Abstract:
Interventions that support social communication include several \"components,\" or parts (e.g. strategies for working with children and families, targeting specific skills). Some of these components may be essential for the intervention to work, while others may be recommended or viewed as helpful but not necessary for the intervention to work. \"Recommended\" components are often described as \"adaptable\" because they can be changed to improve fit in different settings where interventions are offered or with different individuals. We need to understand which parts of an intervention are essential (and which are adaptable) when translating interventions from research to community settings, but it is challenging to do this before studying an intervention in the community. This article presents the CORE (COmponents & Rationales for Effectiveness) Fidelity Method-a new method for defining the essential components of evidence-based interventions-and applies it to a case example of Reciprocal Imitation Teaching, an intervention that parents are taught to deliver with their young children with social communication delays. The CORE Fidelity Method involves three steps: (1) gathering information from multiple sources; (2) integrating information from previous research and theory; and (3) drafting a CORE model for ongoing use. The benefits of using the CORE Fidelity Method may include: (1) improving consistency in intervention and research materials to help all providers emphasize the most important skills or strategies; (2) clarifying which parts of the intervention can be adapted; and (3) supporting future research that evaluates which intervention components work and how they work.
摘要:
支持社会交往的干预措施包括几个组成部分,\"或部分(例如,与儿童和家庭合作的策略,针对特定技能)。其中一些组件可能对干预工作至关重要,而其他人可能被推荐或认为是有帮助的,但不是干预工作所必需的。“推荐的”组件通常被描述为“适应性”,因为可以对其进行更改以提高在提供干预措施的不同环境中或与不同个人的适应性。当将干预措施从研究转化为社区环境时,我们需要了解干预措施的哪些部分是必不可少的(哪些是适应性的)。但是在研究社区干预之前,要做到这一点是具有挑战性的。本文介绍了CORE(有效性的组成部分和基本原理)Fidelity方法-一种定义基于证据的干预措施的基本组成部分的新方法-并将其应用于相互模仿教学的案例示例,父母被教导与年幼的孩子一起进行社交沟通的干预。COREFidelity方法包括三个步骤:(1)从多个来源收集信息;(2)整合以前的研究和理论中的信息;(3)起草CORE模型以供持续使用。使用COREFidelity方法的好处可能包括:(1)提高干预和研究材料的一致性,以帮助所有提供者强调最重要的技能或策略;(2)澄清干预的哪些部分可以调整;(3)支持未来的研究,以评估哪些干预组件起作用以及它们如何起作用。