Transitioning to telehealth due to COVID-19: Maintaining model fidelity in a home visiting program for parents of vulnerable infants

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Author(s)Roben, Caroline K. P.
Author(s)Kipp, Evan
Author(s)Schein, Stevie S.
Author(s)Costello, Amanda H.
Author(s)Dozier, Mary
Date Accessioned2022-03-09T20:00:25Z
Date Available2022-03-09T20:00:25Z
Publication Date2021-12-29
DescriptionThis is the peer reviewed version of the following article: Roben, C. K. P., Kipp, E., Schein, S. S., Costello, A. H., & Dozier, M. (2022). Transitioning to telehealth due to COVID-19: Maintaining model fidelity in a home visiting program for parents of vulnerable infants. Infant Mental Health Journal, 43, 173– 184. https://doi.org/10.1002/imhj.21963, which has been published in final form at https://doi.org/10.1002/imhj.21963. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited. This article will be embargoed until 12/29/2023.en_US
AbstractMaintaining treatment fidelity when implementing evidence-based interventions is a significant challenge. The inability to deliver in-person services due to the COVID-19 pandemic critically challenged the foundation of implementation fidelity for home visiting programs across the globe. The Attachment and Biobehavioral Catch-Up (ABC) program is an evidence-based home visiting intervention designed to increase sensitivity in parents of infants who have experienced early adversity. ABC's community effectiveness is due to rigorous fidelity monitoring and supervision. Fidelity is measured by microanalytic coding of parenting opportunities and “in-the-moment” commenting, the active ingredient of ABC. In this study, we examined intervention fidelity among parent coaches implementing ABC through telehealth. Random 5-min clips from 510 telehealth ABC session videos conducted by 91 parent coaches at 48 agencies were coded for their frequency and quality of in-the-moment comments. On average, parent coaches were able to exceed in-person commenting fidelity standards when implementing ABC through the telehealth format. The active fidelity monitoring and supervision inherent to ABC's dissemination afforded a smooth transition to implementing ABC through telehealth while adhering to fidelity standards. Procedural and clinical challenges to telehealth implementation are discussed, along with future directions for telehealth program effectiveness.en_US
SponsorThis research was supported by funding from the Annie E. Casey Foundation, Edna Bennett Pierce, and from NIH grants R01 MH074374, R01 MH084135, and R01 MH052135 to M. Dozier. We thank the parent coaches and families who participated in ABC. There are no conflicts of interest to declare. This research was considered exempt by the University of Delaware Institutional Review Board due to the use of archived and de-identified data collected and coded for the purposes of program evaluation.en_US
CitationRoben, C. K. P., Kipp, E., Schein, S. S., Costello, A. H., & Dozier, M. (2022). Transitioning to telehealth due to COVID-19: Maintaining model fidelity in a home visiting program for parents of vulnerable infants. Infant Mental Health Journal, 43, 173– 184. https://doi.org/10.1002/imhj.21963en_US
ISSN1097-0355
URLhttps://udspace.udel.edu/handle/19716/30640
Languageen_USen_US
PublisherInfant Mental Health Journalen_US
Keywordsearly childhooden_US
Keywordsevidence-based interventionen_US
Keywordsfidelityen_US
Keywordsparentingen_US
Keywordstelehealthen_US
TitleTransitioning to telehealth due to COVID-19: Maintaining model fidelity in a home visiting program for parents of vulnerable infantsen_US
TypeArticleen_US
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