Morrison Kristi M, Eisenberg Nicole, Lyons Vivian H, Sterling Stacy A, Beck Arne, Braciszewski Jordan M, Beaulieu Dalene, Boggs Jennifer, Briney John S, Danzo Sarah, Haggerty Kevin P, Jessen Andrew, Kline-Simon Andrea, Loree Amy M, Morse Erica, Scheuer Hannah, Wang Xu, Kuklinski Margaret R
Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington, USA.
Division of Research, Kaiser Permanente Northern California, Pleasanton, California, USA.
J Community Psychol. 2025 Jul;53(5):e70020. doi: 10.1002/jcop.70020.
Offering evidence-based parenting interventions to caregivers virtually has the potential to increase the reach and public health impact of interventions. As virtual adaptations to evidence-based interventions increase, attention must be paid to implementation fidelity, as high fidelity is associated with better program outcomes. This study examined implementation fidelity of a virtual adaptation of the family-based Guiding Good Choices program delivered to 292 families in primary care in three large healthcare systems during the COVID-19 pandemic. Attendance, dosage, adherence, quality of delivery, and participant engagement were examined quantitatively and qualitatively using interventionist and observer surveys, attendance records, and focus groups with interventionists. Interventionists and observers reported high levels of dosage, adherence, quality of delivery, and participant engagement, but attendance was lower than anticipated. Results suggest that delivering parenting programs virtually in primary care with high fidelity is feasible, but retaining participants may remain challenging in this modality, particularly during a global pandemic.
向照顾者提供基于证据的育儿干预措施实际上有可能扩大干预措施的覆盖范围并增强其对公共卫生的影响。随着对基于证据的干预措施的虚拟改编不断增加，必须关注实施的保真度，因为高保真度与更好的项目成果相关。本研究考察了在新冠疫情期间，向三个大型医疗系统的初级保健中的292个家庭提供的基于家庭的“引导正确选择”项目的虚拟改编版的实施保真度。使用干预者和观察者调查、出勤记录以及与干预者的焦点小组，对出勤率、剂量、依从性、交付质量和参与者参与度进行了定量和定性研究。干预者和观察者报告了较高的剂量、依从性、交付质量和参与者参与度，但出勤率低于预期。结果表明，在初级保健中以高保真度虚拟提供育儿项目是可行的，但在这种模式下留住参与者可能仍然具有挑战性，尤其是在全球大流行期间。
