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How Program Users Enhance Fidelity: Implementing the WITS Programs in Rural Canadian Elementary Schools.

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Implementing evidence-based programs effectively requires understanding how program fidelity, integration, and children's use of strategies (CUoPS) interact. Findings suggest CUoPS and integration enhance fidelity, crucial for program success.

Keywords:
FidelityImplementationImplementation outcomesWITS Programs

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Area of Science:

  • Child Psychology
  • Educational Psychology
  • Public Health Interventions

Background:

  • Enhancing implementation fidelity is crucial for the uptake and sustainability of evidence-based programs.
  • Limited research exists on user activities that may bolster fidelity, such as strategy integration and children's use of program strategies (CUoPS).

Purpose of the Study:

  • To test a theoretical model examining the interrelations among implementation fidelity, integration, and CUoPS.
  • To assess the effects of these implementation indicators on child outcomes in a peer victimization prevention program.

Main Methods:

  • Longitudinal study over two academic years in 16 Canadian rural schools implementing the WITS program.
  • Data collected from 1326 children, parents, and teachers via four implementation assessments.
  • Statistical analysis using within-time correlations and cross-lagged models.

Main Results:

  • Significant correlations were found between fidelity, integration, and CUoPS at each assessment point.
  • Fidelity and integration, as well as CUoPS and integration, were reciprocally related.
  • CUoPS significantly predicted higher subsequent levels of fidelity.

Conclusions:

  • Children's use of program strategies (CUoPS) and integration of strategies into daily activities are key to enhancing implementation fidelity.
  • Training and coaching should focus on teachers' integration of strategies and creating opportunities to observe children using them.
  • These findings offer practical insights for improving the sustainability of evidence-based programs in schools.