TPP Fidelity Form Example from Draw the Line

DTL_FidelityTool_Grade6_070111.pdf

Teen Pregnancy Prevention (TPP) Performance Measures for FY2020

TPP Fidelity Form Example from Draw the Line

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Draw the Line

Respect the Line

Implementation
Fidelity Log
Grade 6

ETR Associates (Education, Training and Research) is a nonprofit organization committed
to fostering the health, well-being and cultural diversity of individuals, families, schools
and communities. We invite health professionals to learn more about our high-quality
publishing, training and research programs by contacting us at 4 Carbonero Way, Scotts
Valley, CA 95066, 1-800-321-4407, www.etr.org.

©2011 ETR Associates. All Rights Reserved.
Published by ETR Associates
4 Carbonero Way
Scotts Valley, CA 95066-4200
Title No. C009

Draw the Line/Respect the Line Grade 6

Implementation Fidelity Log
Purpose
This implementation fidelity tool assesses whether the core components of Draw the Line/Respect
the Line (DTL/RTL) are actually implemented. Part 1 of this implementation fidelity tool assesses
whether each activity in each class was implemented completely, implemented with changes or not
implemented at all. Part 2 of this tool assesses whether other important components were implemented, specifically, components involving audience and setting, implementation schedule, program educators, preparation and pedagogy (teaching strategies).

Scoring Considerations
Part 1.
One simple method of scoring Part 1 is to calculate three percentages:
•	 The percentage of all activities that were implemented completely,
•	 The percentage of all activities implemented with changes, and
•	 The percentage of all activities not implemented.
A review of the changes made or activities not implemented at all may reveal issues to address.
For example, if the last activities in each class are commonly skipped, then there may be timing
or classroom management issues to address (e.g., the class may be starting late each day, an
educator may benefit from coaching on how to move through the activities within the allotted time,
or there may be class management issues contributing to timing). If activities requiring special
educator skills or comfort with content are commonly modified or skipped, then additional training
and support for the educators may be needed.
Part 2.
Even if all the activities are implemented completely, curriculum effectiveness may be affected if
other core components or qualities are not implemented (e.g., if the curriculum is implemented
with young people who are either too young or too old, or if classroom management issues reduce
its effectiveness). Part 2 includes a series of questions to assess these other core components.
The simplest approach to assessing Part 2 responses is to examine each item separately, and to
use the information to describe the implementation overall. The description should be included
with the summary percentages from Part 1 and any pretest-posttest data on the effectiveness of
the program on youth.

Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log | ©2011 ETR Associates. All Rights Reserved. |

1

Draw the Line/Respect the Line Implementation Fidelity Tool – Grade 6

Your name:

Name of your organization:

Purpose of this Tool:
The purpose of this tool is to assess the fidelity or quality of implementation of the Draw the Line/
Respect the Line curriculum.

Directions:
Please complete the appropriate section of Part 1 after you teach each of the lessons in the curriculum for each classroom or group. It is best to complete the form right after teaching a lesson to
minimize recall errors. Please complete Part 2 immediately after you have taught all the lessons for
a given class or location.
Part 1:
For each of the activities in this lesson, please indicate whether you completed it as described
in the curriculum, modified it, or did not complete it. Modifications might include changing the
order of the lesson, adding new content or activities, or changing the way you teach something
(e.g., making something into a game, using pairs instead of small groups for an activity, or shortening/truncating an activity because of lack of time).
Part 2:
Please complete the questions immediately after you have taught all the lessons you will be
teaching.

2

| ©2011 ETR Associates. All Rights Reserved. | Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log

Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log | ©2011 ETR Associates. All Rights Reserved. |

3

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

/

/

/

/

/

/

/

/

q Yes
completely

q Yes
completely
q Yes with
changes
q No

q Yes with
changes
q Yes with
changes
q No

q Yes with
changes
q No

q No

q Yes
completely
q Yes
completely

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 1.5:
Activity 1.6:
Where Do You
Closure and
Draw the Line? Family Activity

q No

q Yes with
changes

q No

q No

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q Yes
completely

q No

q Yes with
changes

q Yes with
changes

q No

q No

q Yes with
changes

q Yes
completely

q Yes
completely

q Yes with
changes

q Yes with
changes

q Yes
completely

q No

q Yes
completely

q Yes
completely

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 1.4:
Where’s the
Pressure?

q No

q No

q No

q Yes with
changes

q Yes
completely

Activity 1.3:
Simon Says

q No

q Yes with
changes

q Yes
completely

Activity 1.2:
Dicho (Saying)
for the Day

q Yes with
changes

q Yes
completely

Activity 1.1:
Introduction
and Plan for
the Day

Did you complete each activity below?

Part 1:
Lesson 1: Draw the Line/Respect the Line

Group 1

Group 2

Group 3

Group 4

(If you need more space,
attach a separate sheet)

If you made any changes,
please describe them here.

| ©2011 ETR Associates. All Rights Reserved. | Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

/

/

/

/

/

/

/

/

q No
q No

q No
q No
q No

q No

q Yes with
changes
q Yes with
changes
q Yes with
changes

q No

q Yes
completely

q Yes
completely

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 2.7:
Closure

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 2.6:
The Dare
Roleplay

q No

q Yes with
changes

q Yes with
changes

q Yes
completely

q Yes with
changes

q Yes
completely

q Yes with
changes

q No

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes with
changes

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes with
changes

q Yes
completely

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q Yes
completely

q No

q No

q Yes with
changes

q Yes
completely

q No

q Yes
completely

q Yes with
changes

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q Yes
completely

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q Yes
completely

q No

q No

q Yes with
changes

q Yes
completely

Activity 2.5:
Skill Demonstration
Roleplay

q No

q Yes with
changes

q Yes with
changes

q Yes
completely

Activity 2.4:
Introduce
Steps for
Drawing the
Line

q No

q Yes
completely

q Yes
completely

Activity 2.3:
Introduce
Skill

q No

Activity 2.2:
Plan for the
Day

Activity 2.1:
Lesson 1 and
Homework
Review

Did you complete each activity below?

Part 1:
Lesson 2 : Steps for Drawing the Line—Part 1

Group 1

Group 2

Group 3

Group 4

4
(If you need more space,
attach a separate sheet)

If you made any
changes, please describe them here.

Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log | ©2011 ETR Associates. All Rights Reserved. |

5

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

/

/

/

/

/

/

/

/

q No

q Yes with changes

q Yes with changes
q No

q Yes completely

q Yes completely

q No

q Yes with changes

q Yes with changes
q No

q Yes completely

q Yes completely

q No

q Yes with changes

q Yes with changes
q No

q Yes completely

q Yes completely

q No

q Yes with changes

q Yes with changes
q No

q Yes completely

Activity 3.2:
Dicho (Saying) for
the Day

q Yes completely

Activity 3.1:
Plan for the Day

Did you complete each activity below?

Part 1:
Lesson 3: Steps for Drawing the Line—Part 2

Group 1

Group 2

Group 3

Group 4

q No

q Yes with changes

q Yes completely

q No

q Yes with changes

q Yes completely

q No

q Yes with changes

q Yes completely

q No

q Yes with changes

q Yes completely

Activity 3.3:
Skill Review and
Practice

q No

q Yes with changes

q Yes completely

q No

q Yes with changes

q Yes completely

q No

q Yes with changes

q Yes completely

q No

q Yes with changes

q Yes completely

Activity 3.4:
Closure and Family
Activity

(If you need more space,
attach a separate sheet)

If you made any changes,
please describe them here.

| ©2011 ETR Associates. All Rights Reserved. | Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

/

/

/

/

/

/

/

/

q No

q Yes
completely

q No

q Yes
completely
q Yes with
changes
q No

q Yes with
changes
q No

q Yes
completely
q Yes with
changes
q No

q Yes
completely
q Yes with
changes
q No

q Yes
completely
q Yes with
changes
q No

q No

q Yes
completely
q Yes with
changes
q No

q Yes
completely
q Yes with
changes
q No

q Yes
completely
q Yes with
changes
q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes with
changes
q Yes with
changes
q No

q Yes with
changes
q No

q No

q Yes
completely

q Yes
completely

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 4.6:
Closure

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 4.5:
The Roleplay
Challenge

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q Yes with
changes

q Yes
completely

q Yes
completely

Activity 4.4:
Preparation
for the
Roleplay
Challenge

q Yes
completely

Activity 4.3:
Changing the
Subject and
Walking Away

Activity 4.2:
Plan for the
Day

Activity 4.1:
Lesson 3
Review

Did you complete each activity below?

Part 1:
Lesson 4: The Roleplay Challenge

Group 1

Group 2

Group 3

Group 4

6
(If you need more space,
attach a separate sheet)

If you made any changes,
please describe them here.

Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log | ©2011 ETR Associates. All Rights Reserved. |

7

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

Date
taught:

# of
students:

/

/

/

/

/

/

/

/

q No
q No

q No
q No
q No

q No

q Yes with
changes

q Yes with
changes
q Yes with
changes
q No

q Yes with
changes

q Yes
completely

q Yes
completely

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 5.7:
Closure

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 5.6:
Student
Roleplay
Practice

q No

q Yes with
changes

q Yes with
changes

q Yes
completely

q Yes
completely

q Yes with
changes

q Yes
completely

q Yes with
changes

q No

q No

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes with
changes

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q Yes
completely

q Yes
completely

q No

q Yes with
changes

q Yes
completely

q Yes
completely

q No

q No

q Yes with
changes

q Yes
completely

q No

q Yes
completely

q Yes with
changes

q Yes with
changes

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 5.5:
Modeling
Respecting
the Line

q No

q Yes
completely

q Yes
completely

q No

q Yes with
changes

q Yes
completely

Activity 5.4:
High Pressure
Roleplay and
Discussion

q No

q No

q No

q Yes with
changes

q Yes
completely

Activity 5.3:
Dicho (Saying)
for the Day

q No

q Yes with
changes

q Yes
completely

q Yes
completely
q Yes with
changes

Activity 5.2:
Plan for the
Day

Activity 5.1:
Homework
Review

Did you complete each activity below?

Part 1:
Lesson 5: Friends Respect the Line

Group 1

Group 2

Group 3

Group 4

(If you need more space,
attach a separate sheet)

If you made any
changes, please describe them here.

Part 2
Please complete the following questions immediately after you have taught all the lessons you will
be teaching.
Implementation: Audience and Setting
1.	 Was Draw the Line/Respect the Line implemented in schools?
	

q Yes, in regular school classes

	

q Yes, after school

	

q No, in a clinic
	

	

q No, in a community organization serving young people
q No, in another location

2.	 In what grade(s) was Draw the Line/Respect the Line implemented? (If it was implemented after school,
in what grades were the participants? Check all that apply.)
q 5th q 6th

	

q 7th q 8th

q other

Implementation: Implementation Schedule
1.	 In general, how many times per week were classes taught?
	
	
	

q 1 time per week

q 4 times per week

q 2 times per week

q 5 times per week

q 3 times per week

2.	 Were any of the lessons implemented back-to-back in block sessions? q Yes

q No

a. If yes, which ones?
3.	 Were all classes taught in sequence? 	

q Yes

q No

a. If no, please describe the sequence:
4.	 How long did each class last, on average? 	

minutes

5.	 How many participants typically attended each class? 	

participants

6.	 What percent of the participants attended each class? 	

%

Program Educators
1.	 What is your experience with DTL/RTL?
Before you taught DTL/RTL this time had you…
a)	 Been trained to implement DTL/RTL? q Yes q No	
b)	 Reviewed all the activities in the curriculum? q Yes q No		
c)	 Taught or practiced teaching most of the activities? q Yes q No		
8

| ©2011 ETR Associates. All Rights Reserved. | Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log

2.	 What is your experience with other similar programs?
Before you taught DTL/RTL this time, had you…
a)	 Taught other sex education curricula that covered abstinence, condoms and
	 contraception? q Yes q No
b)	 Taught other skills-based programs that required students to practice skills using 		
	 roleplays? q Yes q No
Preparation
1.	 Did your school (or organization in which you implemented this program) approve its
implementation before the program was taught? q Yes q No
2.	 Were parents notified that their teens were going to participate in this program? q Yes q No
Pedagogy (Teaching Strategies)
1.	 When you taught Draw the Line/Respect the Line this time, how comfortable were you talking about
the sexual topics in this program?
	

q Very uncomfortable
	

q Somewhat uncomfortable

	

q Somewhat comfortable

	

q Very comfortable

Please circle one option for each of the following questions.
Not Very
Confident

2.	 How confident did you feel delivering
these lessons?

1

2

Not at All

3.	 To what extent did classroom
management issues detract from your
ability to teach the lesson as written?
4.	 To what extent were you able to engage
students in the participatory activities?
5.	 To what extent did participants practice
the roleplays as specified in the
curriculum (i.e., everyone practiced
refusal skills, students used the
observer checklists and students gave
each other feedback)?
6.	 To what extent were you able to
emphasize clearly and repeatedly the
message that participants should avoid
unprotected intercourse, either by not
having sex or by using contraception?

Very
Confident

Somewhat

3

4

5
To a Great
Extent

Somewhat

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Draw the Line/Respect the Line Grade 6 Implementation Fidelity Log | ©2011 ETR Associates. All Rights Reserved. |

9


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