Adaptations in a Community-Based Family Intervention: Replication of Two Coding Schemes
Adaptations in a Community-Based Family Intervention: Replication of Two Coding Schemes
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DOI：
10.1007/s10935-015-0413-4
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发表时间：
2016-02-01
影响因子：
1.7
通讯作者：
Hill, Laura
中科院分区：
文献类型：
--
作者：
Cooper, Brittany Rhoades;Shrestha, Gitanjali;Hill, Laura
尽管项目适应在以社区为基础的基于证据的项目实施中是一个现实，但关于适应的许多讨论仍然停留在理论层面。本研究的主要目的是复制两种编码系统，以检查大规模社区传播的父母和青少年加强家庭计划10-14的适应性，这是一个以家庭为基础的药物使用预防计划。我们的第二个目标是探索促进者从这两种编码系统中报告的适应性的各个维度之间的交集。我们的研究结果表明，只有少数类型的适应和少数原因占所有报告的适应的大多数（超过70%）。我们还发现，大多数调整都是逻辑的、被动的，与项目目标不一致。在许多方面，我们的研究结果重复了原始研究的结果，表明这两种编码系统即使应用于从社区实施中收集的自我报告数据也是稳健的。我们关于适应维度之间关联的发现可以为未来评估适应与项目结果之间关系的研究提供信息。像目前这样的地方适应性研究应该有助于研究人员、项目开发者和政策制定者更好地理解实施者面临的问题，并指导与项目开发、可转移性和可持续性相关的工作。
Although program adaptation is a reality in community-based implementations of evidence-based programs, much of the discussion about adaptation remains theoretical. The primary aim of this study was to replicate two coding systems to examine adaptations in large-scale, community-based disseminations of the Strengthening Families Program for Parents and Youth 10-14, a family-based substance use prevention program. Our second aim was to explore intersections between various dimensions of facilitator-reported adaptations from these two coding systems. Our results indicate that only a few types of adaptations and a few reasons accounted for a majority (over 70 %) of all reported adaptations. We also found that most adaptations were logistical, reactive, and not aligned with program's goals. In many ways, our findings replicate those of the original studies, suggesting the two coding systems are robust even when applied to self-reported data collected from community-based implementations. Our findings on the associations between adaptation dimensions can inform future studies assessing the relationship between adaptations and program outcomes. Studies of local adaptations, like the present one, should help researchers, program developers, and policymakers better understand the issues faced by implementers and guide efforts related to program development, transferability, and sustainability.