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Population-Based Provider Engagement in Delivery of Evidence-Based Parenting Interventions: Challenges and Solutions

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An Erratum to this article was published on 02 September 2014

Abstract

Population-wide interventions do not often address parenting, and relatively little is known about large scale dissemination of evidence-based parenting interventions. Most parenting interventions are not designed to reach the majority of parents in a geographic area or to influence prevalence rates for a problem, nor do they take full advantage of the existing workforce. Implementation of parenting interventions on this scale is a complex process; examination of such efforts can inform both research and policy. The US Triple P System Population Trial, designed to reduce child maltreatment at a population level, affords a unique opportunity to examine the steps involved in launching positive parenting support at a population level via an existing provider workforce. The implementation process is described; challenges and solutions are discussed.

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References

  • Beets, M. W., Flay, B. R., Vuchinich, S., Acock, A. C., Li, K., & Allred, C. (2008). School climate and teachers’ beliefs and attitudes associated with implementation of the positive action program: A diffusion of innovations model. Prevention Science, 9, 264–275.

    Article  PubMed  Google Scholar 

  • Biglan, A., & Taylor, T. K. (2000). Increasing the use of science to improve child-rearing. The Journal of Primary Prevention, 21(2), 207–226.

    Article  Google Scholar 

  • Bor, W., Sanders, M. R., & Markie-Dadds, C. (2002). The effects of the Triple P-Positive Parenting Program on preschool children with disruptive behavior and attentional problems. Journal of Abnormal Child Psychology, 30(6), 571–587.

    Article  PubMed  Google Scholar 

  • Chrusciel, D. (2008). What motivates the significant/strategic change champion(s)? Journal of Organizational Change Management, 21(2), 148–160.

    Article  Google Scholar 

  • Connor-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.

    Article  Google Scholar 

  • De Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. (2008). Effectiveness of the Triple P Positive Parenting Program on behavioural problems in children: A meta-analysis. Behavior Modification, 32(5), 714–735.

    Article  PubMed  Google Scholar 

  • Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. The Milbank Quarterly, 82, 581–629.

    Article  PubMed  Google Scholar 

  • Henggeler, S. (1999). Multisystemic therapy: An overview of clinical procedures, outcomes, and policy implications. Child Psychology and Psychiatry Review, 4(1), 2–10.

    Article  Google Scholar 

  • Henggeler, S., Chapman, J., Rowland, M., Halliday-Boykins, C., Randall, J., Shackelford, J., et al. (2008). Statewide adoption and initial implementation of contingency management for substance-abusing adolescents. Journal of Consulting and Clinical Psychology, 76(4), 556–567.

    Article  PubMed  Google Scholar 

  • Hoath, F. E., & Sanders, M. R. (2002). A feasibility study of enhanced group Triple P-Positive Parenting Program for parents of children with attention deficit hyperactivity disorder. Behavior Change, 19(4), 191–206.

    Article  Google Scholar 

  • Markie-Dadds, C., & Sanders, M. R. (2006a). A controlled evaluation of an enhanced self-directed behavioral family intervention for parents of children with conduct problems in rural and remote areas. Behavior Change, 23(1), 55–72.

    Article  Google Scholar 

  • Markie-Dadds, C., & Sanders, M. R. (2006b). Self-directed Triple P (Positive Parenting Program) for mothers with children at-risk of developing conduct problems. Behavioral and Cognitive Psychotherapy, 34(3), 259–275.

    Article  Google Scholar 

  • McAlister, A., Ama, E., Barroso, C., Peters, R., & Kelder, S. (2000). Promoting tolerance and moral engagement through peer modeling. Cultural Diversity and Ethnic Minority Psychology, 6(4), 363–373.

    Article  CAS  PubMed  Google Scholar 

  • Morawska, A., & Sanders, M. R. (2006). Self-administered behavioral family intervention for parents of toddlers: Part i. Efficacy. Journal of Clinical and Consulting Psychology, 74(1), 10–19.

    Article  Google Scholar 

  • Nowak, C., & Heinrichs, N. (2008). A comprehensive meta-analysis of Triple P-Positive Parenting Program using hierarchical linear modeling: Effectiveness and moderating variables. Clinical Child and Family Psychology Review, 11(3), 114–144.

    Article  PubMed  Google Scholar 

  • Olds, D. L., Sadler, L., & Kitzman, H. (2007). Programs for parents of infants and toddlers: Recent evidence from randomized trials. Journal of Child Psychology and Psychiatry, 48(3/4), 355–391.

    Article  PubMed  Google Scholar 

  • Prinz, R. J., & Sanders, M. R. (2007). Adopting a population level approach to parenting and family support interventions. Clinical Psychology Review, 27(6), 739–749.

    Article  PubMed  Google Scholar 

  • Prinz, R., Sanders, M. R., Shapiro, C., Whitaker, D., & Lutzker, J. (2009). Population-based prevention of child maltreatment: The U.S. Triple P System population trial. Prevention Science, 10(1), 1389–4986.

    Article  Google Scholar 

  • Roberts, C., Mazzucchelli, T., Studman, L., & Sanders, M. R. (2006). Behavioral family intervention for children with developmental and behavioral problems. Journal of Clinical Child and Adolescent Psychology, 35(2), 180–193.

    Article  PubMed  Google Scholar 

  • Rogers, E. M. (1995). Diffusion of innovations. New York: Free Press.

    Google Scholar 

  • Sanders, M. R. (1999). Triple P-Positive Parenting Program: Towards an 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.

    Article  CAS  PubMed  Google Scholar 

  • Sanders, M. R. (2008). Triple P-Positive Parenting Program as a public health approach to strengthening parenting. Journal of Family Psychology, 22(3), 506–517.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Cann, W., & Markie-Dadds, C. (2003a). Why a universal population-level approach to the prevention of child abuse is essential. Child Abuse Review, 12, 145–154.

    Article  Google Scholar 

  • Sanders, M. R., Markie-Dadds, C., Tully, L., & Bor, W. (2000). The Triple P-Positive Parenting Program: A comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. Journal of Consulting and Clinical Psychology, 68, 624–640.

    Article  CAS  PubMed  Google Scholar 

  • Sanders, M. R., Markie-Dadds, C., & Turner, K. M. T. (2003b). 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.

    Google Scholar 

  • Sanders, M. R., & Morawska, A. (2006). Towards a public health approach to parenting. The Psychologist, 19(8), 476–479.

    Google Scholar 

  • Sanders, M. R., & Murphy-Brennan, M. (2010). The international dissemination of the Triple P-Positive Parenting Program. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (2nd ed., pp. 519–537). New York, NY: Guilford.

    Google Scholar 

  • Sanders, M. R., & Murphy-Brennan, M. (in press). Creating conditions for success beyond the professional training environment. Clinical Psychology: Science and Practice.

  • Sanders, M. R., & Prinz, R. J. (2008a). Ethical and professional issues in the implementation of population-level parenting interventions. Clinical Psychology: Science and Practice, 15(2), 130–136.

    Article  Google Scholar 

  • Sanders, M. R., & Prinz, R. J. (2008b). Using the mass media as a population level strategy to strengthen parenting skills. Journal of Clinical Child and Adolescent Psychology, 37(3), 609–621.

    Article  PubMed  Google Scholar 

  • Sanders, M. R., Turner, K. M. T., & Markie-Dadds, C. (2002). The development and dissemination of the Triple P-Positive Parenting Program: A multilevel, evidence-based system of parenting and family support. Prevention Science, 31(3), 173–178.

    Article  Google Scholar 

  • Schoenwald, S. K., Kelleher, K., & Weisz, J. R. (2008). Building bridges to evidence-based practice: The Macarthur Foundation child system and treatment enhancement projects (Child STEPS). Administration and Policy In Mental Health, 35, 66–72.

    Article  PubMed  Google Scholar 

  • Shapiro, C., Prinz, R., & Sanders, M. R. (2008). Population-wide parenting intervention training: Initial feasibility. Journal of Child and Family Studies, 17(4), 457–466.

    Article  Google Scholar 

  • Sloboda, Z., Pyakuryal, A., Stephens, P. C., Teasdale, B., Forrest, D., Stephens, R. C., et al. (2008). Reports of substance abuse prevention programming available in schools. Prevention Science, 9(4), 276–287.

    Article  PubMed  Google Scholar 

  • Smith, B. H., McQuillin, S., & Shapiro, C. (2008). An installation-adaptation-diffusion model of university-community-school partnerships. The Community Psychologist, 42(2), 43–45.

    Google Scholar 

  • The Lewin Group. (2007). State maternal and child health early childhood comprehensive systems grant program (ECCS): Year one evaluation final report. Retrieved from http://www.state-eccs.org/pubs/seccs_y1_evalrpt.pdf.

  • Turner, K. M. T., & Sanders, M. R. (2006a). Help when it’s needed first: A controlled evaluation of brief, preventive behavioral family intervention in a primary care setting. Behavior Therapy, 37(2), 131–142.

    Article  PubMed  Google Scholar 

  • Turner, K. M. T., & Sanders, M. R. (2006b). 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.

    Article  Google Scholar 

  • US Department of Health and Human Services, Administration on Children, Youth and Families. (2006). Child maltreatment 2004. Washington, DC: Government Printing Office. Retrieved from http://www.acf.dhhs.gov/programs/cb/pubs/cm04/chapterthree.htm#age.

  • Wandersman, A. (2003). Community science: Bridging the gap between science and practice with community-centered models. American Journal of Community Psychology, 31(3/4), 227–242.

    Article  PubMed  Google Scholar 

  • Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., et al. (2008). Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41, 171–181.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Jensen, A. L., & McLeod, B. D. (2004). Development and dissemination of child and adolescent therapies: Milestones, methods, and a new deployment-focused model. In E. Hersen & P. S. Jensen (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically-based approaches (2nd ed., pp. 9–39). Washington, DC: American Psychological Association.

    Google Scholar 

  • Zakocs, R. C., Tiwari, R., Vehige, T., & DeJong, W. (2008). Roles of organizers and champions in building campus-community prevention partnerships. Journal of American College Health, 57, 233–239.

    Article  PubMed  Google Scholar 

  • Zubrick, S. R., Ward, K. A., Silburn, S. R., Lawrence, D., Williams, A. A., Blair, E., et al. (2005). Prevention of child behavior problems through universal implementation of a group behavioral family intervention. Prevention Science, 6(4), 287–304.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of South Carolina, Columbia, SC, 29206, USA

    Cheri J. Shapiro & Ronald J. Prinz

  2. Parenting and Family Support Centre, School of Psychology, University of Queensland, Brisbane, QLD, 4072, Australia

    Matthew R. Sanders

  3. University of South Carolina, 1334 Sumter St., Columbia, SC, 29201, USA

    Cheri J. Shapiro

Authors
  1. Cheri J. Shapiro
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  2. Ronald J. Prinz
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  3. Matthew R. Sanders
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Correspondence to Cheri J. Shapiro.

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An erratum to this article is available at http://dx.doi.org/10.1007/s10935-014-0364-1.

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Shapiro, C.J., Prinz, R.J. & Sanders, M.R. Population-Based Provider Engagement in Delivery of Evidence-Based Parenting Interventions: Challenges and Solutions. J Primary Prevent 31, 223–234 (2010). https://doi.org/10.1007/s10935-010-0210-z

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