Fidelity of Implementation in Project Towards No Drug Abuse (TND): A Comparison of Classroom Teachers and Program Specialists
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This paper presents the results of an effectiveness trial of Project Towards No Drug Abuse [TND], in which we compared program delivery by regular classroom teachers and program specialists within the same high schools. Within 18 schools that were randomly assigned to the program or control conditions, health classrooms were assigned to program delivery by teachers or (outside) specialists. Classroom sessions were observed by pairs of observers to assess three domains of implementation fidelity: adherence, classroom process, and perceived student acceptance of the program. Pre- and immediate posttest survey data were collected from 2331 students. Of the four composite indexes of implementation fidelity that were examined, only one (quality of delivery) showed a difference between specialists and teachers, with marginally higher ratings of specialists (p < .10). Both teachers and program specialists achieved effects on three of the five immediate outcome measures, including program-specific knowledge, addiction concern, and social self-control. Students’ posttest ratings of the program overall and the quality of program delivery failed to reveal differences between the teacher- and specialist-led classrooms. These results suggest that motivated, trained classroom teachers can implement evidence-based prevention programs with fidelity and achieve immediate effects.
- Basen-Engquist, K., O’Hara-Tompkins, N., Lovato, C. Y., Lewis, M. J., Parcel, G. S., & Gingiss, P. (1994). The effect of two types of teacher training on implementation of smart choices: A tobacco prevention curriculum. Journal of School Health, 64, 334–339.
- Botvin, G. J., Baker, E., Dusenbury, L., Tortu, S., & Botvin, E. M. (1990). Preventing adolescent drug abuse through a multimodal cognitive-behavioral approach: Results of a 3-year study. Journal of Consulting and Clinical Psychology, 58, 437–446. CrossRef
- Botvin, G. J., Baker, E., Dusenbury, L., Botvin, E. M., & Diaz, T. (1995). Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. Journal of the American Medical Association, 273, 1106–1112. CrossRef
- Botvin, G. J., Baker, E., James-Ortiz, S., Botvin, E. M., & Kerner, J. (1992). Smoking prevention among urban minority youth: Assessing effects on outcome and mediating variables. Health Psychology, 11, 290–299. CrossRef
- Cameron, R., Brown, K. S., Best, J. A., Pelkman, C. L., Madill, C. L., Manske, S. R., & Payne, M. E. (1999). Effectiveness of a social influences smoking prevention program as a function of provider type, training method, and school risk. American Journal of Public Health, 89, 1827–1831.
- Clarke, G. N. (1995). Improving the transition from basic efficacy research to effectiveness studies: Methodological issues and procedures. Journal of Consulting and Clinical Psychology, 63(5), 718–725. CrossRef
- Cohen, J. (1968). Weighted kappa: Nominal scale agreement with provision for scale disagreement or partial credit. Psychological Bulletin, 70, 213–220. CrossRef
- Dane, A. V., & Schneider, B. H. (1998). Program integrity in primary and early secondary prevention: Are implementation effects out of control? Clinical Psychology Review, 18(1), 23–45. CrossRef
- Dent C. W., Sussman, S., McCuller, W. J., & Stacy, A. W. (2001). Project towards no drug abuse: Generalizabilty to a general high school sample. Preventive Medicine, 32, 514–520. CrossRef
- Dent, C. W., Sussman, S., Hennesy, M., Craig, S., Moss, M. A., & Stacy, A. W. (1998). Implementation, process, and immediate outcomes evaluation of the project towards no drug abuse classroom program for high risk youth. Journal of Drug Education, 28, 361–375.
- Domitrovich, C. E., & Greenberg, M. T. (2000). The study of implementation: current findings from effective programs that prevent mental disorders in school-aged children. Journal of Educational and Psychological Consultation, 11(2), 193–221. CrossRef
- Dusenbury, L., Brannigan, R., Falco, M., & Hansen, W. B. (2003). A review of research on fidelity of implementation: implications for drug abuse prevention in school settings. Health Education Research, 18(2), 237–256. CrossRef
- Flay, B. R. (1986). Efficacy and effectiveness trials (and other phases of research in the development of health promotion programs. Preventive Medicine, 15, 451–474. CrossRef
- Glasgow, R. E., Lichtenstein, E., & Marcus, A. G. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1266. CrossRef
- Gottfredson, D. C., & Wilson, D. B. (2003). Characteristics of effective school-based substance abuse prevention. Prevention Science, 4(1), 27–38. CrossRef
- Graham, J. W., Flay, B. R., Johnson, C. A., Hansen, W. B., Grossman, L. M., & Sobel, J. L. (1984). Reliability of self-report measures of drug use in prevention research: Evaluation of the project SMART questionnaire via the test-retest reliability matrix. Journal of Drug Education, 14, 175–193.
- Green, L. W., & Glasgow, R. E. (2006). Evaluating the relevance, generalization, and applicability of research. Evaluation & the Health Professions, 29(1), 126–153. CrossRef
- Greenwald, P., & Cullen, J. W. (1985). The new emphasis in cancer control. Journal of the National Cancer Institute, 74, 543–551.
- Hansen, W. B., Graham, J. W., Wolkenstein, B. H., & Rohrbach, L. A. (1991). Program integrity as a moderator of prevention program effectiveness: Results for fifth grade students in the adolescent alcohol prevention trial. Journal of Studies on Alcohol, 52, 568–579.
- Hansen, W. B., & McNeal, R. B. (1999). Drug education practice: Results of an observational study. Health Education Research, 14, 85–97. CrossRef
- Harrington, N. G., Giles, S. M., Hoyle, R. H., Feeney, G. J., & Yungbluth, S. C. (2001). Evaluation of the all stars character education and problem behavior prevention program: Effects on mediator and outcome variables for middle school students. Health Education & Behavior, 28(5), 533–546. CrossRef
- Joyce, B., & Showers, B. (1980). Improving inservice training: The messages of research. Educational Leadership, 37, 379–385.
- McNeal, R. B., Hansen, W. B., Harrington, N. G., & Giles, S. M. (2004). How all stars works: An examination of program effects on mediating variables. Health Education and Behavior, 31(2), 1–14. CrossRef
- Moos, R. H. (1979). Evaluating educational environments. San Francisco, CA: Jossey-Bass.
- Mowbray, C. T., Holter, M. C., Teague, G. B., & Bybee, D. (2003). Fidelity criteria: Development, measurement, and validation. American Journal of Evaluation, 24(3), 315–340.
- Murray, D. M., & Hannan, P. J. (1990). Planning for the appropriate analysis in school-based drug-use prevention studies. Journal of Consulting and Clinical Psychology, 58(4), 458–468. CrossRef
- Nunally, J. (1978). Psychometric theory (2nd ed.). New York: McGraw-Hill.
- Perry, C. L., Murray, D. M., & Griffin, G. (1990). Evaluating the statewide dissemination of smoking prevention curricula: Factors in teacher compliance. Journal of School Health, 60, 501–504. CrossRef
- Resnicow, K., Davis, M., Smith, M., Lazarus-Yaroch, A., Baranowski, T., Baranowski, J., Doyle, C., & Wang, D. T. (1998). How best to measure implementation of school health curricula: a comparison of three measures. Health Education Research, 13(2), 239–250. CrossRef
- Rohrbach, L. A., D’Onofrio, C. N., Backer, T. E., & Montgomery, S. B. (1996). Diffusion of school-based substance abuse prevention programs. American Behavioral Scientist, 39(7), 919–934. CrossRef
- Rohrbach, L. A., English, J., Hansen, W. B., & Johnson, C. A. (2000). Development and pilot testing of project SMART. In S. Sussman (Ed.), Handbook of program development for health behavior research and practice (pp. 425–446). Thousand Oaks, CA: Sage Publications.
- Rohrbach, L. A., Graham, J. G., & Hansen, W. B. (1993). Diffusion of a school-based substance abuse program: Predictors of program implementation. Preventive Medicine, 22, 237–260. CrossRef
- Rohrbach, L. A., Grana, R., Sussman, S., & Valente, T. W. (2006). Type II translation: Transporting prevention interventions from research to real-world settings. Evaluation & the Health Professions, 29(3), 1–32. CrossRef
- Rohrbach, L. A., Sussman, S., Dent, C. W., & Sun, P. (2005). Tobacco, alcohol, and other drug use among high-risk young people: a five-year longitudinal study from adolescence to emerging adulthood. Journal of Drug Issues, 35(2), 333–356.
- SAS Institute (2004). SAS release 9.0. Cary, North Carolina: SAS Institute, Inc.
- Schoenwald, S. K., & Hoagwood, K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52(9), 1190–1197. CrossRef
- Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–427. CrossRef
- Skara, S., Rohrbach, L. A., Sun, P., & Sussman, S. (2005). An evaluation of the fidelity of implementation of a school-based drug abuse prevention program: Project Towards No Drug Abuse (TND). Journal of Drug Education, 35(4), 305–329. CrossRef
- St. Pierre, T. L., Osgood, D. W., Mincemoyer, C. C., Kaltreider, D. L., & Kauh, T. J. (2005). Results of an independent evaluation of project ALERT delivered in schools by cooperative extension. Prevention Science, 6(4), 305–317. CrossRef
- Sun, W., Skara, S., Sun, P., Dent, C. W., & Sussman, S. (2006). Project towards no drug abuse: Long-term substance use outcomes evaluation. Preventive Medicine, 42, 188–192. CrossRef
- Sussman, S., & Dent, C. W. (1996). Correlates of addiction concern among adolescents at high risk for substance abuse. Journal of Substance Abuse, 8, 361–370. CrossRef
- Sussman, S., Dent, C. W., Burton, D., Stacy, A. W., & Flay, B. R. (1995). Developing school-based tobacco use prevention and cessation programs. Thousand Oaks: Sage Publications, Inc.
- Sussman, S., Dent, C. W., Stacy, A. W. (2002) Project towards no drug abuse: A review of the findings and future directions. American Journal of Health Behavior, 26(5), 354–365.
- Sussman, S., Earleywine, M., Wills, T., Cody, C., Biglan, T., Dent, C. W., & Newcomb, M. D. (2004). The motivation, skills, and decision-making model of ‘drug abuse’ prevention. Substance Use & Misuse, 39(10–12), 1971–2016. CrossRef
- Sussman, S., Galaif, E. R., Newman, T., Hennesy, M., Pentz, M. A., Dent, W. W., Stacy, A. W., Moss, M. A., Craig, S., & Simon, T. R. (1997). Implementation and process evaluation of a “school-as-community” group: A component of a school-based drug abuse prevention program. Evaluation Review, 21, 94–123. CrossRef
- Sussman, S., McCuller, W. J., & Dent, C. W. (2003). The associations of social self-control, personality disorders, and demographics with drug use among high-risk youth. Addictive Behaviors, 28, 1159–1166. CrossRef
- Tinsley, H. E., & Weiss, D. J. (1975). Interrater reliability and agreement of subjective judgments. Journal of Counseling Psychology, 22, 358–376. CrossRef
- Tobler, N.S., & Stratton, H. H. (1997). Effectiveness of school-based drug prevention programs: A meta-analysis of the research. Journal of Primary Prevention, 18(1), 71–128. CrossRef
- Tobler, N. S., Roona, M. R., Ochshorn, P., Marshall, D. G., Streke, A. V., & Stackpole, K. M. (2000). School-based adolescent drug prevention programs: 1998 meta-analysis. Journal of Primary Prevention, 20(4), 275–336. CrossRef
- Tortu, S., & Botvin, G. J. (1989). School-based smoking prevention: The teacher training process. Preventive Medicine, 18, 280–289. CrossRef
- U.S. Department of Education [DOE] (2005). Preliminary overview of programs and changes included in the No Child Left Behind Act of 2001: Safe and drug-free schools and communities (Title IV, Part A). http://www.ed.gov/nclb/overview/intro/progsum. Accessed on October 6, 2005.
- Fidelity of Implementation in Project Towards No Drug Abuse (TND): A Comparison of Classroom Teachers and Program Specialists
Volume 8, Issue 2 , pp 125-132
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- Substance abuse
- Program providers
- Author Affiliations
- 1. Institute for Health Promotion & Disease Prevention Research, Department of Preventive Medicine, University of Southern California, 1000 S. Fremont Ave., Unit #8, Alhambra, CA, 91803, USA