The Case for Assessing and Reporting on Facilitator Fidelity: Introducing the Fidelity of Implementation in Parenting Programs Guideline

Mackenzie Martin, Yulia Shenderovich, E. B. Caron, Justin D. Smith, Godfrey Siu, Susan M. Breitenstein
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Abstract

Abstract The sizeable body of evidence indicating that parenting programs have a positive impact on children and families highlights the potential public health benefits of their implementation on a large scale. Despite evidence and global attention, beyond the highly controlled delivery of parenting programs via randomized trials, little is known about program effectiveness or how to explain the poorer results commonly observed when implemented in community settings. Researchers, practitioners, and policymakers must work together to identify what is needed to spur adoption and sustainment of evidence-based parenting programs in real-world service systems and how to enhance program effectiveness when delivered via these systems. Collecting, analyzing, and using facilitator fidelity data is an important frontier through which researchers and practitioners can contribute. In this commentary, we outline the value of assessing facilitator fidelity and utilizing the data generated from these assessments; describe gaps in research, knowledge, and practice; and recommend directions for research and practice. In making recommendations, we describe a collaborative process to develop a preliminary guideline—the Fidelity of Implementation in Parenting Programs Guideline or FIPP—to use when reporting on facilitator fidelity. Readers are invited to complete an online survey to provide comments and feedback on the first draft of the guideline.
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引导者忠实度评估与报告案例:引入育儿计划实施的忠实度指引
大量证据表明,育儿计划对儿童和家庭有积极影响,这凸显了大规模实施这些计划可能带来的公共卫生效益。尽管有证据和全球关注,但除了通过随机试验高度控制的育儿计划之外,人们对计划的有效性知之甚少,也不知道如何解释在社区环境中实施时通常观察到的较差结果。研究人员、从业人员和政策制定者必须共同努力,确定在现实世界的服务系统中促进采用和维持循证育儿项目所需的条件,以及如何通过这些系统提高项目的有效性。收集、分析和使用促进器保真度数据是研究人员和实践者可以做出贡献的重要前沿。在本评论中,我们概述了评估促进者保真度和利用这些评估产生的数据的价值;描述研究、知识和实践方面的差距;并建议研究和实践方向。在提出建议时,我们描述了一个协作过程,以制定一个初步的指导方针-育儿计划实施的保真度指导方针或fipp -在报告促进者保真度时使用。我们邀请读者完成一项在线调查,就指南初稿提供意见和反馈。
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