School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, United Kingdom.
School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, United Kingdom.
Eval Program Plann. 2022 Oct;94:102150. doi: 10.1016/j.evalprogplan.2022.102150. Epub 2022 Aug 3.
There is a need for positive youth development/strengths-based approaches to support the wellbeing and social inclusion of young people experiencing or at risk of homelessness. My Strengths Training for Life™ (MST4Life™) uses a strengths-based approach with the aim to improve young people's resilience, self-worth, wellbeing and engagement in education, employment, and training. This mixed methods study assessed the fidelity of delivery style of the MST4Life™ programme, the extent to which frontline service staff can delivery psychologically informed programmes to service users and identified barriers and enablers to delivering with fidelity to the intended style. Observations of programme delivery (two facilitators per session) took place across early, middle, and late phases of the programme across a pilot phase (n = 18) and main study (n = 45). Facilitators also completed self-reflection forms following each session. The mean observation score was 82.2 ± 15.7 %, and facilitator self-report mean adherence score was 89.3 ± 6.2 % which indicate that the programme was delivered with high fidelity. Quantitative data was also analysed using non-parametric statistical test (Mann-Whitney U Test). There was a significant difference between observation scores for deliverers with postgraduate psychology training compared to deliverers without postgraduate psychology training (p = .029). Qualitative data were analysed using inductive thematic analysis. Barriers and enablers included communication, frontline staff support, logistics, and participant behaviours. Overall, this study highlights that despite the challenges of delivering complex community programmes to young people experiencing homelessness, it was possible for frontline service staff to deliver MST4Life™ with high fidelity.
需要采取积极的青年发展/优势为本的方法来支持有或面临无家可归风险的年轻人的福祉和社会包容。我的“生活优势培训”（MST4Life）采用优势为本的方法，旨在提高年轻人的适应力、自我价值感、幸福感，并促进他们参与教育、就业和培训。这项混合方法研究评估了 MST4Life 计划的交付方式的保真度，即一线服务人员能够向服务使用者提供心理知情计划的程度，并确定了向预期风格保持保真度交付的障碍和促成因素。在试点阶段（n=18）和主要研究阶段（n=45），对方案交付（每节两个协调员）进行了观察，跨越了方案的早期、中期和后期阶段。协调员还在每次会议后完成了自我反思表。观察评分的平均值为 82.2±15.7%，协调员自我报告的平均遵约评分是 89.3±6.2%，这表明方案是高度保真地交付的。还使用非参数统计检验（曼-惠特尼 U 检验）对定量数据进行了分析。具有研究生心理学培训的协调员与没有研究生心理学培训的协调员之间的观察评分存在显著差异（p=0.029）。定性数据采用归纳主题分析进行分析。障碍和促成因素包括沟通、一线工作人员的支持、后勤和参与者的行为。总体而言，这项研究强调，尽管向有或面临无家可归风险的年轻人提供复杂的社区方案存在挑战，但一线服务人员有可能高度保真地提供 MST4Life。
