Education Drivers

Treatment Integrity Strategies

Student achievement scores in the United States remain stagnant despite constant reform. New initiatives arise promising hope, only to disappoint after being adopted, implemented, and quickly found wanting. The cycle of reform followed by failure has had a demoralizing effect on schools, making new reform efforts more problematic. These efforts frequently fail because implementing new practices is far more challenging than expected and require that greater attention be paid to implementation. A fundamental factor leading to failure is inattention to treatment integrity. When innovations are not implemented as designed, it should not be a surprise that anticipated benefits are not forthcoming. The question is, what strategies can educators employ to increase the likelihood that practices will be implemented as designed?

Strategies designed to increase treatment integrity fall into two categories: antecedent-based strategies and consequence-based strategies. Antecedent-based strategies involve any setting event or environmental factor that happens prior to implementing the new practice and that increases the likelihood of success as well as eliminates setting events or environmental considerations that decrease the likelihood of success. Consequence-based strategies are designed to impact actions that happen after implementation of the new practice and that are likely to increase or decrease treatment integrity.

Publications

TITLE
SYNOPSIS
CITATION
Treatment Integrity: Fundamental to Education Reform

To produce better outcomes for students two things are necessary: (1) effective, scientifically supported interventions (2) those interventions implemented with high integrity.  Typically, much greater attention has been given to identifying effective practices.  This review focuses on features of high quality implementation.

Detrich, R. (2014). Treatment integrity: Fundamental to education reform. Journal of Cognitive Education and Psychology, 13(2), 258-271.

Innovation, Implementation Science, and Data-Based Decision Making: Components of Successful Reform

Schools are often expected to implement innovative instructional programs.  Most often these initiatives fail because what we know from implementation science is not considered as part of implementing the initiative.  This chapter reviews the contributions implementation science can make for improving outcomes for students.

Detrich, R. Innovation, Implementation Science, and Data-Based Decision Making: Components of Successful Reform. Handbook on Innovations in Learning, 31.

Treatment Integrity: A Fundamental Unit of Sustainable Educational Programs.

Reform efforts tend to come and go very quickly in education. This paper makes the argument that the sustainability of programs is closely related to how well those programs are implemented.

Detrich, R., Keyworth, R. & States, J. (2010). Treatment Integrity: A Fundamental Unit of Sustainable Educational Programs. Journal of Evidence-Based Practices for Schools, 11(1), 4-29.

 

Presentations

TITLE
SYNOPSIS
CITATION
Treatment Integrity and Program Fidelity: Necessary but Not Sufficient to Sustain Programs
If programs are to sustain they must be implemented with integrity. If there is drift over time, it raises questions about whether the program is sustaining or has been substantially changed.
Detrich, R. (2008). Treatment Integrity and Program Fidelity: Necessary but Not Sufficient to Sustain Programs [Powerpoint Slides]. Retrieved from 2008-aba-presentation-ronnie-detrich.
Treatment Integrity: A Fundamental Component of PBS
School-wide initatives have to be well implemented if there is to be any benefit. This talk describes methods for assuring high levels of treatment integrity.
Detrich, R. (2008). Treatment Integrity: A Fundamental Component of PBS [Powerpoint Slides]. Retrieved from 2008-apbs-txint-presentation-ronnie-detrich.
Toward a Technology of Treatment Integrity
If research supported interventions are to be effective it is necessary that they are implemented with integrity. This paper describes approahes to assuring high levels of treatment integrtiy.
Detrich, R. (2011). Toward a Technology of Treatment Integrity [Powerpoint Slides]. Retrieved from 2011-apbs-presentation-ronnie-detrich.

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