The Effect of Implementation Climate on Program Fidelity and Student Outcomes in Autism Support Classrooms

被引:19
|
作者
Kratz, Hilary E. [1 ,2 ]
Stahmer, Aubyn [3 ]
Xie, Ming [2 ]
Marcus, Steven C. [2 ]
Pellecchia, Melanie [2 ]
Locke, Jill [4 ]
Beidas, Rinad [2 ]
Mandell, David S. [2 ]
机构
[1] La Salle Univ, Dept Psychol, 1900 West Olney Ave, Philadelphia, PA 19141 USA
[2] Univ Penn, Dept Psychiat, Philadelphia, PA 19104 USA
[3] Univ Calif Davis, MIND Inst, Dept Psychiat & Behav Sci, Davis, CA 95616 USA
[4] Univ Washington, Dept Speech & Hearing Sci, Seattle, WA 98195 USA
关键词
autism; classroom climate; dissemination; implementation; special education; INTENSIVE BEHAVIORAL TREATMENT; EARLY INTERVENTION; SCHOOL CLIMATE; YOUNG-CHILDREN; ORGANIZATIONAL-CLIMATE; RANDOMIZED-TRIAL; MODEL; PREDICTORS; PSYCHOTHERAPY; DIFFUSION;
D O I
10.1037/ccp0000368
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: An organization's implementation climate, or the extent to which use of an intervention is expected, supported, and rewarded by colleagues and supervisors, has been identified as critical to successful intervention implementation and outcomes. The effect of implementation climate has not been well studied in special education settings. The present study examines the association between teachers' perceptions of implementation climate, teacher fidelity to a school-based program for students with autism, and student outcomes (measured as changes in IQ) over time. Method: Participants included 158 students from 45 classrooms and their teachers. Teachers provided a measure of implementation climate at the beginning of the academic year; program fidelity was measured monthly throughout the year. The main and interaction effects of perceived implementation climate and fidelity on student outcomes were examined using longitudinal nested linear models with random effects for classroom and student, controlling for important covariates. Results: On average, IQ scores improved 2.2 points (SD = 8.7). There were no main effects of perceived implementation climate or fidelity on student outcomes; however, the interaction between perceived implementation climate and fidelity was associated with student outcomes (p < .05, d = 0.54). Among classrooms with a strong perceived implementation climate, higher fidelity was associated with better student outcomes. Conclusions: While preliminary and requiring replication, these findings suggest that perceived implementation climate and program fidelity each may be important but not sufficient for optimizing outcomes for students with autism.
引用
收藏
页码:270 / 281
页数:12
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