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The Implementation Integrity of Parenting Programs: Which Aspects Are Most Important?
Malardarens Univ, Div Publ Hlth Sci, Sch Hlth Care & Social Welf, Hogskoleplan 1, S-72123 Vasteras, Sweden.
Orebro Univ, Ctr Dev Res, Sch Law Psychol & Social Work JPS, Orebro, Sweden.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2019 (English)In: Child and Youth Care Forum, ISSN 1053-1890, E-ISSN 1573-3319, Vol. 48, no 6, p. 917-933Article in journal (Refereed) Published
Abstract [en]

Background: The implementation of preventive interventions is considered a crucial aspect of their success. However, few studies have investigated which components of implementation are most important.

Objective: We aimed to understand whether the components of implementation integrity-adherence, quality of delivery, dose, and participants' involvement-influenced the effectiveness of four parenting programs. We also investigated factors associated with these components.

Method: Data come from a national evaluation of parenting programs in Sweden. The study was a randomised controlled effectiveness trial, with a sample of 535 parents with 3-12-year-old children. Measures included parenting behaviors (angry outbursts, harsh parenting, attempts to understand, rewarding, and praising), child conduct problems (ECBI and SNAP-V), and measures tapping into the four components (adherence, quality of delivery, dose, and participant involvement).

Results: We ran multilevel models and found that implementation quality (adherence and quality of delivery) did not influence the effects on parents and children. Conversely, participant involvement was associated with improvements in parenting and child conduct. Finally, parents' perceptions of their leaders as supportive and understanding were associated with parents' responsiveness and attendance.

Conclusions: Our study highlights the importance of having actively engaged parents to maximise intervention effects.

Place, publisher, year, edition, pages
SPRINGER , 2019. Vol. 48, no 6, p. 917-933
Keywords [en]
Parenting programs, Implementation quality, Adherence, Quality of delivery, Dose
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-396419DOI: 10.1007/s10566-019-09514-8ISI: 000490003600007OAI: oai:DiVA.org:uu-396419DiVA, id: diva2:1368333
Funder
Swedish National Board of Health and Welfare, 01-12,042/2008Available from: 2019-11-06 Created: 2019-11-06 Last updated: 2019-11-06Bibliographically approved

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