背景:父母培训干预措施支持和加强育儿实践和亲子关系,并改善儿童行为。在2018年3月至2020年2月之间,一个基于社区的育儿计划进行了38个面对面的芝加哥家长计划(CPP)小组。为了应对COVID-19大流行,我们将当面CPP的递送改为使用自我给药的混合递送,与基于Web的CPP(ezParent)配对的基于Web的版本,视频会议的小组会议。
目的:本研究旨在描述基于社区的传播过程中CPP(ezParent+group)混合传递的传递过渡和实施结果。
方法:这个单组,混合方法回顾性评估使用RE-AIM(Reach,功效,收养,实施,和维护)框架。我们报告了2020年9月至2022年8月混合ezParent交付的数据。父母完成了计划前和计划后的调查,其中包括参与动机和感知的亲子行为变化。数字分析捕获了ezParent完成。主持人完成了忠诚度评估,并参加了干预后访谈。
结果:总计,24个杂种ezParent组(n=240个父母)由13个CPP训练的促进者提供。父母报告说,他们参与混合ezParent后,对该计划的满意度很高,对父母的自我效能感和孩子的行为也有所改善。平均而言,父母完成4.58(SD2.43)6ezParent模块。4个课程的平均小组出勤率为71.2%。促进者发现混合交付易于实施,并报告了父母对CPP战略的高度参与和理解。
结论:使用混合ezParent干预是一种可行且有效的父母参与方式。吸取的经验教训包括学术和基于社区的组织伙伴关系对提供和评估强大的计划的重要性。讨论了实施促进者和障碍以及未来的研究建议。
BACKGROUND: Parent training interventions support and strengthen parenting practices and parent-child relationships and improve child behavior. Between March 2018 and February 2020, a community-based parenting program conducted 38 in-person Chicago Parent Program (CPP) groups. In response to the COVID-19 pandemic, we modified the delivery of the in-person CPP to hybrid delivery using the self-administered, web-based version of the CPP (ezParent) paired with web-based, videoconferenced group sessions.
OBJECTIVE: This study aims to describe the delivery transition and implementation outcomes of the hybrid delivery of the CPP (ezParent+group) during community-based dissemination.
METHODS: This single-group, mixed methods retrospective evaluation examined the implementation outcomes using the RE-AIM (Reach, Efficacy, Adoption, Implementation, and Maintenance) framework. We report on data from hybrid ezParent delivery between September 2020 and August 2022. Parents completed pre- and postprogram surveys that included motivation to participate and perceived changes in parent-child behavior. Digital analytics captured ezParent completion. Facilitators completed fidelity assessments and participated in postintervention interviews.
RESULTS: In total, 24 hybrid ezParent groups (n=240 parents) were delivered by 13 CPP-trained facilitators. Parents reported high levels of satisfaction with the program and improvements in their feelings of parenting self-efficacy and their child\'s behavior following their participation in hybrid ezParent. On average, parents completed 4.58 (SD 2.43) 6 ezParent modules. The average group attendance across the 4 sessions was 71.2%. Facilitators found the hybrid delivery easy to implement and reported high parent engagement and understanding of CPP strategies.
CONCLUSIONS: Using the hybrid ezParent intervention is a feasible and effective way to engage parents. Lessons learned included the importance of academic and community-based organization partnerships for delivering and evaluating robust programs. Implementation facilitators and barriers and future research recommendations are discussed.