Examining the equivalence of fidelity over two generations of KEEP implementation: A preliminary analysis

Problem

In order to obtain and maintain positive outcomes garnered from evidence-based practice (EBP) models, it is necessary to implement them effectively in “real world” settings, to continually monitor intervention fidelity to prevent drift, and to train new staff due to turnover. The fidelity monitoring processes that are commonly employed in research settings are labor intensive and probably unrealistic to employ in community agencies given the additional burden and cost that they represent over and above the cost of implementing the EBP. Efficient strategies for implementing fidelity monitoring and staff training procedures within the inner context of agency settings are needed to promote agency self-sufficiency and program sustainability.

Method

A cascading implementation model was used whereby agencies who achieved proficiency in KEEP, an EBP designed to prevent placement disruptions in foster and kinship child welfare homes, were trained to take on fidelity management roles to improve the likelihood of program sustainability. Agency staff were trained to self-monitor fidelity and to train internal staff to achieve model fidelity. A web-based system for conducting fidelity assessments and for onsite/internal and remote program quality monitoring was utilized.

Results

Scores on fidelity ratings from streamed observations of intervention sessions showed no differences for foster parents treated by first generation interventionists trained by model developers compared to a second generation of interventionists trained by the first generation.

Conclusion and relevance to child welfare

Development of the local intra-agency capacity to manage quality intervention delivery is an important feature of successful EBP implementation. Use of the cascading implementation model appears to support the development of methods for effective monitoring of fidelity of the KEEP intervention, for training new staff, and ultimately for the development of internal methods for maintaining program sustainability and effectiveness.     

A Model for Developing International Student Exchanges

This paper presents a model of international student exchanges that considers the needs and expectations of both host and guest country. It draws on the literature on international social work in addition to the experiences of the authors, who have taught social work courses abroad and conducted numerous service projects in the Caribbean Islands. One author has been placing social work students in international field practica for the past 10 years.

This model of developing and maintaining international student exchanges suggests that communication is at the core of successful international work. The process of developing the exchanges should include the following communication steps for both host and guest nation: (1) establish a feedback loop with potential participants; (2) gain an overview of the other country; (3) provide orientation at micro, mezzo and macro levels; (4) identify gains; (5) consider costs; (6) clarify expectations; and (7) establish roles for the student, field liaison, and field supervisor. The aim is to enhance the quality of the experience for all by utilizing a strengths‐based approach. The model emphasizes long‐term relationships, mutual respect for diversity and commitment to reciprocity at all stages. Finally, the model presents principles that serve to maintain relationships internationally. Examples from the authors' experiences are presented throughout to illustrate the process.     

The Impact of Cross-Race Mentoring for “Ideal” PhD Careers in Sociology

This article reports the results of a study of the impact of two kinds of mentoring, as in individual, instrumental mentoring by white male advisors versus supportive/communal, homophilous (same race/ethnicity) mentoring on the likelihood of minority scholars having an “ideal” or “archetypal” career trajectory when compared to two other control groups. Using unobtrusive data, we test a series of hypotheses concerning the likelihood of attaining selected aspects of an “ideal” career including employment at a research-extensive institution, scholarly publications, tenure, grants, and disciplinary recognition. We find that having a white male instrumental advisor increases the likelihood of having an “ideal” career for participants in the American Sociological Association's (ASA) national pre-doctoral Minority Fellowship Program (MFP) who have the advantage of having access to both types of mentoring when compared to a random group of largely white PhDs.     

Accidental Inequality: How Religious Youth Socialization Reproduces Social Inequality

How and why does religious socialization contribute to the reproduction of social inequality? An in-depth case study of religious youth programming provides an empirical investigation of the way that a primary institution that many youth encounter may serve to legitimate the broader field of social stratification. Despite the apparent lack of direct interest of religious congregations in maintaining a system of religious youth group from which some participating youth can benefit more than others, a neo-institutional analysis reveals systematic tendencies toward reproducing stratification. Mimetic isomorphism to schools is one explanation for the socially stratified patterns in religious youth programming.     

Romance and agency: An argument revisited

Sociological discussions of romance novels are sparse. As a cultural artifact, the formulaic genre of romance fiction (and its more than 50 million readers) has been ignored by many scholars, disdained by some for its mass‐pop culture appeal, and condemned as a tool of the “patriarchal apparatus” by others. Some feminist scholars have cautioned against outright dismissal, however, pointing to oppositional codes and empowering elements in the texts themselves. Others have highlighted the expectations readers bring with them to the text. This important, though limited, discourse has contributed to the enduring debate over culture, that is, structure versus agency. We argue that the debate has remained one sided, as those who claim to afford women readers autonomy have done so within an equally deterministic framework (i.e., feminist politics). Implications for affording readers even more autonomy are discussed.     

Controversy and Its Implications for the Practice of Contemporary Social Work in Intercountry Adoptions: A Korean–Australian Case Study

Abstract

Korean–Australian intercountry adoption has been practiced for 30 years. This longevity provides unique opportunities to develop critical perspectives on a complex, global practice. This paper presents understandings drawn from a study that explores Korean intercountry adoption using Actor Network Theory. It argues that the practice of intercountry adoption in Australia has been shaped by adoption-driven influences and characterised by controversy and competing discourses. It concludes that contemporary understandings necessitate a global, contextual, and critical view that is inclusive of emerging voices and alternate discourses. The challenge for practitioners and policy makers is to ensure the complex nature of the phenomenon is understood by all stakeholders. This will involve remaining child-focused, promoting multilevel interventions, incorporating research findings, and resisting wholly positive discourse that promotes singular perspectives. An awareness of how the internet is used to forge networks and promote discourses is crucial in ensuring multiple perspectives are considered in this contentious practice field.     

HIV conspiracy theory beliefs mediates the connection between HIV testing attitudes and HIV prevention self-efficacy

Abstract

Objective: High rates of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) can be found in states in both the Appalachian and Southeastern regions of the United States. As infection rates increase, it is imperative to understand factors that improve HIV prevention. The current work explored whether HIV conspiracy beliefs influences the link between HIV testing attitudes and perceived prevention ability. Participants: Four samples were collected during Fall 2013 (N?=?373), Spring 2014 (N?=?231), Fall 2014 (N?=?345), and Spring 2015 (N?=?369) at a rural, Southeastern, Appalachian university. Methods: Participants in all samples completed an online survey. Results: Four studies showed that HIV conspiracy theory beliefs mediated the relationship between HIV testing attitudes and HIV prevention self-efficacy. Conclusions: HIV conspiracy theory beliefs at least partially explain the connection between testing attitudes and HIV prevention self-efficacy. Results have implications for the role of HIV testing attitudes, beliefs, and self-efficacy.     

Experiences of Stress in a Trauma Treatment Course

This study explores the reactions of social work students in a course on trauma treatment and how those reactions changed over time. Consensual qualitative research methods were used to analyze 17 participant journals submitted at 4 times during the course. Findings indicate that students experienced a range of responses to traumatic material, including both positive and negative emotional, cognitive, behavioral, physical, and relational reactions. Student survivors of trauma reported reactions related to their own trauma. Although student reactions became less acute over time during the course, recommendations for the pedagogy of trauma are offered, including curriculum related to the management of vicarious and secondary trauma reactions as well as the development of evidence-based practices for self-care.     

Experiences of Latino Men in Stepfamily Education

Relationship education evaluations have historically overlooked the experiences of ethnically diverse populations and stepfamilies. Using qualitative methods, this study examines the experiences of 16 Latino men in a stepfamily relationship education program. The four emergent themes dealt with recruitment and participation, improved family relationships, the value and importance of the family, and normalization of the participants' stepfamily situation. Subthemes of findings are presented, as well as implications for future programming.