Using Connected Technologies in a Continuous Quality Improvement Approach in after-school Settings: The PAX Good Behavior Game

Abstract

This demonstration study explored the use of connected technologies in a continuous quality improvement (CQI) approach to implementing evidence-based practices in after-school. Focus group with staff indicated enjoyment of technology and offered feedback for future development. Ecological momentary assessments (EMA) were gathered daily. Three randomized conditions were compared among 4 programs and 12 staff implementing PAX Good Behavior Game (PAX GBG). Analysis of variance (ANOVA), Post-Hoc Tukey, and chi-square analyses indicated that the tech-enhanced condition showed better implementation using scoreboards than the in person, while similar in game length. Both were superior to the control in behavioral strategies; highlighting the promise of technology in capacity building.

Keywords:

• After-school
• coaching
• mobile-technology
• ecological momentary assessment
• continuous quality improvement
• technical assistance
• implementation
• prevention
• children
• staff

Acknowledgments

We thank Dr. Dawn P. Witherspoon, the Pennsylvania State University for assistance with focus group data analysis that greatly improved the manuscript. We are also grateful for the staff, parents, and children whose participation made this study possible.