The Cascading Effects of Multiple Dimensions of Implementation on Program Outcomes: a Test of a Theoretical Model.
The Cascading Effects of Multiple Dimensions of Implementation on Program Outcomes: a Test of a Theoretical Model.
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DOI：
10.1007/s11121-017-0855-4
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发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
Brown CH
中科院分区：
文献类型：
--
作者：
Berkel C;Mauricio AM;Sandler IN;Wolchik SA;Gallo CG;Brown CH
本研究测试了一个理论级联模型，在该模型中，促进者交付的多个维度预测参与者响应度的指标，这反过来又导致有针对性的计划成果的改善。与四个县级家庭法院合作，对离婚家庭的10次新开端方案进行了有效性试验。这项研究包括366个家庭分配到干预条件谁参加了至少一次会议。独立观察员提供了方案交付的评级（即，对课程和过程质量的忠诚度）。主持人报告了家长的出勤率和家长在家庭实践方案技能的能力。在前测和后测中，儿童报告了父母的养育方式，父母报告了儿童的心理健康状况。我们假设的影响，出勤率，忠诚度和出勤率对家庭的做法，家庭的做法，改善父母和儿童心理健康的质量。结构方程模型与调解和适度分析被用来测试这些协会。结果表明，质量显着相关的出勤率和出席缓和的影响，忠实的家庭实践。家庭实践是一个显着的中介之间的联系，忠诚和改善亲子关系质量和儿童外化和内化的问题。研究结果提供了支持保真度的课程，过程质量，出勤率，和家庭实践作为有效的预测程序的结果为母亲和父亲。未来的方向进行了讨论，以评估在社区环境中的实施。
This study tests a theoretical cascade model in which multiple dimensions of facilitator delivery predict indicators of participant responsiveness, which in turn lead to improvements in targeted program outcomes. An effectiveness trial of the 10-session New Beginnings Program for divorcing families was implemented in partnership with four county-level family courts. This study included 366 families assigned to the intervention condition who attended at least one session. Independent observers provided ratings of program delivery (i.e., fidelity to the curriculum and process quality). Facilitators reported on parent attendance and parents’ competence in home practice of program skills. At pretest and posttest, children reported on parenting and parents reported child mental health. We hypothesized effects of quality on attendance, fidelity and attendance on home practice, and home practice on improvements in parenting and child mental health. Structural Equation Modeling with mediation and moderation analyses were used to test these associations. Results indicated quality was significantly associated with attendance and attendance moderated the effect of fidelity on home practice. Home practice was a significant mediator of the links between fidelity and improvements in parent-child relationship quality and child externalizing and internalizing problems. Findings provide support for fidelity to the curriculum, process quality, attendance, and home practice as valid predictors of program outcomes for mothers and fathers. Future directions for assessing implementation in community settings are discussed.
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DOI：
10.1080/10705519909540118
发表时间：
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影响因子：
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作者：
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