Adaptation of an evidence-based parenting intervention for integration into maternal-child home-visiting programs: Challenges and solutions.
Adaptation of an evidence-based parenting intervention for integration into maternal-child home-visiting programs: Challenges and solutions.
复制标题
适应基于证据的育儿干预措施将其整合到母子家庭访问计划中：挑战和解决方案。
DOI：
10.1177/26334895221151029
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发表时间：
2023-01
影响因子：
--
通讯作者：
Feinberg, Emily
中科院分区：
文献类型：
--
作者：
Peacock-Chambers, Elizabeth;Moran, Michael;Clark, Maria Carolina;Borelli, Jessica L.;Byatt, Nancy;Friedmann, Peter D.;Suchman, Nancy E.;Feinberg, Emily
关键词：
本研究的目的是评估潜在的挑战，优先调整，并制定一个实施和研究的方法，整合和研究的母亲在社区为基础的家访计划从物质使用障碍的恢复亲职干预。一个解释性的混合方法设计，指导过程映射与故障模式和影响分析工具，和一个咨询小组的15个社区成员，确定潜在的实施挑战和建议的解决方案，在五个预先指定的领域拟议的干预。专题内容分析从详细的实地记录中确定了专题。咨询小组确定了所有领域的44项潜在挑战。他们确定，招聘领域最有可能带来挑战。关于潜在的挑战，出现了两个跨领域的主题：（1）在社区中发展不信任和（2）难以启动和维持参与。潜在的解决方案和适应协议的报告。社区中的不信任被认为是一个潜在的重要挑战，通过家访方案为恢复中的母亲提供和研究基于证据的育儿干预。需要调整研究协议和干预措施提供战略，以优先考虑家庭的心理安全，特别是对那些在历史上被污名化的群体。针对妇女和儿童的有效循证公共卫生干预措施在社区环境中面临着共同的执行挑战，参与者的收益往往较低。适应可以改善这些环境中干预措施的整合。在这项研究中，执行过程绘图是一个特别有效的方法，以适应一个复杂的社区为基础的干预，已被污名化的人口。这一工具可能有助于调整其他基于社区的干预措施。
The objective of this study was to assess potential challenges, prioritize adaptations, and develop an implementation and research approach to integrate and study a parenting intervention for mothers in recovery from substance use disorders in community-based home-visiting programs. An explanatory mixed-methods design, guided by process mapping with Failure Modes and Effects Analysis tools, and an Advisory Panel of 15 community members, identified potential implementation challenges and recommended solutions for the proposed intervention within five pre-specified domains. Thematic content analysis identified themes from detailed field notes. The Advisory Panel identified 44 potential challenges across all domains. They determined that the recruitment domain was most likely to create challenges. Regarding the potential challenges, two cross-domain themes emerged: (1) development of mistrust in the community and (2) difficulty initiating and sustaining engagement. Potential solutions and adaptations to protocols are reported. Mistrust in the community was cited as a potentially important challenge for the delivery and study of an evidence-based parenting intervention for mothers in recovery through home-visiting programs. Adaptations to research protocols and intervention delivery strategies are needed to prioritize the psychological safety of families, particularly for groups that have been historically stigmatized. Effective evidence-based public health interventions for women and children face common implementation challenges in community-based settings, frequently yielding lower benefits to participants. Adaptation can improve the integration of interventions in these settings. In this study, implementation process mapping was a particularly effective approach to adapt a complex community-based intervention to a population that has been stigmatized. This tool may be useful for adapting other community-based interventions.
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影响因子：
3.3
作者：
Suchman NE;DeCoste CL;McMahon TJ;Dalton R;Mayes LC;Borelli J
通讯作者：
Borelli J
履行道德责任：超越保护人类受试者免受研究伤害的最低标准。
DOI：
10.1353/cpr.2015.0021
发表时间：
2015
期刊：
Progress in community health partnerships : research, education, and action
影响因子：
--
作者：
Hébert JR;Satariano WA;Friedman DB;Armstead CA;Greiner A;Felder TM;Coggins TA;Tanjasiri S;Braun KL
通讯作者：
Braun KL
影响因子：
1.9
作者：
Edwards, A.;Brebner, C.;MacDougall, C.
通讯作者：
MacDougall, C.
影响因子：
4.8
作者：
Harp, Kathi L. H.;Oser, Carrie B.
通讯作者：
Oser, Carrie B.
影响因子：
12.7
作者：
Scheirer, Mary Ann;Dearing, James W.
通讯作者：
Dearing, James W.