关键词: Dissemination Evidence-based practice implementation Parenting Scale-up Violence against children

来  源:   DOI:10.1186/s43058-020-00086-6   PDF(Pubmed)

Abstract:
UNASSIGNED: Eliminating violence against children is a prominent policy goal, codified in the Sustainable Development Goals, and parenting programs are one approach to preventing and reducing violence. However, we know relatively little about dissemination and scale-up of parenting programs, particularly in low- and middle-income countries (LMICs). The scale-up of two parenting programs, Parenting for Lifelong Health (PLH) for Young Children and PLH for Parents and Teens, developed under Creative Commons licensing and tested in randomized trials, provides a unique opportunity to study their dissemination in 25 LMICs.
UNASSIGNED: The Scale-Up of Parenting Evaluation Research (SUPER) study uses a range of methods to study the dissemination of these two programs. The study will examine (1) process and extent of dissemination and scale-up, (2) how the programs are implemented and factors associated with variation in implementation, (3) violence against children and family outcomes before and after program implementation, (4) barriers and facilitators to sustained program delivery, and (5) costs and resources needed for implementation.Primary data collection, focused on three case study projects, will include interviews and focus groups with program facilitators, coordinators, funders, and other stakeholders, and a summary of key organizational characteristics. Program reports and budgets will be reviewed as part of relevant contextual information. Secondary data analysis of routine data collected within ongoing implementation and existing research studies will explore family enrolment and attendance, as well as family reports of parenting practices, violence against children, child behavior, and child and caregiver wellbeing before and after program participation. We will also examine data on staff sociodemographic and professional background, and their competent adherence to the program, collected as part of staff training and certification.
UNASSIGNED: This project will be the first study of its kind to draw on multiple data sources and methods to examine the dissemination and scale-up of a parenting program across multiple LMIC contexts. While this study reports on the implementation of two specific parenting programs, we anticipate that our findings will be of relevance across the field of parenting, as well as other violence prevention and social programs.
摘要:
消除对儿童的暴力行为是一个突出的政策目标,可持续发展目标,育儿计划是预防和减少暴力的一种方法。然而,我们对育儿计划的传播和扩大了解相对较少,特别是在低收入和中等收入国家(LMICs)。扩大两个育儿计划,为幼儿提供终身健康育儿(PLH),为父母和青少年提供PLH,在知识共享许可下开发并在随机试验中进行测试,提供了一个独特的机会来研究它们在25个LMICs中的传播。
育儿评估研究(SUPER)研究使用一系列方法来研究这两个程序的传播。这项研究将审查(1)传播和扩大的过程和程度,(2)程序是如何实施的,以及与实施变化相关的因素,(3)方案实施前后对儿童的暴力和家庭结果,(4)持续项目交付的障碍和促进者,(5)实施所需的成本和资源。主要数据收集,专注于三个案例研究项目,将包括与计划主持人的访谈和焦点小组,协调员,资助者,和其他利益相关者,以及关键组织特征的摘要。计划报告和预算将作为相关上下文信息的一部分进行审查。在正在进行的实施和现有研究中收集的常规数据的次要数据分析将探讨家庭入学率和出勤率,以及育儿实践的家庭报告,暴力侵害儿童,儿童行为,以及参与计划之前和之后的儿童和照顾者福祉。我们还将检查有关员工社会人口统计和专业背景的数据,以及他们对该计划的称职坚持,作为员工培训和认证的一部分收集。
该项目将是第一个利用多种数据源和方法来检查跨多个LMIC背景的育儿计划的传播和扩展的研究。虽然这项研究报告了两个具体的育儿计划的实施情况,我们预计我们的发现将与育儿领域相关,以及其他预防暴力和社会计划。
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