Measuring and Predicting Service Providers’ Use of an Evidence-Based Parenting Program

Abstract Purpose This study describes an interdiscursive evidence-based priority setting process with pregnant and parenting adolescents and their services providers. Methods A mixed methods literature review identified studies reporting on perinatal outcomes and experiences of adolescents during pregnancy to 12 months post-partum published in Canada after 2000. We also calculated relative risks for common perinatal risk factors and outcomes for adolescents compared to adult populations from 2012 to 2017 based on data from a provincial database of maternal and newborn outcomes. Two trained peer researchers identified outcomes most relevant to their peers. We shared syntheses results with four service providers and 13 adolescent mothers accessing services at a community service organization, who identified and prioritized their areas of concern. We repeated the process for the identified priority issue and expanded upon it through semi-structured interviews. Results Adolescent mothers face higher rates of poverty, abuse, anxiety and depression than do adult mothers. Adolescents prioritized the experience of judgment in perinatal health and social services, particularly as it contributed to them being identified as a child protection risk. Secondary priorities included loss of social support and inaccessibility of community resources. The experience of judgment in adolescent perinatal health literature was summarized around: being invisible, seen as incapable and seen as a risk. Adolescent mothers adapted these categories, emphasizing organizational and social barriers. Conclusions Young marginalized women are disproportionately affected by inequities in perinatal outcomes, yet their perspectives are rarely centered in efforts to address these inequities. This research addresses health inequities by presenting a robust, transparent and participatory approach to priority setting as a way to better represent the perspectives of those who carry the greatest burden of health inequities in evidence syntheses. In our work, marginalized adolescent parents adapted published literature around the experience and consequences of social stigma on perinatal outcomes, shifting our understanding of root causes and possible solutions.

Download Full-text

Impact of immediate postpartum insertion of TCu380A on the quantity and duration of lochia discharges in Tanzania

Contraception and Reproductive Medicine ◽

10.1186/s40834-020-00145-2 ◽

2021 ◽

Vol 6 (1) ◽

Author(s):

Projestine Selestine Muganyizi ◽

Grasiana Festus Kimario ◽

France John Rwegoshora ◽

Ponsian Patrick Paul ◽

Anita Makins

Keyword(s):

Service Providers ◽

International Federation ◽

Teaching Hospitals ◽

Evidence Based ◽

Contraceptive Device ◽

Postpartum Contraception ◽

Gynecology And Obstetrics ◽

Intrauterine Contraceptive ◽

The Difference

Abstract Background The insertion of Intrauterine Contraceptive Device (PPIUD) for the purpose of contraception immediately after delivery is becoming popular in countries where the use of IUD for contraception has been extremely low. Since 2015, Tanzania implemented the initiative by the International Federation of Gynecology and Obstetrics (FIGO) to institutionalize PPIUD. As a result of capacity building and information delivery under the initiative, there have been increased uptake of the method. Working in this context, the focus of the study was to generate evidence on the effect of TCu380A IUD on amount and duration of lochia and equip service providers with evidence-based knowledge which can help them in counselling their PPIUD clients. Objective Establish impact of postpartum TCu380A on amount and duration of lochia. Methods A prospective cohort study of delivered women in two teaching hospitals in Tanzania with immediate insertion of TCu380A or without use of postpartum contraception in 2018. TCu380A models; Optima (Injeflex Co. Brazil) and Pregna (Pregna International, Chakan, India) were used. Follow-up was done by weekly calls and examination at 6th week. Lochia was estimated by Likert Scale 0–4 relative to the amount of lochia on the delivery day. An estimated 250 women sample (125 each group) would give 80% power to detect a desired 20% difference in the proportion of women with prolonged lochia discharges among the Exposed and Unexposed groups. Data analysis was by SPSS. Results Two hundred sixty women were analysed, 127 Exposed and 133 Unexposed. Medical complaints were reported by 41 (28.9%) Exposed and 37 Unexposed (27.8%), p = 0.655. Lack of dryness by end of 6th week was to 31 (23.3%) Exposed and 9 (7.1%) Unexposed, p < 0.001. Exposed had higher weekly mean lochia scores throughout with the difference most marked in 5th week (3.556 Versus 2.039, p < 0.001) and 6th week (1.44 Versus 0.449, p<0.001). Conclusion PPIUD is associated with increased amount of lochia and slows progression to dryness within 6 weeks of delivery. The implications of PPIUD clients’ needs to be informed about the possibility of delayed dryness of lochia at time of counseling are discussed.

Download Full-text

Developing a postgraduate professional education framework for emergency nursing: a co-design approach

BMC Nursing ◽

10.1186/s12912-021-00560-z ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Karen A. Theobald ◽

Fiona Maree Coyer ◽

Amanda Jane Henderson ◽

Robyn Fox ◽

Bernadette F. Thomson ◽

...

Keyword(s):

Professional Education ◽

Service Providers ◽

Postgraduate Education ◽

Evidence Based ◽

Emergency Nursing ◽

Integration Framework ◽

Graduate Certificate ◽

University Settings ◽

Assessment Strategies ◽

University Industry

Abstract Background Hospital and university service providers invest significant but separate resources into preparing registered nurses to work in the emergency department setting. This results in the duplication of both curricula and resource investment in the health and higher education sectors. This paper describes an evidence-based co-designed study with clinical-academic stakeholders from hospital and university settings. Methods The study was informed by evidence-based co-design, using emergency nursing as an exemplar. Eighteen hours of co-design workshops were completed with 21 key clinical-academic stakeholders from hospital and university settings. Results Outcomes were matrices synchronising professional and regulatory imperatives of postgraduate nursing coursework; mutually-shaped curriculum content, teaching approaches and assessment strategies relevant for postgraduate education; a new University-Industry Academic Integration Framework; five agreed guiding principles of postgraduate curriculum development for university-industry curriculum co-design; and a Graduate Certificate of Emergency Nursing curriculum exemplar. Conclusion Industry-academic service provider co-design can increase the relevance of postgraduate specialist courses in nursing, strengthening the nexus between both entities to advance learning and employability. The study developed strategies and exemplars for future use in any mutually determined academic-industry education partnership.

Download Full-text

Risk factors for attrition from an evidence-based parenting program: Findings from the Netherlands

Children and Youth Services Review ◽

10.1016/j.childyouth.2016.02.025 ◽

2016 ◽

Vol 64 ◽

pp. 42-50 ◽

Cited By ~ 8

Author(s):

Mariëlle E. Abrahamse ◽

Larissa N. Niec ◽

Marianne Junger ◽

Frits Boer ◽

Ramón J.L. Lindauer

Keyword(s):

Risk Factors ◽

The Netherlands ◽

Parenting Program ◽

Evidence Based

Download Full-text

Evidence-based practice and management-by-knowledge of disability care: rigid constraint or fluid support?

Evidence & Policy A Journal of Research Debate and Practice ◽

10.1332/174426421x16390538025881 ◽

2022 ◽

Author(s):

Isabella Pistone ◽

Allan Lidström ◽

Ingemar Bohlin ◽

Thomas Schneider ◽

Teun Zuiderent-Jerak ◽

...

Keyword(s):

Social Workers ◽

Social Care ◽

Evidence Based Practice ◽

Service Providers ◽

Evidence Based ◽

Epistemic Injustice ◽

Dynamic Interactions ◽

Local Practices ◽

Rigid Constraint ◽

Care Practices

Background: Although increasingly accepted in some corners of social work, critics have claimed that evidence-based practice (EBP) methodologies run contrary to local care practices and result in an EBP straitjacket and epistemic injustice. These are serious concerns, especially in relation to already marginalised clients.Aims and objectives: Against the backdrop of criticism against EBP, this study explores the ramifications of the Swedish state-governed knowledge infrastructure, ‘management-by-knowledge’, for social care practices at two care units for persons with intellectual disabilities.Methods: Data generated from ethnographic observations and interviews were analysed by applying a conceptual framework of epistemic injustice; also analysed were national, regional and local knowledge products within management-by-knowledge related to two daily activity (DA) units at a social care provider in Sweden.Findings: In this particular case of disability care, no obvious risks of epistemic injustice were discovered in key knowledge practices of management-by-knowledge. Central methodologies of national agencies did include perspectives from social workers and clients, as did regional infrastructures. Locally, there were structures in place that focused on creating a dynamic interplay between knowledge coming from various forms of evidence, including social workers’ and clients’ own knowledge and experience.Discussion and conclusions: Far from being a straitjacket, in the case studied management-by-knowledge may be understood as offering fluid support. Efforts which aim at improving care for people with disabilities might benefit from organisational support structures that enable dynamic interactions between external knowledge and local practices.<br />Key messages<br /><ul><li>Examining one case of disability care in Sweden, both social workers’ and clients’ experiences were included in EBP infrastructures.</li><br /><li>In this study, Swedish EBP infrastructures functioned more like fluid support than a straitjacket.</li><br /><li>Organisational structures that combine different knowledge sources at service providers can minimise the risk of epistemic injustice within social care.</li></ul>

Download Full-text

Embedding Evidence-Based Practice into a Remote Indigenous Early Learning and Parenting Program: A Systematic Approach

Language Policy - Literacy Education and Indigenous Australians ◽

10.1007/978-981-13-8629-9_11 ◽

2019 ◽

pp. 185-201

Author(s):

Louise Cooke ◽

Averill Piers-Blundell

Keyword(s):

Systematic Approach ◽

Evidence Based Practice ◽

Early Learning ◽

Parenting Program ◽

Evidence Based

Download Full-text

Promoting Program Fidelity through Peer-Assisted Supervision and Support

The Power of Positive Parenting ◽

10.1093/med-psych/9780190629069.003.0037 ◽

2017 ◽

pp. 405-416

Author(s):

Kerri E. McPherson ◽

Birgit Schroeter

Keyword(s):

Quality Assurance ◽

Parenting Program ◽

Evidence Based ◽

Parenting Interventions ◽

Peer Supervision ◽

Program Fidelity ◽

Supervision Models ◽

Quality Assurance Mechanism ◽

Support Model

This chapter makes the case for the adoption of practitioner supervision as a quality assurance mechanism for the implementation of parenting interventions. This chapter addresses the need for effective and efficient supervision and posttraining support for the evidence-based program workforce to ensure the sustainability of delivery and the ongoing maintenance of program fidelity. Alongside other fidelity mechanisms, supervision can help develop practitioners’ confidence and competence in delivery and promote adherence to intervention protocols. Peer supervision has the potential to be both efficient and effective and may be more acceptable to stakeholders than traditional hierarchical supervision models. The Peer-Assisted Supervision and Support model is described, and findings describing its acceptability and feasibility to parenting program practitioners are presented.

Download Full-text