title: Describing teacher-student interactions: a qualitative assessment of teacher implementation of the 7th grade keepin' it REAL substance use intervention.
abstract: Variations in the delivery of school-based substance use prevention curricula affect students' acquisition of the lesson content and program outcomes. Although adaptation is sometimes viewed as a lack of fidelity, it is unclear what types of variations actually occur in the classroom. This observational study investigated teacher and student behaviors during implementation of a middle school-based drug prevention curriculum in 25 schools across two Midwestern states. Trained observers coded videos of 276 lessons, reflecting a total of 31 predominantly Caucasian teachers (10 males and 21 females) in 73 different classes. Employing qualitative coding procedures, the study provides a working typology of implementation patterns based on varying levels of teacher control and student participation. These patterns are fairly consistent across lessons and across classes of students, suggesting a teacher-driven delivery model where teachers create a set of constraints within which students vary their engagement. Findings provide a descriptive basis grounded in observation of classroom implementation that can be used to test models of implementation fidelity and quality as well as impact training and other dissemination research.
authors: Penn State University, University Park, PA, USA. jpettigrew@utk.edu
authors: Jonathan
authors: J
authors: Pettigrew
authors: Michelle
authors: M
authors: Miller-Day
authors: Youngju
authors: Y
authors: Shin
authors: Michael L
authors: ML
authors: Hecht
authors: Janice L
authors: JL
authors: Krieger
authors: John W
authors: JW
authors: Graham
mesh_terms: D002648:Child; D003479:Curriculum; D005178:Faculty; D005260:Female; D006293:Health Promotion; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D015146:Midwestern United States; D016730:Program Development; D036301:Qualitative Research; D012574:Schools; D013334:Students; D019966:Substance-Related Disorders / Q000517:prevention & control*; D013663:Teaching / Q000379:methods; D014741:Video Recording