Monitoring Fidelity of Implementation Daily Progress Report (DPR) Review Student: __________________________________ Facilitator: ________________________________ Intervention: ____________________________ Directions: Examine three to five of the most recent student DPRs. Mark (yes) if the intervention component is evident on the DPR. “Y” Mark (no) if the component is not evident on the DPR. “N” Calculate the column and row totals to measure daily and component implementation. Intervention DPR 1 DPR 2 DPR 3 DPR 4 DPR 5 Component Components Date: Date: Date: Date: Date: Integrity Daily Check-in Y N Y N Y N Y N Y N Regular Teacher Y N Y N Y N Y N Y N Feedback Data Collection Y N Y N Y N Y N Y N and Entry Daily Check-Out Y N Y N Y N Y N Y N Parent Y N Y N Y N Y N Y N Signature Daily Integrity
Monitoring Fidelity of Implementation Daily Progress Report (DPR) Review Student: __________________________________ Facilitator: ________________________________ Intervention: ____________________________ Directions: Examine three to five of the most recent student DPRs. Mark “Y” (yes) if the intervention component is evident on the DPR. Mark “N” (no) if the component is not evident on the DPR. Calculate the column and row totals to measure daily and component implementation. Intervention Components DPR 1 Date: DPR 2 Date: DPR 3 Date: DPR 4 Date: DPR 5 Date: Component Integrity Daily Check-in Y N Y N Y N Y N Y N Regular Teacher Feedback Y N Y N Y N Y N Y N Data Collection and Entry Y N Y N Y N Y N Y N Daily Check-Out Y N Y N Y N Y N Y N Parent Signature Y N Y N Y N Y N Y N Daily Integrity
DPR-Review.docx