Graduate Research Associate The Ohio State University Columbus, Ohio, United States
Background: Web-based parent training (PT) programs address workforce shortages and logistical challenges parents face attending in-person programming but lack the “human touch” provided by facilitator-led PT programs. Hybrid delivery combining personalized facilitator interaction with web-based content eliminates barriers to access and promotes engagement. As hybrid web-based PT proliferate, establishing fidelity and feasibility is necessary for successful implementation. Objective: The purpose of this project is to: Describe the use of non-specialist interventionists to deliver one-on-one coaching to supplement the 6-module web-based ezParent Program and assess the fidelity of coaching by (a) examining concordances in coach self-report vs independent observation of coaching calls, and (b) examine the relation between coach self-report fidelity and parent satisfaction with program Design/Methods: This study, funded by the NICHD, has institutional IRB-approval. Parent participants in the coaching intervention condition (n=110) of the RCT are recruited from two metropolitan Neonatal Intensive Care Units follow-up clinics. Recruitment and data collection for this study began in August 2022 and data through March 1, 2024, will be analyzed. Coaches complete 10 weekly, 15-minute calls and 1 follow-up call with parents. Coaches encourage program completion and tailor parenting strategies to family’s unique needs. After coaching calls, coaches complete a fidelity survey reporting content discussed, module completion, and evaluating parent engagement. Independent observers listen to 15% of all recorded calls for fidelity assessment of content, parent engagement, and coach competence. Parents complete a program satisfaction survey after the 10-week intervention period. Analysis will include correlations of coach self-report and independent observations of fidelity; and coach self-report of fidelity and parent satisfaction.
