Effects and processes of fidelity-focused consultation

Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
University of Delaware
Abstract
Identification of effective consultation models and strategies could inform efforts to implement evidence-based treatments in community settings. Study 1 examined the effects of a fidelity-focused consultation model, using a multiple baseline design with clinicians implementing the Attachment and Biobehavioral Catch-up (ABC) intervention. In fidelity-focused consultation, clinicians received feedback on consultant-rated fidelity coding, and also coded their own fidelity. Clinicians’ fidelity to ABC increased in the period immediately after fidelity-focused consultation began, but did not increase during other periods of training. Study 2 used micro-analytic coding of consultation session videos to identify active ingredients within the multi-component package of fidelity-focused consultation. Certain types of fidelity feedback and goal setting predicted future fidelity. Results also suggested that clinicians’ self-coding was a critical component of fidelity-focused consultation. Findings from the present study contribute to the literature on evidence-based components of consultation, and suggest that consultation procedures that incorporate fidelity coding feedback and self-coding of fidelity are effective in promoting implementation outcomes.
Description
Keywords
Psychology, Consultation, Feedback, Fidelity, Implementation, Self-supervision, Training
Citation