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Implementation evaluation of the Blueprint multi-component drug prevention programme: fidelity of school component delivery.

机译:蓝图多成分药物预防计划的实施评估:学校成分的保真度。

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In order to achieve their desired aims, evidence-based, theory-driven drug education programmes need to be implemented as intended. Measurement of 'fidelity of implementation' is now included increasingly as part of programme evaluation, although measures and methods are sometimes limited. A more sophisticated approach to assessing implementation fidelity, based on Dane & Schneider's (1998) five dimensions, was used to examine the classroom curriculum element of the Blueprint programme. Blueprint was the largest and most rigorous evaluation of a multi-component drug prevention programme to date in the United Kingdom. Lessons were, overall, delivered with reasonable fidelity, although teachers did not always understand the thinking behind particular activities, suggesting that training needs to focus not only on content and methods but why particular approaches are important. Different dimensions of fidelity could conflict with one another: under pressure of time, generic elements and processes designedto reflect on learning were sometimes sacrificed in order that core drug education activities could be completed. Future drug education curricula need to build in more flexibility for discussion without compromising core evidence-based elements. Even with substantial training and support, individual variations in delivery were found, although few differences were found between teachers with prior expertise and teachers new to drug education. The methods and measures applied in the Blueprint study all represent attempts to improve on previous measures in terms of both reliability and sensitivity. In this respect the Blueprint study represents a valuable contribution to the science of implementation fidelity.
机译:为了实现其预期目标,需要按计划实施基于证据的,理论驱动的毒品教育计划。尽管有时措施和方法受到限制,但“执行保真度”的测量现在已越来越多地作为计划评估的一部分。基于Dane&Schneider(1998)的五个维度,一种更复杂的评估实施保真度的方法被用来检验“蓝图”计划的课堂课程要素。蓝图是迄今为止英国对多成分药物预防计划的最大,最严格的评估。总体而言,尽管教师并不总是了解特定活动背后的思想,但总体上讲,这些课程是合理的,这表明培训不仅需要侧重于内容和方法,而且还应着重说明为什么特定方法很重要。忠诚度的不同方面可能彼此冲突:在时间的压力下,有时牺牲了旨在反思学习的通用要素和过程,以便完成核心的毒品教育活动。未来的毒品教育课程需要在不损害核心循证要素的前提下,增加讨论的灵活性。尽管有大量的培训和支持,但在交付方面仍存在个体差异,尽管具有先验专业知识的教师与新接触毒品教育的教师之间几乎没有差异。蓝图研究中使用的方法和措施均代表了在可靠性和敏感性方面对先前措施进行改进的尝试。在这方面,“蓝图”研究为实施保真科学做出了宝贵贡献。

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