title: EBT Fidelity Trajectories Across Training Cohorts Using the Interagency Collaborative Team Strategy.
abstract: The Interdisciplinary Collaborative Team (ICT) strategy uses front-line providers as adaptation, training and quality control agents for multi-agency EBT implementation. This study tests whether an ICT transmits fidelity to subsequent provider cohorts. SafeCare was implemented by home visitors from multiple community-based agencies contracting with child welfare. Client-reported fidelity trajectories for 5,769 visits, 957 clients and 45 providers were compared using three-level growth models. Provider cohorts trained and live-coached by the ICT attained benchmark fidelity after 12 weeks, and this was sustained. Hispanic clients reported high cultural competency, supporting a cultural adaptation crafted by the ICT.
authors.affiliation: School of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA, 30302, USA. mchaffin@gsu.edu.
authors.forename: Mark
authors.initials: M
authors.lastname: Chaffin
authors.affiliation: Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
authors.forename: Debra
authors.initials: D
authors.lastname: Hecht
authors.affiliation: Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.
authors.forename: Greg
authors.initials: G
authors.lastname: Aarons
authors.affiliation: Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.
authors.forename: Danielle
authors.initials: D
authors.lastname: Fettes
authors.affiliation: School of Social Work, University of Southern California, Los Angeles, CA, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Hurlburt
authors.affiliation: South Bay Community Services, San Diego, Chula Vista, CA, USA.
authors.forename: Karla
authors.initials: K
authors.lastname: Ledesma
mesh_terms: D000328:Adult; D019985:Benchmarking; D000068216:Child Protective Services; D015331:Cohort Studies; D003299:Cooperative Behavior; D000072117:Counselors / Q000193:education; D054521:Cultural Competency; D055317:Evidence-Based Practice / Q000193:education*; D005260:Female; D006282:Health Personnel / Q000193:education*; D006630:Hispanic or Latino; D006792:House Calls; D006801:Humans; D007373:Interinstitutional Relations; D008297:Male; D008875:Middle Aged; D016487:Parenting; D010290:Parents / Q000193:education; D011584:Psychology / Q000193:education; D012946:Social Welfare; D000068217:Social Workers / Q000193:education
keywords: Cultural competency; Fidelity; Implementation; Interagency Collaborative Team