Predicting Implementation Fidelity and Sustainability

Teachers that were trained in the Fourth R prior to 2009 were surveyed online to determine the extent to which they continued using the program, the modifications they made, and perceived barriers to implementation. Results indicated that most of the teachers were highly satisfied with the program and continued implementing it with fidelity after several years. Perceived readiness after training, support and accountability emerged as predictors of high quality implementation.

Authors: Claire Crooks, Debbie Chiodo, Suzanne Zwarych, Ray Hughes, David Wolfe (2013)

Keywords: Mental health promotion; Prevention; School-based programming; Implementation; Fidelity; Sustainability

Summary by: Lilia A. Rodriguez