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Abstract：
There is increasing interest about the fidelity with which interventions are implemented because it is theorized that better implementation fidelity by facilitators is associated with better participant outcomes. However, in the parenting program literature, there is mixed evidence on the relationship between implementation fidelity and outcomes. This paper provides a synthesis of the evidence on the relationship between facilitator delivery and outcomes in the parenting program literature. Following PRISMA guidelines, this paper synthesizes the results of a systematic review of studies on parenting programs aiming to reduce violence against children and child behavior problems. Specifically, it examines associations between observational measures of facilitator competent adherence and parent and child outcomes. A meta-analysis was not feasible due to study heterogeneity. As a result, Synthesis Without Meta-Analysis guidelines were followed. Searches in electronic databases, reference searching, forward citation tracking, and expert input identified 9653 articles. After screening using pre-specified criteria, 18 articles were included. The review found that most studies (n = 13) reported a statistically significant positive relationship with at least one parent or child outcome. However, eight studies reported inconsistent findings across outcomes, and four studies found no association with outcomes. The results suggest that better facilitator competent adherence is generally associated with positive parent and child outcomes. However, this finding is weakened by the methodological heterogeneity of included studies and due to the wide variety of ways in which studies conceptualized competent adherence-outcome relationships.
摘要：
人们对实施干预措施的保真度越来越感兴趣，因为从理论上讲，主持人更好的实施保真度与更好的参与者结果相关。然而,在育儿计划文献中，关于实施保真度和结果之间的关系，有混合的证据。本文提供了有关育儿计划文献中促进者交付与结果之间关系的证据的综合。按照PRISMA准则,本文综合了旨在减少暴力侵害儿童和儿童行为问题的育儿计划研究的系统综述结果。具体来说,它研究了促进者胜任力依从性的观察指标与父母和儿童结局之间的关联.由于研究的异质性，荟萃分析不可行。因此,遵循没有荟萃分析指南的综合。在电子数据库中搜索，引用搜索,正向引用跟踪，专家意见确定了9653篇文章。使用预先指定的标准进行筛选后，共包括18篇文章。该综述发现，大多数研究（n=13）报告与至少一个父母或子女结局具有统计学意义的正相关关系。然而,八项研究报告了不同结果的不一致发现，4项研究发现与结局无关.结果表明，更好的促进者胜任的依从性通常与积极的父母和子女结果相关。然而,纳入研究的方法学异质性以及研究概念化有能力的依从性-结果关系的方式多种多样,削弱了这一发现.
