1. Implementation Methodology From a Social Systems Informatics and Engineering Perspective Applied to a Parenting Training Program
- Author
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Gallo, Carlos G., Berkel, Cady, Mauricio, Anne, Sandler, Irwin, Wolchik, Sharlene, Villamar, Juan A., Mehrotra, Sanjay, and Brown, C. Hendricks
- Subjects
Social service -- Information management -- Evaluation ,Parenting -- Methods -- Social aspects ,Company systems management ,Family and marriage ,Health ,Psychology and mental health - Abstract
Objective: For implementation of an evidence-based program to be effective, efficient, and equitable across diverse populations, we propose that researchers adopt a systems approach that is often absent in efficacy studies. To this end, we describe how a computer-based monitoring system can support me delivery of the New Beginnings Program (NBP), a parent-focused evidence-based prevention program for divorcing parents. Method: We present NBP from a novel systems approach that incorporates social system informatics and engineering, both necessary when utilizing feedback loops, ubiquitous in implementation research and practice. Examples of two methodological challenges are presented: how to monitor implementation, and how to provide feedback by evaluating system-level changes due to implementation. Results: We introduce and relate systems concepts to these two methodologic issues that are at the center of implementation metliods. We explore how these system-level feedback loops address effectiveness, efficiency, and equity principles. These key principles are provided for designing an automated, low-burden, low-intrusive measurement system to aid fidelity monitoring and feedback that can be used in practice. Discussion: As the COVTD-19 pandemic now demands fewer face-to-face delivery systems, their replacement with more virtual systems for parent training interventions requires constructing new implementation measurement systems based on social system informatics approaches. These approaches include the automatic monitoring of quality and fidelity in parent training interventions. Finally, we present parallels of producing generalizable and local knowledge bridging systems science and engineering method. This comparison improves our understanding of system-level changes, facilitates a program's implementation, and produces knowledge for the field. Public Significance Statement The successful implementation of EBIs has the potential to change critical public health disparities and inequities. We show how social system informatics facilitates the monitoring and feedback on EBFs implementation. Such computational methods enhance implementation's monitoring in an efficient, scalable, and non-obtrusive manner, particularly within the virtual, on-line context generated by COVTD-19 pandemic. Keywords: social systems informatics, implementation science, systems science, computational linguistics, fidelity, To improve population's health requires a directed, systematic, and expedited approach to ensure that evidence-based programs (EBPs) are delivered with a high fidelity at scale. Scientists have built most of [...]
- Published
- 2021
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