This study examines the fidelity of implementation (FOI) of evidence-based interventions (EBIs) in classrooms during the scale-up process, focusing on factors that may influence implementation quality without compromising core components. Using data from the dissemination of the Botvin LifeSkills Training (LST) middle school program across 371 schools, the research identifies classroom-level variables such as student misbehavior, time constraints, and curriculum modifications as key predictors of FOI. The findings suggest that classroom management, sufficient time allocation, and thoughtful curriculum adjustments are crucial for maintaining adherence, quality of delivery, and student engagement when scaling EBIs in real-world educational settings.
This course is based on the reading-based online article, Influence of Classroom ‘Level Factors on Implementation Fidelity During Scale ‘up of Evidence ‘Based Interventions created by Katie Massey Combs et al in 2022.
Publication Date
Prevention Science May 2022
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
Katie Massey Combs
Dr. Katie Massey Combs is a researcher at the Institute of Behavioral Science, University of Colorado Boulder. She specializes in the dissemination and evaluation of school-based prevention programs. This is her first work published in a peer-reviewed journal.
Pamela R. Buckley
Dr. Pamela R. Buckley is a researcher at the Institute of Behavioral Science, University of Colorado Boulder. Her expertise lies in the study of fidelity and adaptation of evidence-based interventions. This is her first work published in a peer-reviewed journal.
L.A. Rankin is a social worker with experience in many different settings with a variety of clients. She has worked with dementia and Alzheimers patients, dual diagnosis MH/MR, in a battered women’s shelter, and a rape crisis center. She also has 11 years of experience as a child protective social worker, where she earned certificates in domestic abuse/family violence and substance abuse.
Recommended For
Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.
Course Objectives:
After taking this course, you should be able to:
Analyze the factors influencing fidelity of implementation (FOI) in classroom-based evidence-based interventions (EBIs).
Evaluate the challenges and strategies for maintaining program fidelity during the scale-up of EBIs in diverse school environments.
Identify classroom-level modifications that can improve program fit without undermining the essential components of an EBI.
Availability
This course is available starting Jan 27th, 2025 and expires Jan 26th, 2035
Disclosure to Learners
Disclosure of Relevant Financial Relationships
CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited
Continuing Medical Education. Any individuals in a position to control the content of a CE activity –
including faculty, planners, reviewers, or others ― are required to disclose all relevant financial
relationships with ineligible entities (formerly known as commercial interests).
The following relevant financial relationships have been disclosed by this activity's planners, faculty, and
the reviewer:
Planners and Reviewers
The planners of this activity have reported that they have no relevant financial relationships.
Material Authors
Any relevant financial disclosures for course material authors can be found in the article.
Course Creator
L.A. Rankin – There are no relevant disclosures.
Commercial support
There is no commercial support for this distance-learning course.
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