Centre for Trials Research, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff, United Kingdom.
Children's Social Care Research and Development Centre (CASCADE), School of Social Sciences, Cardiff University, United Kingdom.
Child Abuse Negl. 2020 Nov;109:104768. doi: 10.1016/j.chiabu.2020.104768. Epub 2020 Oct 14.
Fostering Changes is an in-service training program for foster carers designed to enhance carer skills, coping strategies and carer-child relationships. The training program has been evaluated in a randomised controlled trial comparing Fostering Changes to usual care.
To conduct a qualitative process evaluation drawing on stakeholder perspectives to describe the logic model of Fostering Changes, identify potential mechanisms of impact of the program and enhance understanding of the trial results.
Participants were stakeholders in the Fostering Changes program delivered in Wales, UK including foster carers invited to attend the program (18 attendees, eight non-attendees), two program developers, five trainers, 12 social workers who attended or recruited to the program.
Total population sampling with qualitative data collection methods. Qualitative data were subject to thematic analysis.
A logic model summarising the program resources, activities and anticipated outcomes was generated. Implementation themes were quality of training, setting and group composition. Mechanisms of impact were identified with themes falling into two categories, group process and skills development. Potential barriers to effectiveness included a poor fit between the carer needs and the program in relation to levels of challenge being faced, age-appropriate content and responsiveness. Contextual factors were also relevant, including the existing relationship between foster carers and the agency and the perceived value of training.
Although the group aspects of the program were well received, the program itself did not help foster carers deal with more complex challenges and needed to be more targeted in terms of carers needs and circumstances.
“培育变化”是一项为寄养照顾者设计的在职培训计划，旨在提高照顾者的技能、应对策略和照顾者与孩子的关系。该培训计划已在一项随机对照试验中进行了评估，将“培育变化”与常规护理进行了比较。
从利益相关者的角度进行定性过程评估，描述“培育变化”的逻辑模型，确定该计划影响的潜在机制，并加深对试验结果的理解。
参与者是英国威尔士“培育变化”计划的利益相关者，包括受邀参加该计划的寄养照顾者（18 名参与者，8 名未参与者）、两名计划开发者、五名培训师、12 名参加或招募该计划的社会工作者。
采用全人群抽样和定性数据收集方法。对定性数据进行主题分析。
生成了一个总结计划资源、活动和预期结果的逻辑模型。实施主题包括培训质量、设置和小组组成。确定了影响机制，主题分为两类，即小组过程和技能发展。潜在的有效性障碍包括照顾者需求与计划之间的不匹配，以及所面临的挑战程度、适合年龄的内容和响应能力。背景因素也很相关，包括寄养照顾者与机构之间的现有关系以及培训的感知价值。
尽管该计划的小组方面受到了欢迎，但该计划本身并没有帮助寄养照顾者应对更复杂的挑战，需要根据照顾者的需求和情况更加有针对性。
