Although the importance of addressing and evaluating treatment and program fidelity is clearly emphasized in the literature on psychology, education, and health, little attention has been given to fidelity in adventure literature or research. Program fidelity refers to whether or not, and how well, a specific intervention or program was implemented as planned. This article provides a background on fidelity, including program adherence and competence, factors that affect fidelity, and ways that adventure practitioners as well as evaluators can be intentional in addressing and measuring fidelity in adventure programming and research.
AlvarezA. G., & StaufferG. A. (2000). Adventures in training manual.Ann Arbor, MI: AIT.
2.
AlvarezA. G., & StaufferG. A. (2001). Musings on adventure therapy.Journal of Experiential Education, 24 (2), 8591.
3.
BellgA. J., BorrelliB., ResnickB., HechtJ., MinicucciD. S., OryM., OgedegbeG., OrwigD., ErnstD., & CzajkowskiS. (2004). Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the NIH Behavior Change Consortium.Health Psychology, 23 (5), 443451.
4.
CrispS. (2004). Envisioning the birth of a profession: A blueprint of evidence-based, ethical, best practice. In BandoroffS., and NewesS. L. (Eds.), Coming of age: The evolving field of adventure therapy (pp. 209223). Boulder, CO: Association for Experiential Education.
GassM. A., & GillisH. L. (1995). CHANGES: An assessment model using adventure experiences.Journal of Experiential Education, 18 (1), 3440.
7.
GassM., ProutyR., & RussellK. C. (2007, November). Evidenced-based practices in adventure programming: Raising the roof of the adventure programming house. Paper presented at the 35th Annual International Association for Experiential Education Conference, Little Rock, AR.
8.
GassM., & YoungM. (2007). Dealing with the issues of program effectiveness, cost benefit analysis, and treatment fidelity: The development of the NATSAP research and evaluation network.Journal of Therapeutic Schools and Programs, 2 (1), 824.
9.
GreshamF. (2005). Treatment integrity and therapeutic change: Commentary on Perepletchikova and Kazdin.Clinical Psychology: Science and Practice, 12 (4), 391394.
10.
GreshamF. M., GansleK. A., NoellG. H., & CohenS. (1993). Treatment integrity of school-based behavioral intervention studies: 1980-1990.School Psychology Review, 22 (2), 254272.
11.
GreshamF. M., MacMillanD. L., Beebe-FrankenbergerM. E., & BocianK. M. (2000). Treatment integrity in learning disabilities intervention research: Do we really know how treatments are implemented?Learning Disabilities Research and Practice, 15 (4), 198205.
12.
HillL., MaucioneK., & HoodB. K. (2007). A focused approach to assessing program fidelity.Prevention Science, 8 (1), 2534.
13.
HirschJ., & SugermanD. (2007). Administrative practices of AEE accredited programs (2nd ed.). Boulder, CO: Association for Experiential Education.
14.
HogueA., LiddleH., & RoweC. (1996). Treatment adherence process research in family therapy: A rationale and some practical guidelines.Psychotherapy, 33 (2), 332345.
15.
LaneK. L., BocianK. M., MacMillanD. L., & GreshamF. M. (2004). Treatment integrity: An essential—but often forgotten—component of school-based interventions.Preventing School Failure, 48 (3), 3643.
16.
LeemonD., PaceS., AjangoD., & WoodH. (Eds.). (2005). Manual of accreditation standards for adventure programming.Boulder, CO: Association for Experiential Education.
17.
McKenzieM. (2000). How are adventure education program outcomes achieved? A review of the literature.Australian Journal of Outdoor Education, 5 (1), 1928.
18.
MeldeC., EsbensenF.-A., & TusinskiK. (2006). Addressing program fidelity using onsite observations and program provider descriptions of program delivery.Evaluation Review, 30 (6), 714740.
19.
MillerS. J., & BinderJ. L. (2002). The effects of manual-based training on treatment fidelity and outcome: A review of the literature on adult psychotherapy.Psychotherapy: Theory, Research, Practice, Training, 32 (2), 184198.
NeillJ. T. (2002, January). Meta-analytic research on the outcomes of outdoor education. Paper presented to the 6th Biennial Coalition for Education in the Outdoors Research Symposium, Bradford Woods, IN.
22.
NeillJ. T. (2003). Reviewing and benchmarking adventure therapy outcomes.Journal of Experiential Education, 25 (3), 316321.
23.
NewesS. L. (2001). Future directions in adventure-based therapy research: Methodological considerations and design suggestions.Journal of Experiential Education, 24 (2), 9299.
24.
OrwinR. G. (2000). Assessing program fidelity in substance abuse health services research [Supplement 3].Addiction, 95, S309S327.
25.
PerepletchikovaF., & KazdinA. E. (2005). Treatment integrity and therapeutic change: Issues and research recommendations.Clinical Psychology: Science and Practice, 12(4), 365383.
26.
RussellK. C. (2001). What is wilderness therapy?Journal of Experiential Education, 24 (2), 7079.
27.
RussellK. C. (2003). A nation-wide survey of outdoor behavioral healthcare programs for adolescents with problem behaviors.Journal of Experiential Education, 25 (3), 322331.
28.
RussellK. C. (2004). Research direction in wilderness therapy. In BandoroffS., & NewesS. L. (Eds.), Coming of age: The evolving field of adventure therapy (pp. 137155). Boulder, CO: Association for Experiential Education.
29.
RussellK. C. (2006). Publishing to the choir or digging deep: Implications of a snapshot of experiential education research.Journal of Experiential Education, 28 (3), 243247.
30.
RussellK. C., & SibthorpJ. (2004). Hierarchical data structures in adventure education and therapy.Journal of Experiential Education, 27 (2), 176190.
31.
RyanB. (2005). The guide for challenge course operations: An essential reference for challenge course practitioners.Beverly, MA: Project Adventure.
32.
SchoelJ., & MaizellR. (2002). Exploring islands of healing: New perspectives on adventure-based counseling.Dubuque, IA: Kendall Hunt.
33.
SmithS. W., DaunicA. P., & TaylorG. G. (2007). Treatment fidelity in applied educational research: Expanding the adoption and application of measures to ensure evidence-based practice.Education and Treatment of Children, 30 (4), 121134.
34.
TuckerA. R., & BlytheB. (2008). Attention to treatment integrity in social work outcomes: A review of the literature from the 1990s.Social Work Research, 32 (3), 185190.
35.
U.S. Department of Education, Institute of Education Sciences. (2007). Education research grants: Requests for applications. Retrieved October 15, 2007, from http://ies.ed.gov/funding/
36.
WaltzJ., AddisM. E., KoernerK., & JacobsonN. S. (1993). Testing the integrity of a psychotherapy protocol: Assessment of adherence and competence.Journal of Consulting and Clinical Psychology, 61 (4), 620630.
