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Influence of implementation fidelity on the effectiveness of a T-CBT program targeting emotional problems in childhood
Studies in Educational Evaluation ( IF 2.704 ) Pub Date : 2021-01-15 , DOI: 10.1016/j.stueduc.2021.100975
Silvia Melero , Mireia Orgilés , Iván Fernández-Martínez , José Pedro Espada , Alexandra Morales

Super Skills for Life (SSL) is a transdiagnostic program targeting children with internalizing problems. This study aimed to evaluate: 1) The Spanish SSL program's fidelity level; 2) the relationship between the implementation fidelity dimensions; 3) outcomes at posttest and 12-month follow-up depending on implementation fidelity; 4) mediation effects of self-concept dimensions to reduce internalizing and externalizing problems at follow-up. Participants were 119 schoolchildren aged 8–12. Two groups were established: high (HFG) and low fidelity (LFG). At posttest, HFG presented lower depression, anxiety, total difficulties, and externalizing symptoms, and higher academic and family self-concept than LFG. At follow-up, LFG presented higher depression, total difficulties, and internalizing symptoms, and lower academic, social, and family self-concept. All posttest self-concept dimensions had a significant impact at follow-up on internalizing symptoms. Academic, social and physical self-concept dimensions impacted externalizing symptoms. Thus, although SSL program is effective for treating emotional symptoms even with low implementation fidelity, it is more effective with high implementation loyalty.



中文翻译:

实施保真度对针对儿童情绪问题的T-CBT计划的有效性的影响

超级生活技能(SSL)是一项针对患有内在问题的儿童的跨诊断程序。本研究旨在评估:1)西班牙SSL程序的保真度;2)实现保真度维度之间的关系;3)根据实施保真度,进行事后测试和12个月的随访结果;4)自我概念维度的中介作用,以减少后续行动中的内在化和外在化问题。参加者为119位8-12岁的学童。建立了两组:高(HFG)和低保真(LFG)。在后测中,与LFG相比,HFG的抑郁症,焦虑症,总困难和外在症状低,并且在学术和家庭自我观念上也更高。在随访中,LFG表现出较高的抑郁,总困难和内在症状,而学术,社会,和家庭的自我概念。测试后的所有自我概念维度对内在症状的随访均具有重大影响。学术,社会和身体自我概念的维度影响了外在症状。因此,尽管SSL程序即使在实现忠诚度较低的情况下仍可有效治疗情绪症状,但在实现忠诚度较高的情况下更有效。

更新日期:2021-01-16
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