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

J Technol Hum Serv. 2019;37(4):293-314. doi: 10.1080/15228835.2019.1588190. Epub 2019 Apr 4.

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). 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; children; coaching; continuous quality improvement; ecological momentary assessment; implementation; mobile-technology; prevention; staff; technical assistance.