大量证据表明,育儿计划对儿童和家庭产生积极影响,突出了大规模实施这些计划的潜在公共卫生益处。尽管有证据和全球关注,除了通过随机试验高度控制的育儿计划,对计划的有效性或如何解释在社区环境中实施时通常观察到的较差结果知之甚少。研究人员,从业者,和政策制定者必须共同努力,以确定在现实世界的服务系统中促进采用和维持基于证据的育儿计划所需要的东西,以及如何通过这些系统交付时提高计划的有效性。收集,分析,使用促进者保真度数据是研究人员和从业人员可以做出贡献的重要前沿。在这篇评论中,我们概述了评估促进者保真度和利用这些评估产生的数据的价值;描述研究中的差距,知识,和实践;并推荐研究和实践方向。在提出建议时,我们描述了一个协作过程,以制定初步指南-育儿计划实施指南或FIPP-在报告促进者保真度时使用。请读者完成在线调查,以提供对指南初稿的意见和反馈。
■在线版本包含10.1007/s43477-023-00092-5提供的补充材料。
The sizeable body of evidence indicating that parenting programs have a positive impact on children and families highlights the potential public health benefits of their implementation on a large
scale. Despite evidence and global attention, beyond the highly controlled delivery of parenting programs via randomized trials, little is known about program effectiveness or how to explain the poorer results commonly observed when implemented in community settings. Researchers, practitioners, and policymakers must work together to identify what is needed to spur adoption and sustainment of evidence-based parenting programs in real-world service systems and how to enhance program effectiveness when delivered via these systems. Collecting, analyzing, and using facilitator fidelity data is an important frontier through which researchers and practitioners can contribute. In this commentary, we outline the value of assessing facilitator fidelity and utilizing the data generated from these assessments; describe gaps in research, knowledge, and practice; and recommend directions for research and practice. In making recommendations, we describe a collaborative process to develop a preliminary
guideline-the Fidelity of Implementation in Parenting Programs
Guideline or FIPP-to use when reporting on facilitator fidelity. Readers are invited to complete an online survey to provide comments and feedback on the first draft of the
guideline.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s43477-023-00092-5.