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Implementation of Parent Management Training—Oregon Model ( PMTO TM ) in I celand: Building Sustained Fidelity
Author(s) -
Sigmarsdóttir Margrét,
Guðmundsdóttir Edda Vikar
Publication year - 2013
Publication title -
family process
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.011
H-Index - 74
eISSN - 1545-5300
pISSN - 0014-7370
DOI - 10.1111/j.1545-5300.2012.01421.x
Subject(s) - fidelity , certification , competence (human resources) , psychology , management training , medical education , medicine , computer science , social psychology , management , telecommunications , economics
Bringing empirically supported treatments ( EST s) into community settings is a challenge because of threats to therapy adherence. The nationwide implementation of Parent Management Training—the Oregon Model ( PMTO ) in I celand was studied by comparing therapists' competent adherence to PMTO across three generations of therapists. To assess therapists' competence and adherence to the PMTO method, the Fidelity of Implementation Rating System ( FIMP ) was used as the measuring device. Of 16 therapists across three generations who entered training, 12 completed with certification. As expected, each of the three generations obtained adequate FIMP scores. Generations 1 and 3 showed equivalent levels of performance on FIMP scores at certification. A small drop in FIMP scores for Generation 2 was explained in terms of translating and culturally adjusting materials and strengthening training procedures. Results are parallel to earlier findings from the nationwide PMTO implementation in N orway and support the idea that PMTO can be implemented in community settings with high fidelity even when resources are scarce.