Abstract
Multidisciplinary service providers (N = 611) who underwent training in the Triple P-Positive Parenting Program participated in a structured interview 6 months following training to determine their level of post-training program use and to identify any facilitators and barriers to program use. Findings revealed that practitioners who had received training in Group Triple P, received positive client feedback, had experienced only minor barriers to implementation, and had consulted with other Triple P practitioners following training were more likely to become high users of the program. Practitioners were less likely to use the program when they had lower levels of confidence in delivering Triple P and in consulting with parents in general, had difficulties in incorporating Triple P into their work, and where there was low workplace support. These findings highlight the importance of considering the broader post training work environment of service providers as a determinant of subsequent program use.
Similar content being viewed by others
References
Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 411–419. doi:10.1007/s10488-007-0121-3.
Backer, T. E., Liberman, R. P., & Kuehnl, T. G. (1986). Dissemination and adoption of innovative psychosocial interventions. Journal of Consulting and Clinical Psychology, 54, 111–118. doi:10.1037/0022-006X.54.1.111.
Biglan, A., & Taylor, T. K. (2000). Increasing the use of science to improve child-rearing. The Journal of Primary Prevention, 21, 207–226. doi:10.1023/A:1007083203280.
Conor-Smith, J. K., & Weisz, J. R. (2003). Applying treatment outcome research in clinical practice: Techniques for adapting interventions to the real world. Child and Adolescent Mental Health, 8(1), 3–10. doi:10.1111/1475-3588.00038.
Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., et al. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35(1–2), 98–113.
Hawley, K. M., & Weisz, J. R. (2002). Increasing the relevance of evidence-based treatment review to practitioners and consumers. Clinical Psychology: Science and Practice, 9(2), 225–230. doi:10.1093/clipsy/9.2.225.
Henggeler, S. W., Melton, G. B., Brondino, M. J., Schereer, D. G., & Hanely, J. H. (1997). Multisystemic therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination. Journal of Consulting and Clinical Psychology, 65, 821–833. doi:10.1037/0022-006X.65.5.821.
Herscell, A. D., McNeil, C. B., & McNeil, D. W. (2004). Clinical child psychology’s progress in disseminating empirically supported treatments. Clinical Psychology: Science and Practice, 11, 267–288. doi:10.1093/clipsy/bph082.
Mihalopoulos, C., Sanders, M. R., Turner, K. M. T., Murphy-Brennan, M., & Carter, R. (2007). Does the Triple P-Positive parenting program provide value for money? The Australian and New Zealand Journal of Psychiatry, 41(3), 239–246. doi:10.1080/00048670601172723.
Ollendick, T. H., & Davis, T. E. (2004). Empirically supported treatments for children and adolescents: Where to from here? Clinical Psychology: Science and Practice, 11, 289–294. doi:10.1093/clipsy/bph083.
Pentz, M. (2004). Form follows function: Designs for prevention effectiveness and diffusion research. Prevention Science, 5, 23–29. doi:10.1023/B:PREV.0000013978.00943.30.
Prinz, R. J., & Sanders, M. R. (2007). Adopting a population-level approach to parenting and family support. Clinical Psychology Review, 27(6), 739–749. doi:10.1016/j.cpr.2007.01.005.
Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The US Triple P system population trial. Prevention Science. doi:10.1007/s11121-009-0123-3.
Rogers, E. M. (2000). Diffusion theory: A theoretical approach to promote community-level change. In J. L. Peterson & R. J. DiClemente (Eds.), Handbook of HIV prevention (pp. 57–65). Netherlands: Kluwer Academic Publishers.
Sanders, M. R. (1999). Triple P positive parenting program: Towards and empirically validated multilevel parenting and family support strategy for the prevention of behavioral and emotional problems in children. Clinical Child and Family Psychology Review, 2, 71–90. doi:10.1023/A:1021843613840.
Sanders, M. R. (2008). The Triple P-positive parenting program as a public health approach to strengthening parenting. Journal of Family Psychology, 22(4), 506–517.
Sanders, M. R., Markie-Dadds, C., & Turner, K. M. T. (2003a). Theoretical, scientific and clinical foundations of the Triple P-positive parenting program: A population approach to the promotion of parenting competence. Parenting Research and Practice Monograph, 1, 1–21.
Sanders, M. R., Murphy-Brennan, M., & McAuliffe, C. (2003b). The development, evaluation and dissemination of a training programme for general practitioners in evidence-based parent consultation skills. International Journal of Mental Health Promotion, 5, 13–20.
Sanders, M. R., Markie-Dadds, C., Rinaldis, M., Firman, D., & Baig, N. (2007). Using household survey data to inform policy decisions regarding the delivery of evidence-based parenting interventions. Child: Care, Health and Development, 33(6), 768–783. doi:10.1111/j.1365-2214.2006.00725.x.
Seng, A. C., Prinz, R. J., & Sanders, M. R. (2006). The role of training variables in effective dissemination of evidence-based parenting interventions. International Journal of Mental Health Promotion, 8, 20–28.
Shapiro, C.J., Prinz, R.J., & Sanders, M.R. (2007). Population-wide parenting intervention training: Initial feasibility. Journal of Child and Family Studies, published online 28 September.
Silverman, W. K., & Kurtines, W. M. (2004). Research progress on effectiveness, transportability, and dissemination of empirically supported treatments: Integrating theory and research. Clinical Psychology: Science and Practice, 11(3), 295–299. doi:10.1093/clipsy/bph084.
Turner, K. M. T., & Sanders, M. R. (2006). Dissemination of evidence-based parenting and family support strategies: Learning from the Triple P-positive parenting program system approach. Aggression and Violent Behavior, 11, 176–193. doi:10.1016/j.avb.2005.07.005.
Wandersman, A. (2003). Community science: Bridging the gap between science and practice with community-centred models. American Journal of Community Psychology, 31, 227–242. doi:10.1023/A:1023954503247.
Weisz, J. R., Chu, B. C., & Polo, A. J. (2004). Treatment dissemination and evidence-based practice: Strengthening intervention through clinician-researcher collaboration. Clinical Psychology: Science and Practice, 11, 300–307. doi:10.1093/clipsy/bph085.
Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2006). Evidence-based youth psychotherapies versus usual clinical care: A meta-analysis of direction comparisons. The American Psychologist, 6, 671–689. doi:10.1037/0003-066X.61.7.671.
Wolfe, J. (1999). Overcoming barriers to evidence-based practice: Lessons from medical practitioners. Clinical Psychology: Science and Practice, 6, 445–448. doi:10.1093/clipsy/6.4.445.
Acknowledgments
The research described in this paper was supported by grants U17/CCU422317 and 1R18CE001340 to Prinz and Sanders from the National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. The findings and conclusions in this article are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention. The authors wish to acknowledge the contribution of James Kirby in the preparation and editing of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sanders, M.R., Prinz, R.J. & Shapiro, C.J. Predicting Utilization of Evidence-Based Parenting Interventions with Organizational, Service-Provider and Client Variables. Adm Policy Ment Health 36, 133–143 (2009). https://doi.org/10.1007/s10488-009-0205-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10488-009-0205-3