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Implementing the LifeSkills Training drug prevention program: factors related to implementation fidelity
Sharon F Mihalic1, Abigail A Fagan, Susanne Argamaso
1Institute of Behavioral Science, University of Colorado, Boulder, CO, USA. sharon.mihalic@colorado.edu
Implementation Science : IS
|January 22, 2008
Summary
Ensuring high-quality implementation of drug prevention programs like LifeSkills Training (LST) is crucial for reducing adolescent delinquency. This study found that high fidelity is achievable with careful planning, teacher training, and support, leading to effective program delivery.
Area of Science:
- Public Health
- Education
- Psychology
Background:
- Effective prevention programs are vital for reducing adolescent delinquency, violent crime, and substance use.
- Widespread impact depends on high-quality implementation by community organizations.
Purpose of the Study:
- To evaluate the implementation fidelity of the LifeSkills Training (LST) drug prevention program in 432 schools across 105 sites.
- To identify factors influencing program fidelity, including adherence, dosage, quality of delivery, and student responsiveness.
Main Methods:
- Process evaluation using qualitative and quantitative methods.
- Regression analysis to examine factors affecting four dimensions of implementation fidelity.
- Observation of teaching practices and review of curriculum delivery.
Main Results:
- Most schools achieved high implementation fidelity, delivering 86% of program objectives.
- Teachers demonstrated high adherence (71% taught all lessons) and used recommended practices.
- Program characteristics and student behavior positively influenced adherence and quality of delivery.
Conclusions:
- High implementation fidelity is achievable for community-based prevention programs.
- Key factors for success include program flexibility, consideration of time constraints, teacher training in classroom management, and robust monitoring/technical assistance.
- Schools should prioritize training and support to ensure quality program delivery.
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