1. Service Providers' Adherence to an Evidence-Based Parenting Program: What are They Missing and Why?
- Author
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Taylor, Whitney, Asgary-Eden, Veronica, Lee, Catherine, and LaRoche, Kathryn
- Subjects
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BEHAVIOR disorders in children , *MEDICAL care , *MEDICAL protocols , *MENTAL health services , *EVIDENCE-based medicine , *PROFESSIONAL practice , *PARENTING education - Abstract
Awareness of the need to monitor fidelity in delivery of evidence-based programs is increasing. We examined adherence reported by service providers who had delivered multi-session group or individual family-based Triple P-Positive Parenting Program interventions. Service providers completed session-specific checklists from the Triple P manual to indicate whether or not they had delivered the prescribed activities in their most recent session. We focus on service providers who reported less than 100 % adherence ( n = 93) to explore patterns of adherence across sessions, delivery formats, and service providers' experience. We also coded session activities into processes, therapeutic interventions, homework, and exercises to explore whether service providers' adherence varied by type of session component. Adherence to therapeutic interventions, homework, and exercises was significantly lower in individual format compared to group format, perhaps reflecting the tailoring of interventions to the needs of the family. Adherence to processes and exercises was significantly higher among service providers with more years of experience. Results have implications for research, training, and supervision and will inform the delivery of evidence-based services for children and families in community settings. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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