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dc.contributor.authorBernier, Sarah Ludmilla
dc.date.accessioned2022-09-12T22:43:32Z
dc.date.available2022-09-12T22:43:32Z
dc.identifier.urihttp://hdl.handle.net/10464/16572
dc.description.abstractEvidence indicates that Facing Your Fears (FYF), a manualized, group-based cognitive-behavioural therapy (CBT) that utilizes graded exposures, is effective for reducing anxiety and increasing emotion regulation in children with autism. Treatment fidelity, or the accuracy of treatment delivery, is a critical component for sustainable implementation and positive child outcomes. Few studies have focused on clinicians' fidelity implementing FYF and lack of follow-up data raises questions about maintenance of accuracy over time for clinicians with limited CBT experience. While evidence shows that the usual didactic teaching used for clinician CBT training has poor maintenance of fidelity over time, it is unknown how the FYF training-as-usual (i.e., a combination of didactic teaching, role-plays, and experiential activities) fares over time. To our knowledge, no research has examined the impact of virtual behaviour skills training (BST) with self-monitoring on clinicians’ fidelity implementing FYF. In a multiple-baseline design across three clinicians, we evaluated the efficacy of the training for increasing fidelity of FYF graded-exposures skills (preparing for and conducting exposures), identified by the clinicians. All clinicians met the fidelity mastery criterion (i.e., 90% across two sessions) within three sessions, and their performance maintained at two- and six-month follow-up. Clinicians rated their confidence and competence of FYF implementation pre-and post-training, and at six-month follow-up. All clinicians’ ratings increased post-training and maintained at follow-up. Clinicians reported that the training procedures were acceptable on a social validity measure administered at post-training and six-months follow-up. Incorporating evidence-based training to improve FYF treatment fidelity could optimize training and improve child outcomes.en_US
dc.language.isoengen_US
dc.publisherBrock Universityen_US
dc.subjectfacing your fearsen_US
dc.subjectbehaviour skills trainingen_US
dc.subjectself-monitoringen_US
dc.subjectfidelity of implementationen_US
dc.subjectcognitive-behavioural therapyen_US
dc.titleEvaluating Virtual Training for Increasing Clinicians’ Fidelity of Implementation of the Facing Your Fears Curriculumen_US
dc.typeElectronic Thesis or Dissertationen
dc.degree.nameM.A. Applied Disability Studiesen_US
dc.degree.levelMastersen_US
dc.contributor.departmentCenter for Applied Disability Studiesen_US
dc.degree.disciplineFaculty of Social Sciencesen_US
refterms.dateFOA2022-09-12T22:43:33Z


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