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Related Experiment Video

Updated: Mar 28, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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Adherence and Dosage Contributions to Parenting Program Quality.

Thomas J Gross1, W Alex Mason2, Gilbert Parra3

  • 1The Center for Child and Family Well Being, University of Nebraska-Lincoln.

Journal of the Society for Social Work and Research
|January 5, 2016
PubMed
Summary

High adherence to direct explicit instruction (DEI) elements significantly predicts parenting program quality. Dosage did not significantly predict quality, suggesting adherence is key for effective program delivery.

Keywords:
Direct explicit instructionParenting programsTreatment fidelity

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Area of Science:

  • Psychology
  • Education
  • Social Sciences

Background:

  • Treatment fidelity is crucial for program effectiveness, with adherence, dosage, and quality being key elements.
  • Parenting programs often use direct explicit instruction (DEI), but the impact of adherence and dosage on quality is unclear.

Purpose of the Study:

  • To investigate if adherence to and dosage of DEI elements predict quality ratings in a manualized parenting program.
  • To clarify the complex relationships between treatment fidelity elements in parenting interventions.

Main Methods:

  • Adherence was measured as the percentage of completed intervention tasks for each DEI element.
  • Dosage was quantified by the time spent on each DEI element.
  • Hierarchical linear regression analyzed the predictive power of adherence and dosage on session quality.

Main Results:

  • Adherence significantly predicted session quality, accounting for 26% of the variance.
  • Dosage contributed a nonsignificant 11% to the variance in session quality.
  • Adherence to skill practice emerged as the strongest individual predictor of quality.

Conclusions:

  • Ensuring high adherence to DEI elements is vital for delivering high-quality parenting programs.
  • Further research is needed to fully understand how adherence and dosage influence program quality.