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Evidence-based interventions often include quality improvement methods to support fidelity and improve client outcomes. Clinical supervision is promoted as an effective way of developing practitioner confidence and competence in delivery; however, supervision is often inconsistent and embedded in hierarchical line management structures that may limit the opportunity for reflective learning. The Peer Assisted Supervision and Support (PASS) supervision model uses peer relationships to promote the self-regulatory capacity of practitioners to improve intervention delivery. The aim of the present study was to assess the acceptability and feasibility of PASS amongst parenting intervention practitioners. A Q-methodology approach was used to generate data and 30 practitioners volunteered to participate in the study. Data were analyzed and interpreted using standard Q-methodology procedures and by-person factor analysis yielded three factors. There was consensus that PASS was acceptable. Participants shared the view that PASS facilitated an environment of support where negative aspects of interpersonal relationships that might develop in supervision were not evident. Two factors represented the viewpoint that PASS was also a feasible model of supervision. However, the third factor was comprised of practitioners who reported that PASS could be time consuming and difficult to fit into existing work demands. There were differences across the three factors in the extent to which practitioners considered PASS impacted on their intervention delivery. The findings highlight the importance of organizational mechanisms that support practitioner engagement in supervision.
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Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Adminitration and Policy in Mental Health Services Research, 38, 4–23. CrossRef
Brown, S. R. (1980). Political subjectivity, applications of Q methodology in political science. New Haven, CT: Yale University Press.
Department of Health. National Health Service Management Executive. (1993). A vision for the future: The nursing, midwifery and health visiting contribution to health and health care. London: Department of Health.
Fixsen, D. L., Blase, K. A., Duda, M. A., Naoom, S. F., & Van Dyke, M. (2010). Implementation of evidence-based treatments for children and adolescents: Research findings and their implications for the future. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (2nd ed., pp. 435–450). New York, NY: Guilford Press.
Fixsen, D. L., Naoom, S. F., Blasé, K. A., Friedman, R. M. & Wallace, F. (2005). Implementation research: A synthesis of the literature. Retrieved from http://ctndisseminationlibrary.org/PDF/nirnmonograph.pdf.
Haines, J., Mayorga, A. M., McDonald, J., O’Brien, A., Gross, D., Taveras, E. M., & Gillman, M. W. (2012). Embedding weight-related messages within a general parenting programme: Development and feasibility evaluation of parents and tots together. Early Child Development and Care, 182, 951–965. doi: 10.1080/03004430.2012.678592. CrossRef
McKeown, B., & Thomas, D. (1988). Q methodology. Thousand Oaks, CA: Sage Publications Inc.
McWilliam, J., Brown, J., Sanders, M. R., & Jones, L. (2015). The Triple P implementation framework: Enhancing outcomes from evidence-based programs. (Manuscript in preparation).
Pitt, V. J., Lowe, D., Prictor, M., Hetrick, S., Ryan, R., Berends, L., & Hill, S. (2013). A systematic review of consumer-providers’ effects on client outcomes in statutory mental health services: The evidence and the path beyond. Journal of the Society for Social Work and Research,. doi: 10.5243/jsswr.2013.21.
Sanders, M. R. (1999). Triple P-Positive Parenting Program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2, 71–90. doi: 10.1023/A:1021843613840. CrossRefPubMed
Sanders, M. R., & Murphy-Brennan, M. (2010). Creating conditions for success beyond the professional training environment. Clinical Psychology: Science and Practice, 17, 31–35. doi: 10.1111/j.1468-2850.2009.01189.x.
Sanders, M. R., & Murphy-Brennan, M. (2013). Triple P in action: Peer-assisted supervisions and support manual. Milton: Triple P International Pty Ltd.
Sanders, M. R., Prinz, R. J., & Shapiro, C. J. (2009). Predicting utilization of evidence-based parenting interventions with organizational, service-provider and client variables. Administration and Policy in Mental Health and Mental Health Services Research, 36, 133–143. doi: 10.1007/s10488-009-0205-3. CrossRefPubMed
Schmolck, P. (2014) PQMethod manual. Retrieved from http://schmolck.userweb.mwn.de/qmethod/pqmanual.htm.
Schoenwald, S. K., Megta, T. G., Frazier, S. L., & Shernoff, E. S. (2013). Clinical supervision in effectiveness and implementation research. Clinical Psychology Science and Practice, 20, 44–59. CrossRef
Schoenwald, S. K., Sheidow, A. J., & Letourneau, E. J. (2004). Toward effective quality assurance in evidence-based practice: Links between expert consultation, therapist fidelity, and child outcomes. Journal of Clinical Child and Adolescent Psychology, 33, 94–104. doi: 10.1207/S15374424JCCP3301_10. CrossRefPubMed
Sexton, D., Snyder, P., Wadsworth, D., Jardine, A., & James, E. (1998). Applying Q methodology to investigations of subjective judgements of early intervention effectiveness. Topics in Early Childhood Special Education, 18, 95. CrossRef
Steckler, A., & Linnan, L. (2003). Process evaluation for public health interventions and research. Portland: Ringgold Inc.
Stephenson, W. (1953). The study of behavior; Q-technique and its methodology. Chicago, IL: University of Chicago Press.
Turpin, G., & Wheeler, S. (2011). IAPT supervision guidance. Retrieved from http://www.iapt.nhs.uk/silo/files/iapt-supervision-guidance-revised-march-2011.pdf.
Ward, A. (2013). Self-regulatory peer supervision and support: An acceptability and feasibility study. Masters Thesis. Edinburgh: University of Edinburgh.
Watkins, C. E., & Scaturo, D. J. (2013). Toward an integrative, learning-based model of psychtherapy supervision: Supervisory alliance, educational interventions, and supervisee learning/relearning. Journal of Psychotherapy Integration, 23, 75–95. CrossRef
Watts, S., & Stenner, P. (2012). Doing Q methodological research: Theory, method and interpretation. London: Sage.
- Acceptability and Feasibility of Peer Assisted Supervision and Support for Intervention Practitioners: A Q-methodology Evaluation
Kerri E. McPherson
Matthew R. Sanders
- Springer US