Martin Mackenzie, Shenderovich Yulia, Caron E B, Smith Justin D, Siu Godfrey, Breitenstein Susan M
Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Community-University Partnership for the Study of Children, Youth and Families, School of Public Health, University of Alberta, Edmonton, Canada.
Glob Implement Res Appl. 2024;4(1):1-10. doi: 10.1007/s43477-023-00092-5. Epub 2023 Sep 9.
The sizeable body of evidence indicating that parenting programs have a positive impact on children and families highlights the potential public health benefits of their implementation on a large scale. Despite evidence and global attention, beyond the highly controlled delivery of parenting programs via randomized trials, little is known about program effectiveness or how to explain the poorer results commonly observed when implemented in community settings. Researchers, practitioners, and policymakers must work together to identify what is needed to spur adoption and sustainment of evidence-based parenting programs in real-world service systems and how to enhance program effectiveness when delivered via these systems. Collecting, analyzing, and using facilitator fidelity data is an important frontier through which researchers and practitioners can contribute. In this commentary, we outline the value of assessing facilitator fidelity and utilizing the data generated from these assessments; describe gaps in research, knowledge, and practice; and recommend directions for research and practice. In making recommendations, we describe a collaborative process to develop a preliminary guideline-the Fidelity of Implementation in Parenting Programs Guideline or FIPP-to use when reporting on facilitator fidelity. Readers are invited to complete an online survey to provide comments and feedback on the first draft of the guideline.
The online version contains supplementary material available at 10.1007/s43477-023-00092-5.
大量证据表明育儿项目对儿童和家庭有积极影响,这凸显了大规模实施这些项目可能带来的公共卫生益处。尽管有证据且受到全球关注,但除了通过随机试验对育儿项目进行高度控制的实施方式外,对于项目效果以及如何解释在社区环境中实施时常见的较差结果知之甚少。研究人员、从业者和政策制定者必须共同努力,确定在现实世界的服务系统中促进基于证据的育儿项目的采用和持续实施所需的条件,以及通过这些系统实施时如何提高项目效果。收集、分析和使用促进者保真度数据是研究人员和从业者可以做出贡献的一个重要前沿领域。在这篇评论中,我们概述了评估促进者保真度以及利用这些评估产生的数据的价值;描述了研究、知识和实践方面的差距;并推荐了研究和实践的方向。在提出建议时,我们描述了一个协作过程,以制定一份初步指南——《育儿项目实施保真度指南》(或FIPP),用于报告促进者保真度时使用。邀请读者完成一项在线调查,以对该指南的初稿提供意见和反馈。
在线版本包含可在10.1007/s43477-023-00092-5获取的补充材料。