Implementing the LifeSkills Training drug prevention program: factors related to implementation fidelity.

Implementation Science : IS
Sharon F MihalicSusanne Argamaso

Abstract

Widespread replication of effective prevention programs is unlikely to affect the incidence of adolescent delinquency, violent crime, and substance use until the quality of implementation of these programs by community-based organizations can be assured. This paper presents the results of a process evaluation employing qualitative and quantitative methods to assess the extent to which 432 schools in 105 sites implemented the LifeSkills Training (LST) drug prevention program with fidelity. Regression analysis was used to examine factors influencing four dimensions of fidelity: adherence, dosage, quality of delivery, and student responsiveness. Although most sites faced common barriers, such as finding room in the school schedule for the program, gaining full support from key participants (i.e., site coordinators, principals, and LST teachers), ensuring teacher participation in training workshops, and classroom management difficulties, most schools involved in the project implemented LST with very high levels of fidelity. Across sites, 86% of program objectives and activities required in the three-year curriculum were delivered to students. Moreover, teachers were observed using all four recommended teaching practices, and 71% of...Continue Reading

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Citations

Dec 23, 2008·Prevention Science : the Official Journal of the Society for Prevention Research·Allison Ann Payne
Dec 11, 2008·Prevention Science : the Official Journal of the Society for Prevention Research·William B HansenKelvin S Bryant
Sep 17, 2009·Prevention Science : the Official Journal of the Society for Prevention Research·Louise Ann RohrbachSteve Sussman
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