Implementing an Evidence-Based Parenting Program in Community Agencies: What Helps and What Gets in the Way?
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Adoption of evidence-based programs for families by community agencies requires an understanding of variables that influence implementation. Managers and service providers from 64 community agencies reported on variables that affected the implementation of Triple P, an evidence-based parenting program. Both types of stakeholders reported adequate office resources; over half the managers and over two-thirds of service providers reported adequate training. Adequate office resources and positive agency characteristics, including organizational climate, were associated with higher program usage. Service providers’ reports of the variables impacted their individual adherence rates; managers had broader perspectives of the quality of implementation in their organizations.
KeywordsAdherence Program usage Service delivery Parenting intervention Implementation
The data for this study were collected in partial completion of the first author’s doctoral dissertation. We would like to thank our colleagues in the Evidence-Based Parenting Research Working Group (Sue Barnes, Brian Beech, Sandra Cunning, Fred Schmidt, and Susan Stern) for their helpful suggestions throughout the study.
- American Psychological Association. (2009). Effective strategies to support positive parenting in community health centers: Report of the Working Group on Child Maltreatment Prevention in Community Health Centers. Washington, DC: American Psychological Association.Google Scholar
- Barwick, M. A., Peters, J., & Boydell, K. (2009). Getting to update: Do communities of practice support the implementation of evidence-based practice? Journal of the Canadian Academy of Child and Adolescent Psychiatry, 18, 16–29. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2651208/pdf/ccap-18-1-16.pdf.
- Chamberlain, P., Brown, C. H., Saldana, L., Reid, J., Wang, W., Marsenich, L., et al. (2008). Engaging and recruiting counties in an experiment on implementing evidence-based practice in California. Administration and Policy in Mental Health and Mental Health Services Research, 35, 250–260. doi: 10.1007/s10488-008-0167-x.PubMedCrossRefGoogle Scholar
- Fagan, A. A., Hanson, K., Kawkins, J. D., & Arthur, M. W. (2008). Bridging science to practice: Achieving prevention program implementation fidelity in the Community Youth Development study. American Journal of Community Psychology, 41, 235–249. doi: 10.1007/s10464-008-9176-x.PubMedCrossRefGoogle Scholar
- Fixsen, D. L., Blase, K. A., Duda, M. A., Naoom, S. F., & Van Dyke, M. (2010). Implementation of evidence-based treatments for children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (2nd ed., pp. 435–450). New York: The Guildford Press.Google Scholar
- Forgatch, M. S., & Patterson, G. R. (2010). Parent management training—Oregon model: An intervention for antisocial behavior in children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (2nd ed., pp. 159–179). New York: The Guildford Press.Google Scholar
- Garland, A. F., Bickman, L., & Chorpita, B. F. (2010). Change what? Identifying quality improvement targets by investigating usual mental health care. Administration and Policy in Mental Health and Mental Health Services Research, 37, 15–26. doi: 10.1007/s10488-010-0279-y.PubMedCrossRefGoogle Scholar
- Glisson, C., & Hemmelgarn, A. (1998). The effects of organizational climate and interorganizational coordination on the quality and outcomes of children’s service systems. Child Abuse & Neglect, 22, 401–421. http://www.casbrant.ca/files/upload/oacas/Chapter2/The_Effects_of_Organizational_Climate.pdf.
- Hoagwood, K., & Kolko, D. J. (2009). Introduction to the special series on practice contexts: A glimpse into the netherworld of public mental health services for children and families. Administration and Policy in Mental Health and Mental Health Services Research, 36, 35–36. doi: 10.1007/s10488-008-0201-z.PubMedCrossRefGoogle Scholar
- Kolko, D. J., Herschell, A. D., Costello, A. H., & Kolko, R. P. (2009). Child welfare recommendations to improve mental health services for children who have experienced abuse and neglect: A national perspective. Administration and Policy in Mental Health and Mental Health Services Research, 36, 50–62. doi: 10.1007/s10488-008-0202-y.PubMedCrossRefGoogle Scholar
- Lee, C. S., August, G. J., Realmuto, G. M., Horowitz, J. L., Bloomquist, M. L., & Klimes-Dougan, B. (2008). Fidelity at a distance: Assessing implementation fidelity of the early risers prevention program in a going-to-scale intervention trial. Prevention Science, 9, 215–229. doi: 10.1007/s11121-008-0097-6.PubMedCrossRefGoogle Scholar
- Mihalic, S., Irwin, K., Fagan, A., Ballard, D., & Elliott, D. (2004, July). Successful program implementation: Lessons from Blueprints. Juvenile Justice Bulletin, 1–11. http://www.ncjrs.gov/pdffiles1/ojjdp/204273.pdf.
- National Institute for Health and Clinical Excellence (2009, September). Attention deficit hyperactivity disorder: Diagnosis and management of ADHD in children, young people, and adults. NICE Clinical Guideline 72. London, UK: National Institute for Health and Clinical Excellence.Google Scholar
- National Research Council and Institute of Medicine. (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Academic Press.Google Scholar
- Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36, 24–34. doi: 10.1007/s10488-008-0197-4.PubMedCrossRefGoogle Scholar
- Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchal linear models: Applications and data analysis methods (2nd ed.). Newbury Park, CA: Sage.Google Scholar
- Sanders, M. R. (1999). Triple P-positive parenting program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2, 71–90. doi: 10.1023/A:1021843613840.PubMedCrossRefGoogle Scholar
- Sanders, M. R., Markie-Dadds, C., & Turner, K. M. T. (1998). Practitioner’s manual for Enhanced Triple P. Brisbane, Queensland, Australia: Families International Publishing.Google Scholar
- Sanders, M. R., Markie-Dadds, C., & Turner, K. M. T. (2000). Practitioner’s manual for Standard Triple P. Brisbane, Queensland, Australia: Families International Publishing.Google Scholar
- Schoenwald, S. K., Carter, R. E., Chapman, J. E., & Sheidow, A. J. (2008). Therapist adherence and organizational effects on change in youth behaviour problems one year after multisystemic therapy. Administration and Policy in Mental Health and Mental Health Services Research, 35, 379–394. doi: 10.1007/s10488-008-0108-z.PubMedCrossRefGoogle Scholar
- Seng, A. C., Prinz, R. J., & Sanders, M. R. (2006). The role of training variables in effective dissemination of evidence-based parenting interventions. International Journal of Mental Health Promotion, 8, 20–28. http://www.ijmhp.co.uk/2006.htm.
- Smith, S. R., & Gronbjerg, K. A. (2006). Government-nonprofit relations. In W. Powell & R. Steinberg (Eds.), The nonprofit sector: A research handbook (2nd ed., pp. 221–242). New Haven, CT: Yale University Press.Google Scholar
- Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson Education.Google Scholar
- Turner, K. M. T., Markie-Dadds, C., & Sanders, M. R. (1997). Practitioner’s manual for Group Triple P. Brisbane, Queensland, Australia: Families International Publishing.Google Scholar
- Weisz, J. R., & Kazdin, A. E. (2010). Evidence-based psychotherapies for children and adolescents (2nd ed.). New York: The Guildford Press.Google Scholar
- World Health Organization. (2009). Preventing violence through the development of safe, stable, and nurturing relationships between children and their parents and caregivers. Series of briefings on violence prevention: The evidence. Geneva, Switzerland: World Health Organization.Google Scholar
- Zazzali, J. L., Sherbourne, C., Hoagwood, K. E., Greene, D., Bigley, M. F., & Sexton, T. L. (2008). The adoption and implementation of an evidence based practice in child and family mental health services organizations: A pilot study of Functional Family Therapy in New York State. Administration and Policy in Mental Health and Mental Health Services Research, 5, 38–49. doi: 10.1007/s10488-007-0145-8.CrossRefGoogle Scholar