Novel Methods for Screening: Contributions from Attachment and Biobehavioral Catch-up
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Preventative interventions are needed across the lifespan, including for children who have experienced maltreatment. However, interventions’ effect sizes are typically smaller in real-world settings than in clinical trials. Identifying providers who are likely to implement interventions with fidelity could promote implementation outcomes through targeted allocation of training resources. This study tested two pre-training screening measures as predictors of provider fidelity to Attachment and Biobehavioral Catch-up (ABC), a preventative intervention for maltreated infants. One measure assessed valuing of attachment/openness, and the other used vignettes to assess initial skill in a key intervention component. In a sample of 42 providers across 197 sessions, both screening measures predicted future ABC fidelity, even when controlling for experience and education. These results support the development of screening measures for other interventions, suggesting approaches that target specific qualities and behaviors are likely to predict implementation fidelity.
KeywordsProvider characteristics Screening interviews Fidelity Training Implementation science
We would like to thank the parent coaches and ABC fidelity consultants who participated in this study. We would also like to thank Amanda Costello and Fabianne Blake for their coding of screening interviews and Chase Stovall-McClough and Lori Potter for their ABC consultation with the parent coaches in this sample.
This research was supported by the National Institutes of Health Grants R01 MH052135, R01 MH074374, and R01 MH084135 to the fourth author.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
For this type of study, formal consent is not required.
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