Facilitators and Barriers to Implementation of an Evidence-Based Parenting Intervention to Prevent Child Maltreatment

2011 ◽  
Vol 17 (1) ◽  
pp. 86-95 ◽  
Author(s):  
Cheri J. Shapiro ◽  
Ronald J. Prinz ◽  
Matthew R. Sanders
Keyword(s):  
Child Maltreatment ◽  
Service Providers ◽  
Triple P ◽  
Evidence Based ◽  
Structured Interviews ◽  
Service Workers ◽  
Self Confidence ◽  
Service Training ◽  
Facilitators And Barriers ◽  
Evidenced Based

The prevention of child maltreatment via parenting interventions requires implementation on a broad scale, which is facilitated by drawing on a multidisciplinary array of service workers located in multiple settings. This underscores the importance of understanding factors that impact worker implementation of evidenced-based parenting and family support interventions. This study involved structured interviews with 174 service providers from several disciplines who had been trained previously in the delivery of the Triple P-Positive Parenting Program. These follow-up interviews, conducted an average of about 2 years after professional in-service training, provided the basis for examining predictors of sustained program use. Predictors examined included facilitators and barriers to program use, as well as organizational and provider-level characteristics such as attitudes toward evidence-based interventions. Highlighting the importance of a systems–contextual perspective on implementation, several provider and organization-level characteristics significantly predicted program use including provider self-confidence after training, fit of program with ongoing duties, availability of posttraining support, and perceived benefit of intervention for children and families. Implications for prevention and implementation science are discussed in view of the challenges inherent in the field of child maltreatment.

Facilitators and Barriers of Mother Engagement in a Home-based Parenting Program Following Concerns of Child Maltreatment

2022 ◽  
pp. 0192513X2110675
Author(s):  
Alison Fogarty ◽  
Holly Rominov ◽  
Monique Seymour ◽  
Kirsty Evans ◽  
Catherine Fisher ◽  
...  
Keyword(s):  
Child Maltreatment ◽  
Young Children ◽  
Therapeutic Relationship ◽  
Thematic Analysis ◽  
Home Visiting ◽  
Parenting Program ◽  
Structured Interviews ◽  
Home Based ◽  
Strength Based ◽  
Facilitators And Barriers

The current study aimed to explore mothers’ perceptions of facilitators and barriers to engagement in the HoPES program, an intensive home-visiting intervention for families with young children identified as having child maltreatment concerns. Seven mothers who had participated in the program participated in semi-structured interviews about their experiences. Thematic analysis was conducted using NVivo Version 12. Themes relating to facilitators of engagement included the following: (1) clinician behaviours; (2) treatment relevance/acceptability; (3) strong therapeutic relationship; (4) mothers’ cognitions and beliefs about treatment and (5) program delivery. Themes relating to barriers to engagement included the following: (1) contextual/external barriers to treatment; (2) treatment relevance/acceptability; (3) mothers’ cognitions and beliefs about treatment and (4) program processes. This study highlights the important role which services and clinicians have in engaging parents at risk of child maltreatment. Specifically, the prioritisation of the therapeutic relationship through all intervention processes, and the utilisation of strength-based approaches, may facilitate engagement.

scholarly journals PREVENT Policing in Practice—The Need for Evidenced-Based Research

2019 ◽  
Author(s):  
Paul Dresser
Keyword(s):  
Evidence Based ◽  
Structured Interviews ◽  
Counter Terrorism ◽  
The Third ◽  
Wide Range ◽  
And Performance ◽  
Evidenced Based ◽  
The Uk

Abstract This article examines the PREVENT agenda, part of the UK government’s counter-terrorism strategy, CONTEST. Informed by semi-structured interviews conducted with a Special Branch PREVENT team, as well as individuals drawn from various security disciplines, this article highlights several practical barriers to realizing collaborative counter-radicalization. This is important given the third objective of PREVENT: to work with a wide range of institutions where there are risks of radicalization. This article departs from analyses that have examined PREVENT in the context of suspect profiling; rather, the focus is on illuminating the implementation, (re)configuration and performance of PREVENT policing. The article concludes by advocating the necessity for evidence-based research—this proffers pragmatic implications for the governance of counter-terrorism.

scholarly journals Implementing Evidence-Based Practice in a Dutch Social Work Organisation: A Shared Responsibility

2019 ◽  
Vol 50 (7) ◽  
pp. 2212-2232
Author(s):  
Renske J M van der Zwet ◽  
Deirdre M Beneken genaamd Kolmer ◽  
René Schalk ◽  
Tine Van Regenmortel
Keyword(s):  
Social Work ◽  
Social Workers ◽  
Evidence Based Practice ◽  
Service Providers ◽  
Shared Responsibility ◽  
Evidence Based ◽  
Work Organisation ◽  
Structured Interviews ◽  
Organisational Model ◽  
Ebp Implementation

Abstract This article presents the findings from a case study, exploring the factors that support and impede implementation of evidence-based practice (EBP) in a Dutch social work organisation that has recently committed to EBP. Qualitative data were gathered from semi-structured interviews with ten staff members and twelve social workers (service providers for adults and families). The organisational model for EBP implementation, recently developed by Plath, was used to examine how EBP was implemented and the factors that support and impede it. Findings revealed that EBP occurs predominantly at the organisational level. Research & Development (R&D) staff take responsibility for the key steps of gathering, appraising and translating research insights into practice activities, whilst social workers are primarily involved in implementing interventions. R&D is also involved in the internal evaluation of interventions in order to support ongoing practice development. Several factors affecting EBP implementation and facilitative strategies have been identified. Most of these are congruent with the organisational model for EBP implementation, with the exception of two impacting factors (negative attitudes about EBP and an organisational culture that values and encourages innovation and learning) and one facilitative strategy (research partnerships). These findings were used to develop the model further.

scholarly journals PHYSIOTHERAPY SERVICE WITHOUT STANDARDIZED OPERATING PROCEDURES FROM PHYSIOTHERAPIST’S PERSPECTIVE: A CASE STUDY

2021 ◽  
Vol 9 (2) ◽  
pp. 191
Author(s):  
Triana Karnadipa
Keyword(s):  
Clinical Guidelines ◽  
Qualitative Case Study ◽  
Standard Operating Procedure ◽  
Evidence Based ◽  
Structured Interviews ◽  
Community Based ◽  
Self Confidence ◽  
Community Based Rehabilitation ◽  
Standard Operating

Background: Treatment variations have been considered as a sign of an inappropriate healthcare service whether due to the underuse or the overuse of resources. To reduce these variations, establishing and implementing well-developed standardized operating procedures (SOPs) and evidence-based standardized clinical guidelines is required. A rehabilitation unit for children with disabilities in Makassar did not implement any SOPs or standardized clinical guidelines in their service and treatment. This conduct may have an adverse effect on physiotherapists’ professionalism.Aims: The study aimed to explore the possible impact of community-based rehabilitation (CBR) practice with no SOPs and evidence-based standardized clinical guidelines on the physiotherapists. Method: This study was a qualitative case study. The CBR unit was observed for 278-hours and the study conducted three semi-structured interviews. Three physiotherapists voluntarily participated in the study. Open, axial, and selective coding were conducted to encode the interview findings. The findings from observation encoded interview, field, and self-reflective notes were triangulated, analyzed thematically, and illustrated by the explorative model.Results: Working with no SOPs and guidelines was associated with variations in procedures by physiotherapists, irregularity in their treatment choices, liability feeling toward errors making, and Low self-confidence in their professionalism.Conclusion: Working without SOPs and guidelines was associated with psychological exertion of the physiotherapists. They showed uncertainty in their professional capabilities as a physiotherapist. It is recommended for YPAC Makassar city to develop SOPs and evidence-based standardized clinical guidelines for their organization.Keywords: children, community-based rehabilitation, disability, guidelines, standard-operating procedure 

Shifting the Needle on Child Maltreatment

2017 ◽  
pp. 422-432
Author(s):  
Ronald J. Prinz ◽  
Cheri J. Shapiro
Keyword(s):  
Child Maltreatment ◽  
Family Support ◽  
Intervention Strategy ◽  
P System ◽  
Triple P ◽  
Evidence Based ◽  
Population Approach ◽  
Health Strategy ◽  
Child Maltreatment Prevention

Evidence-based parenting and family support can play a major role in the prevention of child maltreatment. This chapter provides a basis for the adoption and refinement of a population approach to child maltreatment prevention; the approach is built on a parenting intervention strategy, with the Triple P system of interventions serving as a useful example. The chapter discusses parenting risk for child maltreatment, the rationales for taking a population approach to child maltreatment prevention, the emerging evidence for evidence-based parenting and family support in a population context, measurement and design issues, and factors associated with quality of implementation. Community-wide application of an evidence-based parenting and family support intervention system like Triple P has the potential to address multiple problems concurrently, including but not limited to the prevention of child maltreatment, thereby capitalizing on the efficiency and utility of this public health strategy.

Evidence-based practice adaptation during large-scale implementation: a taxonomy of process and content adaptations

2019 ◽  
Vol 14 (2) ◽  
pp. 61-77
Author(s):  
Gregory A. Aarons ◽  
Rachel A. Askew ◽  
Amy E. Green ◽  
Alexis J. Yalon ◽  
Kendal Reeder ◽  
...  
Keyword(s):  
Child Neglect ◽  
Large Scale ◽  
Evidence Based Practice ◽  
Service Providers ◽  
Evidence Based ◽  
Client Outcomes ◽  
Structured Interviews ◽  
Content Type ◽  
Client Factors ◽  
Ebp Implementation

Purpose The purpose of this paper is twofold: first, to identify the types of adaptations made by service providers (i.e. practitioners) during a large-scale US statewide implementation of SafeCare®, an evidence-based intervention to reduce child neglect; and second, to place adaptations within a taxonomy of types of adaptations. Design/methodology/approach Semi-structured interviews and focus groups were conducted with 138 SafeCare providers and supervisors. Grounded theory methods were used to identify themes, specific types of adaptations and factors associated with adaptation. Findings Adaptations were made to both peripheral and core elements of the evidence-based practice (EBP). The taxonomy of adaptations included two broad categories of process and content. Process adaptations included presentation of materials, dosage/intensity of sessions, order of presentation, addressing urgent concerns before focusing on the EBP and supplementing information to model materials. Content adaptations included excluding parts of the EBP and overemphasizing certain aspects of the EBP. Adaptations were motivated by client factors such as the age of the target child, provider factors such as a providers’ level of self-efficacy with the EBP and concerns over client/provider rapport. Client factors were paramount in motivating adaptations of all kinds. Research limitations/implications The present findings highlight the need to examine ways in which adaptations affect EBP implementation and sustainment, client engagement in treatment, and client outcomes. Practical implications Implementers and EBP developers and trainers should build flexibility into their models while safeguarding core intervention elements that drive positive client outcomes. Originality/value This study is unique in examining and enumerating both process and content types of adaptations in a large-scale child neglect implementation study. In addition, such adaptations may be generalizable to other types of EBPs.

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