Doctoral Capstone: A Process Evaluation of the Implementation of Trust-Based Relational Interventions within Indian Creek Schools

Abstract

This doctoral capstone project focuses on conducting a process evaluation of the implementation of Trust-Based Relational Interventions (TBRI) within Indian Creek Schools. TBRI is a trauma-informed approach that focuses on connecting with, empowering, and correcting children to obtain positive behavior changes (Purvis et al., 2013). With increasing literature surrounding trauma and its negative impact on the occupation of education, occupational therapists have the opportunity to advocate for trauma-informed practices within the school setting. This doctoral capstone began with a needs assessment and literature review which allowed the capstone student to gather pertinent background information regarding TBRI and the site. The capstone student attended a TBRI caregiver training, created and distributed surveys to the teachers at Indian Creek Schools, and conducted interviews with the teachers. 15.6% (n=21) of the teachers (n=134) completed a survey and 6.7% (n=9) of the teachers participated in an interview with the capstone student. While this was a low response rate, the capstone student was able to share with the site the data regarding the evaluation of the implementation process. The process evaluation revealed that the teachers felt either unequipped to apply TBRI or did not see the value in utilizing TBRI. Both of these factors lead to the inconsistent implementation of TBRI within Indian Creek Schools. This low implementation fidelity has led to many teachers abandoning the program prior to meeting desired outcomes. Understanding the current process of implementation is a key baseline component to ensure the future success of TBRI in meeting the needs of the Indian Creek Schools.