Fehrenbacher Caitlin, Schoeny Michael E, Reed Monique, Shattell Mona, Breitenstein Susan M
College of Nursing, Rush University.
School of Nursing, Johns Hopkins University.
Clin Pract Pediatr Psychol. 2020 Sep;8(3):268-277. doi: 10.1037/cpp0000367.
Parent training (PT) programs for parents of preschool-aged children promote effective parenting practices and reduce the risk for the development of child behavior problems. Digital platforms and self-administered formats can expand access to preventive PT and complement traditional behavioral services. Primary care provides an ideal environment to refer patients to prevention-focused PT; however, effective integration of a referral process requires an understanding of implementation facilitators and barriers. The current study is a secondary analysis of facilitators and barriers to the implementation of a referral to Parent, a self-administered, digital PT program, in four primary care clinics from the perspective of clinic personnel.
Personnel from participating clinics took part in semi-structured group interviews to share their experiences of referral to Parent. Researchers extracted themes using the Consolidated Framework for Implementation Research.
Clinic personnel support preventive PT, but time, workflow, and organizational barriers impede consistent referral implementation.
The authors discuss recommendations for harnessing facilitators for referring primary care patients to digital PT using the strengths of multidisciplinary clinical teams and organizational structures.
针对学龄前儿童家长的家长培训（PT）项目可促进有效的育儿实践，并降低儿童出现行为问题的风险。数字平台和自我管理形式可扩大预防性家长培训的可及性，并补充传统行为服务。初级保健为将患者转介至以预防为重点的家长培训提供了理想环境；然而，有效的转介流程整合需要了解实施促进因素和障碍。本研究是从诊所工作人员的角度，对在四家初级保健诊所实施转介至“家长”（一个自我管理的数字家长培训项目）的促进因素和障碍进行的二次分析。
参与诊所的工作人员参加了半结构化小组访谈，以分享他们转介至“家长”项目的经验。研究人员使用整合实施研究框架提取主题。
诊所工作人员支持预防性家长培训，但时间、工作流程和组织障碍阻碍了转介的持续实施。
作者讨论了利用促进因素的建议，以便利用多学科临床团队和组织结构的优势，将初级保健患者转介至数字家长培训。
