Improving Treatment Plan Implementation in Schools: A Meta-analysis of Single Subject Design Studies

Barriers to implementing classroom management and behavior support plans: An exploratory investigation

“…When other staff were recruited to support implementation, it included providing reminders, delivering components of the intervention, or managing the context outside of implementation. Most treatment integrity supports are designed to adjust the behavior of a specific implementer (Noell et al., ), but considering the wider context to identify who else could support implementation may be feasible and necessary in some situations.…”

“…For instance, implementer‐related barriers, such as competing responsibilities related to other activities, may be influenced and more directly intervened by addressing organizational barriers, such as leadership. Implementation supports related to address implementer barriers is needed as the literature is currently focused on intervention‐specific implementation support (e.g., Noell et al., ).…”

Review and Discussion of Strategies to Address Low Trainer‐to‐Staff Ratios

“…Second, how often should staff be required to record their performance? Frequent taping and periodic videobased feedback may approximate conditions of continuous monitoring that most reliably produce maintenance of high treatment integrity (Noell et al, 2014). For example, staff members could be required to videotape themselves implementing procedures on a daily basis (e.g., a different procedure each day of the week), and supervisors could select videos for a rotating subset of staff members on which to provide feedback on a weekly basis.…”

Implementation Planning to Promote Parents' Treatment Integrity of Behavioral Interventions for Children with Autism

“…Interventions may include several components (e.g., antecedent, teaching, consequence steps), and might involve delivery of the intervention at different times throughout the day (e.g., beginning of the day, in response to student behavior). The complexity of behavioral interventions may result in the avoidance of proscribed intervention steps (e.g., not providing attention for inappropriate behavior) and/or be related to the low levels of treatment integrity exhibited by many implementers responsible for delivering these interventions (e.g., Noell et al, 2005Noell et al, , 2013. In sum, for behavioral interventions to positively impact children, it is necessary to monitor implementation and ensure adequate treatment integrity (Wheeler et al, 2006).…”