Mauricio Anne Marie, Rudo-Stern Jenna, Dishion Thomas J, Letham Kirsten, Lopez Monique
Department of Psychology, REACH Institute, Arizona State University (ASU), P.O. Box 876005, Tempe, AZ, 85287-6005, USA.
J Prim Prev. 2019 Feb;40(1):51-68. doi: 10.1007/s10935-018-00533-0.
We used provider (n = 112) data that staff at the agency disseminating the Family Check-Up (FCU; REACH Institute) collected to profile provider diversity in community settings and to examine whether provider profiles are related to implementation fidelity. Prior to FCU training, REACH Institute staff administered the FCU Provider Readiness Assessment (PRA), a provider self-report measure that assesses provider characteristics previously linked with provider uptake of evidence-based interventions. We conducted a latent class analysis using PRA subscale scores as latent class indicators. Results supported four profiles: experienced high readiness (ExHR), experienced low readiness (ExLR), moderate experience (ME), and novice. The ExHR class was higher than all other classes on: (1) personality variables (i.e., agreeableness, conscientiousness, openness, extraversion); (2) evidence-based practice attitudes; (3) work-related enthusiasm and engagement; and (4) their own well-being. The ExHR class was also higher than ExLR and ME classes on clinical flexibility. The ME class was lowest of all classes on conscientiousness, supervision, clinical flexibility, work-related enthusiasm and engagement, and well-being. During the FCU certification process, FCU Consultants rated providers' fidelity to the model. Twenty-three of the 112 providers that completed the PRA also participated in certification. We conducted follow-up regression analyses using fidelity data for these 23 providers to explore associations between probability of class membership and fidelity. The likelihood of being in the ExHR class was related to higher FCU fidelity, whereas the likelihood of being in the ExLR class was related to lower fidelity. We discuss how provider readiness assessment data can be used to guide the adaptation of provider selection, training, and consultation in community settings.
我们使用了由传播家庭体检（FCU；REACH研究所）的机构工作人员收集的提供者（n = 112）数据，以描绘社区环境中提供者的多样性，并检验提供者概况是否与实施保真度相关。在FCU培训之前，REACH研究所的工作人员进行了FCU提供者准备情况评估（PRA），这是一种提供者自我报告测量方法，用于评估先前与提供者采用循证干预措施相关的提供者特征。我们使用PRA分量表分数作为潜在类别指标进行了潜在类别分析。结果支持四种概况：经验丰富且准备充分（ExHR）、经验丰富但准备不足（ExLR）、中等经验（ME）和新手。ExHR类别在以下方面高于所有其他类别：（1）人格变量（即宜人性、尽责性、开放性、外向性）；（2）循证实践态度；（3）与工作相关的热情和参与度；（4）他们自身的幸福感。ExHR类别在临床灵活性方面也高于ExLR和ME类别。ME类别在尽责性、监督、临床灵活性、与工作相关的热情和参与度以及幸福感方面在所有类别中最低。在FCU认证过程中，FCU顾问对提供者对该模式的保真度进行了评分。完成PRA的112名提供者中有23名也参加了认证。我们使用这23名提供者的保真度数据进行了后续回归分析，以探索类别成员概率与保真度之间的关联。属于ExHR类别的可能性与较高的FCU保真度相关，而属于ExLR类别的可能性与较低的保真度相关。我们讨论了如何利用提供者准备情况评估数据来指导社区环境中提供者选择、培训和咨询的调整。
