Aldridge William A, Roppolo Rebecca H, Chaplo Shannon D, Everett Ariel B, Lawrence Sherra N, DiSalvo Christina I, Minch Devon R, Reed Jessica J, Boothroyd Renée I
The Impact Center at Frank Porter Graham Child Development Institute, University of North Carolina, Chapel Hill, NC, USA.
Implement Res Pract. 2023 Jun 21;4:26334895231154285. doi: 10.1177/26334895231154285. eCollection 2023 Jan-Dec.
Reporting on strategies to advance implementation outcomes is imperative. The current study reports descriptive information about external implementation support (EIS) provided over 5 years to 13 regions in North Carolina and South Carolina scaling an evidence-based system of parenting and family supports. Regional support teams operating through the Implementation Capacity for Triple P (ICTP) projects employed core practice components (CPCs) for EIS as proposed by Aldridge et al. and further operationalized by members of The Impact Center at FPG Child Development Institute, UNC-Chapel Hill.
Practice activities associated with CPCs were developed and iteratively refined across the study period. ICTP regional support teams systematically tracked their use of CPCs and related activities following each substantive support interaction. Tracking included the duration of time a CPC was employed and the use of specific practice activities associated with that CPC. Data were aggregated by month of the relationship to account for differential start dates across regions.
From November 2016 through December 2021, ICTP support teams tracked 749 support interactions with Triple P regions in North Carolina and South Carolina. Monthly support decreased year over year, though dose varied considerably. Patterns of CPC use indicated a high dose of "foundational" and "co-design" CPCs early, followed by a blended and more diverse use thereafter, with some notable trends. Practice activities considered essential to influencing intended practice outcomes were characterized by higher rates of use. Like CPCs, practice activities were used dynamically across the study period.
This descriptive study offers a case study for how EIS might be operationalized, tracked, and employed. Findings suggest several interpretations that might refine our understanding and use of EIS. Although the nature of this practical report precludes generalizability of findings, directions for future research and practice are discussed.
报告推进实施成果的策略势在必行。本研究报告了在5年时间里向北卡罗来纳州和南卡罗来纳州的13个地区提供的外部实施支持（EIS）的描述性信息，这些地区正在推广基于证据的育儿和家庭支持系统。通过“三倍积极育儿方案实施能力”（ICTP）项目运作的区域支持团队采用了由奥尔德里奇等人提出并由北卡罗来纳大学教堂山分校FPG儿童发展研究所影响中心成员进一步实施的EIS核心实践组件（CPC）。
在整个研究期间，开发并反复完善了与CPC相关的实践活动。ICTP区域支持团队在每次实质性支持互动后，系统地跟踪他们对CPC及相关活动的使用情况。跟踪内容包括使用某个CPC的时长以及与该CPC相关的特定实践活动的使用情况。数据按关系建立的月份进行汇总，以考虑不同地区的不同起始日期。
从2016年11月到2021年12月，ICTP支持团队跟踪了与北卡罗来纳州和南卡罗来纳州三倍积极育儿方案地区的749次支持互动。每月的支持量逐年下降，尽管剂量差异很大。CPC的使用模式表明，早期“基础”和“共同设计”CPC的使用剂量较高，此后使用方式更加混合和多样化，呈现出一些显著趋势。被认为对影响预期实践成果至关重要的实践活动的使用率更高。与CPC一样，实践活动在整个研究期间都是动态使用的。
这项描述性研究为EIS的实施、跟踪和应用提供了一个案例研究。研究结果提出了几种解释，可能会完善我们对EIS的理解和使用。尽管这份实践报告的性质使得研究结果无法推广，但讨论了未来研究和实践的方向。
