Abstract
Parenting interventions have the potential to make a significant impact to the prevention and treatment of major social and mental health problems of children. However, parenting interventions fail to do so because program developers pay insufficient attention to the broader ecological context that influences the adoption and implementation of evidence-based interventions. This context includes the professional and scientific community, end users, consumers, and broader sociopolitical environment within which parenting services are delivered. This paper presents an iterative stage model of quality assurance steps to guide ongoing research and development particularly those related to program innovations including theory building, intervention development, pilot testing, efficacy and effectiveness trials, program refinement, dissemination, and planning for implementation and political advocacy. The key challenges associated with each phase of the research and development process are identified. Stronger consumer participation throughout the entire process from initial program design to wider community dissemination is an important, but an often ignored part of the process. Specific quality assurance mechanisms are discussed that increase accountability, professional, and consumer confidence in an intervention and the evidence supporting its efficacy.
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Altman, D. G., Schulz, K. F., Moher, D., Egger, M., Davidoff, F., Elbourne, D., et al. (2001). The revised CONSORT statement for reporting randomized trials: Explanation and elaboration. Annals of Internal Medicine, 134, 663–694.
Aos, S., Lee, S., Drake, E., Pennuci, A., Klima, T., Miller, M., et al. (2011). Return on Investment: Evidence-based Options to Improve Statewide Outcomes (Document No. 11-07-1201). Olympia: Washington State Institute of Public Policy.
Axford, N., & Morpeth, L. (2013). Evidence-based programs in children’s services: A critical appraisal. Children and Youth Services Review, 35, 268–277.
Baer, D. M., Wolf, M. M., & Risley, T. R. (1968). Some current dimensions of applied behavior analysis. Journal of Applied Behavior Annals, 1, 91–97.
Blueprints for Violence Prevention. (2012). Retrieved from http://www.colorado.edu/cspv/
Bosch, M., Tavender, E., Bragge, P., Gruen, R., & Green, S. (2011). How to define ‘best practice’ for use in knowledge translation research: A practical, stepped and interactive process. Journal of Evaluation in Clinical Practice. doi:10.1111/j.1365-2753.2012.01835.x.
Brown, J., & McWilliam, J. (2012). An implementation framework for the Triple P-Positive Parenting Program. Paper presented at the 15th Helping Families Change Conference. Los Angeles: America. Retrieved from http://www.ausimplementationconference.net.au/presentations/4A-McWilliam.pdf.
Calam, R., Sanders, M. R., Miller, C., Sadhnani, V., & Carmont, S. A. (2008). Can technology and the media help reduce dysfunctional parenting and increase engagement with preventative parenting interventions. Child Maltreatment, 13, 347–361.
Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.
Crosby, P. B. (1984). Quality without tears. Singapore: McGraw-Hill.
Dadds, M. R., Sanders, M. R., Behrens, B. C., & James, J. E. (1987). Marital discord and child behavior problems: A description of family interactions during treatment. Journal of Clinical Child & Adolescent Psychology, 16, 192–203.
Dean, C., Myors, K., & Evans, E. (2003). Community-wide implementation of a parenting program: The South East Sydney Positive Parenting Project. Australian e-Journal for the Advancement of Mental Health, 2, 179–190. doi:10.5172/jamh.2.3.179.
Eisner, M. (2009). No effects in independent prevention trials: Can we reject the cynical view? Journal of Experimental Criminology, 5, 163–183. doi:10.1007/s11292-009-9071-y.
Fernandez, M., & Eyberg, S. (2009). Predicting treatment and follow-up attrition in parent-child interaction therapy. Journal of Abnormal Child Psychology, 37, 431–441. doi:10.1007/s10802-008-9281-1.
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation Research: A Synthesis of the Literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).
Flay, B. R., Biglan, A., Boruch, R. F., González Castro, F., Gottfredson, D., Kellam, S., et al. (2005). Standards of evidence: Criteria for efficacy, effectiveness and dissemination. Prevention Science, 6, 151–175.
Forehand, R., & McMahon, R. J. (1981). Helping the noncompliant child: A clinician’s guide to parent training. New York: Guilford.
Forgatch, M. S., Patterson, G. R., & Gewirtz, A. H. (2013). Looking forward: The promise of widespread implementation of parent training programs. Perspectives on Psychological Science, 8, 682–694.
Foster, E. M., Prinz, R. J., Sanders, M. R., & Shapiro, C. J. (2008). The costs of a public health infrastructure for delivering parenting and family support. Children Youth Services Review, 30, 493–501.
Gallart, S. C., & Matthey, S. (2005). The effectiveness of Group Triple P and the impact of the four telephone contacts. Behaviour Change, 22, 71–80.
Glenton, C., Lewin, S., & Scheel, I. B. (2011). Still too little qualitative research to shed light on results from reviews of effectiveness trials: A case study of a Cochrane review on the use of lay health workers. Implementation Science, 6, 53. doi:10.1186/1748-5908-6-53.
Gurwitch, R., Fernandez, S., Pearl, E., & Chung, G. (2013). Utilizing parent-child interaction therapy to help improve the outcome of military families. Retrieved from http://www.apa.org/pi/families/resources/newsletter/2013/01/parent-child-interaction.aspx.
Hanf, C. (1969). A two-stage program for modifying maternal controlling during mother-child interaction. Vancouver: Paper presented at the meeting of the Western Psychological Association.
Hutchings, J., Bywater, T., Williams, M. E., & Whitaker, C. (2012). Improvements in maternal depression as a mediator of child behaviour change. Psychology, 3, 795–801. doi:10.4236/psych.2012.329120.
Institute of Medicine. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academy Press.
Kazdin, A. E. (2003). Research design in clinical psychology (4th ed.). Needham: Allyn & Bacon.
Kazdin, A. E., & Blase, S. L. (2011). Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspectives on Psychological Science, 6, 21–37. doi:10.1177/1745691610393527.
Kazdin, A. E., & Nock, M. K. (2003). Delineating mechanisms of change in child and adolescent therapy: Methodological issues and research recommendations. Journal of Child Psychology and Psychiatry, 44, 1116–1129.
Kirby, J. N., & Sanders, M. R. (2014). A randomized controlled trial evaluating a parenting program designed specifically for grandparents. Behaviour Research and Therapy, 52, 35–44.
Lieberman, A. F., & Zeanah, C. H. (1999). Contributions of attachment theory to infant–parent psychotherapy and other interventions with infants and young children. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 555–574). New York: Guilford.
Little, M. (2010). Looked after children: Can existing services ever succeed? Adoption and Fostering Journal, 34, 3–7. doi:10.1177/030857591003400202.
Little, M., Berry, V., Morpeth, L., Blower, S., Axford, N., Taylor, R., et al. (2012). The impact of three evidence-based programmes delivered in public systems in Birmingham, UK. International Journal of Conflict and Violence, 6, 260–272.
Mazzucchelli, T. G., & Sanders, M. R. (2010). Facilitating practitioner flexibility within evidence-based practice: Lessons from a system of parenting support. Clinical Psychology: Science & Practice, 17, 238–252.
Metzler, C. W., Sanders, M. R., Rusby, J. C., & Crowley, R. N. (2012). Using consumer preference information to increase the reach and impact of media-based parenting interventions in a public health approach to parenting support. Behavior Therapy, 43, 257–270.
Morawska, A., Haslam, D., Milne, D., & Sanders, M. R. (2011). Evaluation of a brief parenting discussion group for parents of young children. Journal of Developmental and Behavioral Pediatrics, 32, 136–145.
National Academy of Parenting Research (NAPR) (2011). Retrieved from: http://www.parentingresearch.org.uk/Default.aspx.
National Implementation Research Network. (2012). Retrieved from http://nirn.fpg.unc.edu/.
National Institute of Health (NIH) (2013). Retrieved from http://prevention.nih.gov/phases/default.aspx.
National Research Council & Institute of Medicine. (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities (M. E. O’Connell, T. Boat, & K. E. Warner, Eds.). Washington, DC: National Academies Press.
Olds, D., Henderson, C. R., Cole, R., Eckenrode, J., Kitzman, H., Luckey, D., et al. (1998). Long-term effects of nurse home visitation on children’s criminal and antisocial behavior: Fifteen-year follow-up of a randomized controlled trial. Journal of the American Medical Association, 14, 1238–1244.
Olds, D. L., Hill, P. L., O’Brien, R., Racine, D., & Mortiz, P. (2003). Taking preventive intervention to scale: The nurse-family partnership. Cognitive and Behavioral Practice, 10, 278–290.
Patterson, G. R., Reid, J. B., Jones, R. R., & Conger, R. E. (1975). A social learning theory approach to family intervention: Volume I. Families with aggressive children. Eugene: Castalia Publishing Co.
Paul, G. L. (1967). Strategy of outcome research in psychotherapy. Journal of Consulting Psychology, 31, 109–118.
Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P system population trial. Prevention Science, 10, 1–12.
Rogers, E. M. (1995). Diffusion of innovations. New York: Free Press.
Rounsaville, B. J., Carroll, K. M., & Onken, L. S. (2001). A stage model of behavioral therapies research: Getting started and moving on from stage I. Clinical Psychology: Science and Practice, 8(2), 133–142.
Sanders, M. R. (2012). Development, evaluation, and multinational dissemination of the Triple P-Positive Parenting Program. Annual Review of Clinical Psychology, 8, 1–35.
Sanders, M. R., & Murphy-Brennan, M. (2010). Creating conditions for success beyond the professional training environment. Clinical Psychology: Science and Practice, 17, 31–35.
Sanders, M. R., Prior, J., & Ralph, A. (2009). An evaluation of a brief universal seminar series on positive parenting: A feasibility study. Journal of Children’s Services, 4, 4–20.
Sanders, M. R., Baker, S., & Turner, K. M. T. (2012). A randomized controlled trial evaluating the efficacy of Triple P Online with parents of children with early-onset conduct problems. Behaviour Research and Therapy, 50, 675–684.
Schrepferman, L., & Snyder, J. (2002). Coercion: The link between treatment mechanisms in behavioral parent training and risk reduction in child antisocial behavior. Behavior Therapy, 33, 339–359.
Shapiro, C. J., Prinz, R. J., & Sanders, M. R. (2012). Facilitators and barriers to implementation of an evidence-based parenting intervention to prevent child maltreatment: The triple P-positive parenting program. Child Maltreatment, 17, 86–95. doi:10.1177/1077559511424774.
Sherman, L. W., & Strang, H. (2009). Testing for analysts’ bias in crime prevention experiments: Can we accept Eisner’s one-tailed test? Journal of Experimental Criminology, 5, 185–200. doi:10.1007/s11292-009-9073-9.
Shewhart, W. A. (1931). Economic control of quality of manufactured product. New York: D. Van Nostrand.
Spoth, E., & Redmond, C. (1993). Identifying program preferences through conjoint analysis: Illustrative results from a parent sample. American Journal of Health Promotion, 8, 124–133.
Stein, Z., & Heikkinen, K. (2009). Models, metrics, and measurements in developmental psychology. Integral Review, 5, 4–24.
Torre, M. E., & Fine, M. (2006). Researching and resisting: Democratic policy research by and for youth. In S. Ginwright, J. Cammarota, & P. Noguera (Eds.), Beyond resistance: Youth activism and community change: New democratic possibilities for policy and practice for America’s youth (pp. 269–285). New York: Rutledge.
Valentine, J. C., Biglan, A., Boruch, R. F., Castro, F. G., Collins, L. M., Flay, B. R., et al. (2011). Replication in prevention science. Prevention Science, 12, 103–117. doi:10.1007/s11121-011-0217-6.
Webster-Stratton, C. (1998). Preventing conduct problems in Head Start children: Strengthening parenting competencies. Journal of Consulting and Clinical Psychology, 66, 715–730. doi:10.1037/0022-006X.66.5.715.
Weigold, M. F. (2001). Communicating science: A review of the literature. Science Communication, 23, 164–193. doi:10.1177/1075547001023002005.
Whittingham, K., Wee, D., Sanders, M. R., & Boyd, R. (2012). Predictors of psychological adjustment, experienced parenting burden and chronic sorrow symptoms in parents of children with cerebral palsy. Child: Care Health and Development, 39, 366–373. doi:10.1111/j.1365-2214.2012.01396.x.
Whyte, W. F., Greenwood, D. J., & Lazes, P. (1989). Participatory action research: Through practice to science in social research. American Behavioral Scientist, 32, 513–551.
Winston, F. K., & Jacobsohn, L. (2010). A practical approach for applying best practices in behavioural interventions to injury prevention. Injury Prevention, 16, 107–112. doi:10.1136/ip.2009.021972a.
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Sanders, M.R., Kirby, J.N. Surviving or Thriving: Quality Assurance Mechanisms to Promote Innovation in the Development of Evidence-Based Parenting Interventions. Prev Sci 16, 421–431 (2015). https://doi.org/10.1007/s11121-014-0475-1
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DOI: https://doi.org/10.1007/s11121-014-0475-1