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Development of a Virtual Reality Assessment of Everyday Living Skills

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Development of a Fidelity Instrument for Delivering the Alert Program^® for Self-Regulation.

Dianne Blackwell^1,2, Alison E Lane^1,2, Kelsey Philpott-Robinson^1,2

¹University of Newcastle, Callaghan, NSW, Australia.

OTJR : Occupation, Participation and Health

|March 3, 2026

Summary

A new fidelity measure ensures consistent delivery of the Alert Program (AP) for children with self-regulation challenges. This tool supports reliable implementation in research and practice.

Keywords:

alert program®fidelity self-regulation

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Area of Science:

Child Psychology
Educational Interventions
Implementation Science

Background:

The Alert Program (AP) is a common intervention for children facing self-regulation difficulties.
Inconsistent application of the AP may impact its effectiveness.
A standardized measure is crucial for consistent AP delivery in research and clinical settings.

Purpose of the Study:

To develop and validate a fidelity measure for the Alert Program.
To assess the consistent implementation of the AP for children with self-regulation needs.

Main Methods:

A narrative literature review guided by SANRA standards was performed within an implementation framework.
Key structural, process, and content elements of AP delivery were identified.
A preliminary fidelity measure was refined through expert review and inter-rater reliability testing.

Main Results:

The literature review encompassed 14 studies, revealing varied adherence to fidelity elements.
Expert review achieved 93.4% consensus on essential AP components.
Independent raters demonstrated 91% agreement during inter-rater reliability testing.

Conclusions:

A validated fidelity measure for the Alert Program has been developed.
This measure will enhance the reliability of AP research and practice.
It provides a tool for practitioners to ensure consistent AP implementation for children's self-regulation.