Turner Karen M T, Nicholson Jan M, Sanders Matthew R
Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, Australia.
J Prim Prev. 2011 Apr;32(2):95-112. doi: 10.1007/s10935-011-0240-1.
This study examines factors affecting the implementation by primary care practitioners (nursing, education, allied health, and medical) of a brief parenting and family support intervention (the Primary Care Triple P-Positive Parenting Program) following professional training. It assesses the impact of prior experience, self-efficacy, program supports, program barriers, satisfaction with training, and workplace characteristics on reported extent of program use. The majority of practitioners (97%) reported using Triple P following training. Implementation was assessed as the proportion of cases seen who received the full program. Program supports (quality of format and materials) and barriers (management difficulties and lack of fit) impacted on practitioner self-efficacy, and higher self-efficacy was positively associated with implementation. Prior professional experience, satisfaction with training, and workplace factors were not significant predictors. These results highlight the importance of promoting practitioners' sense of competence or mastery of a program for facilitating the implementation of evidence-based programs in primary care settings.
本研究探讨了影响初级保健从业者（护士、教育工作者、专职医疗人员和医生）在接受专业培训后实施简短育儿与家庭支持干预措施（初级保健三倍 P 积极育儿计划）的因素。它评估了既往经验、自我效能感、计划支持、计划障碍、对培训的满意度以及工作场所特征对报告的计划使用程度的影响。大多数从业者（97%）报告在培训后使用了三倍 P 计划。实施情况以接受完整计划的就诊病例比例来评估。计划支持（形式和材料的质量）和障碍（管理困难和不匹配）影响从业者的自我效能感，较高的自我效能感与实施呈正相关。既往专业经验、对培训的满意度和工作场所因素并非显著的预测因素。这些结果凸显了提升从业者对计划的胜任感或掌控感对于促进在初级保健环境中实施循证计划的重要性。
