= 92 schools with video-based fidelity data). We review the implementation fidelity literature, distinguish fidelity from implementation support and institutional climate, operationalize our state-of-the-art fidelity assessment and the supports we provided, describe results, and implications for scaling. Results reveal first that, on average, first-time implementing teachers implemented with above-threshold fidelity. Second, across years, teachers engaged with training, preparation, and delivery aids despite planned variability in teacher-trainers and teacher-training method (in-person, virtual) and natural variation in school climate, urbanicity, classroom size, and student features (English learner, free or reduced-priced lunch, standardized test proficiency, racial-ethnic composition). Third, implementation support matters. Continuous fidelity evaluation makes dynamic investment in implementation support possible; implying that scaling and sustainability require ongoing rather than proof-of-concept initial fidelity assessment. At the same time, new tools are required to contain costs. We are exploring use of artificial intelligence-based fidelity coding to address this issue. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
No takes yet. Share an insight, caveat, or question.
Oyserman et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: