Purpose Within the context of a multisite cluster randomized controlled trial, this mixed-methods study examined perceptual (i.e. usability, acceptability, appropriateness) and behavioral (i.e. teacher responsiveness and fidelity) implementation outcomes of preschool teachers implementing multi-tiered classroom and family innovations, their relation to student language gains, and teachers’ sustainment of these innovations into the next school year. In addition, we examined teachers’ reported barriers and facilitators of implementation.Method Treatment teachers (n = 69) were observed and surveyed to assess immediate implementation outcomes, and follow-up surveys captured sustainment the following school year. Exit interviews captured qualitative data on overall experiences with the program, barriers and facilitators, and intentions for future use. Language measures in English and Spanish (i.e. vocabulary, grammar, listening comprehension) were collected across 285 linguistically diverse students.Results Teachers had positive views of the innovations and almost all reported sustaining components. Teachers demonstrated high adherence and were responsive to coaching. However, Tier 2 small group dosage was low, and negative relations existed between Tier 2 adherence and language, such that students’ gains were lower than expected.Conclusion Findings extend the field’s understanding of the determinants of implementation and how early literacy innovations are perceived, observed, and sustained.
No takes yet. Share an insight, caveat, or question.
Cabell et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: