PDF(Pubmed)
Abstract：
The quality of parenting program implementation significantly affects the extent to which a program is delivered effectively as well as the likelihood of it becoming embedded in everyday services. The group based Parenting for Lifelong Health for Young Children (PLH-YC) program for parents of children aged 2-9 years was developed specifically for implementation in low- and middle-income contexts, has been tested in five randomized trials, and incorporates a number of strategies to encourage fidelity of delivery. This paper reports on the introduction of PLH-YC to Montenegro, including initial work to engage government agencies and service providers, adapt the program and, following initial evidence of effectiveness, implement strategies to promote effective delivery and embed the program. Following program adaptation and initial facilitator training, eight groups were run, supported with resources and supervision and independently evaluated. The successful pilot led to program training accreditation by national professional agencies and a series of steps to successfully further embed it into routine settings in Montenegro, including by recognizing the program in national policy documents. This led to further facilitator trainings, now numbering 97 facilitators and the certification of ten coaches and two trainers. By the end of 2023, 1278 parents, across 13 municipalities (half of all municipalities in Montenegro) and a range of service providers, have received the program. The paper describes the project phases and key fidelity components that underpinned the successful introduction and embedding of the program in Montenegro. The plan has resulted in Montenegro having its own domestic resources to continue to implement the program effectively and further plan for widespread dissemination.
摘要：
育儿计划实施的质量显着影响计划的有效交付程度以及将其嵌入日常服务中的可能性。针对2-9岁儿童父母的基于小组的终身健康育儿计划（PLH-YC）是专门为在低收入和中等收入环境中实施而制定的，已经在五项随机试验中进行了测试，并结合了许多策略来鼓励交付的保真度。本文报道了PLH-YC引入黑山的情况，包括与政府机构和服务提供商合作的初步工作，调整程序，在最初的有效性证据之后，实施策略以促进有效交付并嵌入该计划。在计划适应和初始主持人培训之后，八组跑了，支持资源和监督，并独立评估。成功的试点导致国家专业机构对计划培训进行认证，并采取了一系列步骤，将其成功地进一步嵌入黑山的常规环境中，包括在国家政策文件中承认该计划。这导致了进一步的主持人培训，现在有97名主持人，10名教练和2名教练的认证。到2023年底，1278父母，在13个城市（黑山所有城市的一半）和一系列服务提供商中，已经收到了程序。本文介绍了项目阶段和关键保真度组件，这些组件是该计划在黑山成功引入和嵌入的基础。该计划使黑山拥有自己的国内资源，以继续有效执行该方案，并进一步计划广泛传播。
