DATA-DRIVEN DELIVERY OF IMPLEMENTATION SUPPORTS IN A MULTI-TIERED FRAMEWORK: A PILOT STUDY

For multi-tiered systems of support, such as Response-to-Intervention and Positive Behavior Interventions and Supports, to effectively impact student outcomes, interventions delivered across the tiers must be implemented as planned (i.e., with adequate treatment integrity). However, research suggests that most school personnel struggle to deliver interventions with treatment integrity, which negatively impacts the potential effectiveness of these interventions. Numerous strategies to support treatment integrity have been developed, but no guidance has been provided regarding how to efficiently and effectively use them. The purpose of this study was to conduct a pilot evaluation of these strategies delivered through a Multi-Tiered Implementation Supports framework; that is, proactive, feasible treatment integrity strategies were initially delivered to all implementers and based on their responsiveness, increasingly intensive implementation supports were provided as needed. Results suggest that (a) all teachers responded to these supports, but response magnitude was different across teachers and supports; (b) higher levels of treatment integrity generally were associated with fewer disruptive behaviors; and (c) the duration of these support strategies increased across tiers. Future directions for research and implications for the feasible provision of implementation support in schools are described.