation fidelity.                      responsiveness
                                Despite the surge of manuals and standardising treatment protocols                   • Treatment differentiation
                                for replication, there is a paucity in the literature on implementation fidelity.     • Treatment integrity
Collaborative Leader Role #3:
Teaching: Using role play and   A cause for concern
rehearsal to enhance teaching
                                Of 539 studies dated from          Of 181 studies published            A review of 1,200 published
                                1968 - 1980, only 20%              between 1980 and 1990,              prevention studies, a mere
                                reported treatment                 only 15% had systematically         5% had presented
                                manipulation information           measured integrity                  implementation data in their

                                These figures raise concern as the lack of fidelity information provided leads in turn to
                                difficulties in replicating interventions. Being unable to replicate interventions with fidelity
                                causes great concern due to programme drift and the number of manual based interventions
                                in the community. Additionally, programme drift is the most common reason for poor
                                treatment outcome.
Collaborative Leader Role #6:   Moreover, implementation fidelity measurement pertains to strengthen treatment outcome
Prophesising                    research via internal, construct and external validity; statistical power and can be predictive
                                of outcome.
                                New observational measure
                                                                                                  In addition, coders complete a coder
                                    18 items specific to the      Examples of codes :
                                                                                                  impressions inventory post observation,
                                  collaborative leader style        Feelings                     to include important aspects such as room
                                   Enables coding of both         acknowledgement                set up, collaborative manner and so on.
                                  leaders’ interactions at          Positive body language
                                  10-min intervals                                                Observations will be conducted on existing
                                                                    Engagement                   videotaped data obtained from the Sure
                                   Uses objective
                                                                    Reframing                    Start Parent Support Research Programme
                                  frequency count
                                                                    On/Off agenda                to establish the degree to which
                                                                                                  implementation fidelity is related to
                                                                                                  behavioural outcome. This is funded by the ESF
                                                                                                  Objective 1 fund and Incredible Years Wales

                     Visit our websites: www.incredibleyearswales.co.uk                          http://incredible-years-wales-research.bangor.ac.uk

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