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Related Experiment Videos

Integrity of evidence-based practice: are providers modifying practice content or practice sequencing?

Alayna L Park1, Bruce F Chorpita, Jennifer Regan

  • 1Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA, alaynapark@ucla.edu.

Administration and Policy in Mental Health
|May 21, 2014
PubMed
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Community providers often use evidence-based treatment (EBT) content but modify session order. This suggests flexibility in adapting EBT procedures rather than strict adherence to prescribed sequencing for better implementation.

Area of Science:

  • Clinical Psychology
  • Implementation Science
  • Health Services Research

Background:

  • Evidence-based treatments (EBTs) require high fidelity for optimal outcomes.
  • Implementation of EBTs in community settings presents unique challenges.
  • Understanding how providers adapt EBTs is crucial for effective dissemination.

Purpose of the Study:

  • To examine the implementation fidelity of EBTs in community settings.
  • To differentiate between adherence to practice content and practice sequencing.
  • To evaluate provider adaptability in EBT delivery.

Main Methods:

  • A randomized effectiveness trial was used to assess EBT implementation.
  • Fidelity was measured across two dimensions: practice content (PC) and practice sequencing.

Related Experiment Videos

  • Sessions were evaluated for adherence to prescribed procedures and their order.

    • Main Results:

    • Providers generally maintained the practice content of the EBT protocol.
    • Significant modifications were observed in the sequencing of treatment sessions.
    • Fidelity to practice content was high, while fidelity to sequencing varied.

    Conclusions:

    • Community providers demonstrate willingness to adopt EBT content.
    • Adaptations in EBT session sequencing are common in real-world settings.
    • Implementation strategies may need to accommodate flexible sequencing while ensuring core content delivery.