Category: Technology

Symposium

Using Technology to Facilitate Fidelity Monitoring in Attachment and Biobehavioral Catch-Up

Friday, November 17
2:00 PM - 3:30 PM
Location: Indigo Ballroom B, Level 2, Indigo Level

Keywords: Early Intervention | Technology / Mobile Health | Dissemination
Presentation Type: Symposium

Despite the well-documented benefits of evidence-based early interventions, access to these programs is often limited in child welfare. To remediate this problem, researchers and community providers have been working to move interventions from university to community settings. Although access may be improved by dissemination efforts, community implementations often show signs of drift, which can result in lower treatment effectiveness. Therefore, ensuring high-quality delivery is also an important consideration. Technology can be used to facilitate high-quality delivery by enabling regular supervision and fidelity monitoring. Attachment and Biobehavioral Catch-up (ABC) is a nationally disseminated evidence-based early intervention which uses video review, conferencing, and content coding to monitor fidelity.


 Fidelity to ABC is assessed by a behavioral observation measure referred to as the “in the moment commenting and coding system.” Parent coaches videorecord ABC sessions, and during these sessions are required to provide specific, real-time feedback regarding parent-child interactions. Supervisors then code a randomly-selected clip from the videorecorded sessions. Supervisors review and discuss this coding with parent coaches through internet-based video conferencing.


 The current study examined patterns of change in fidelity data (specifically coach commenting rate) across 31 coaches from two training cohorts over the course of one year. Coaches demonstrated a significant increase in commenting rate. However, there was a high level of individual variation: certain coaches immediately made comments at a high frequency and maintained this rate of commenting. Other coaches struggled with comment rate early, but then improved steadily over time. Still other coaches consistently struggled to make comments.


 Results from the current investigation serve as an example for how technology can facilitate fidelity monitoring, as well as provide preliminary data regarding how commenting rate progresses over the supervision year. Future investigations should identify common trajectories in fidelity across coaches and factors that may affect commenting.

Amanda H. Costello

Clinical Scientist
University of Delaware

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