In both Indigenous and non-Indigenous populations, research clearly links evidence-based parenting programs to decreases in child behavior problems, dysfunctional parenting, and child abuse and maltreatment. However, Indigenous families often do not have adequate opportunities to access these programs. This is due to a number of compounding program, service organization, process and interaction factors that are reviewed and evaluated in this thesis.Chapter 1 provides a rationale and overview for evaluating factors that impact initial and long-term use of evidence-based programs (EBPs). It presents the case for developing and evaluating a framework of supports for sustainment of EBPs developed specifically for providers working in disadvantage communities. The research plan presented involves: a systematic review and conceptual framework of barriers and enablers to implementation and sustainment in real-world practice settings; development and validation of a scale measuring inhibitors and enablers to program sustainment; and evaluation of outcomes for implementation and sustainment for providers who are trained in the Triple P -Positive Parenting Program, as an example EBP, both internationally in varied service settings and specifically for Indigenous Australians working in the child protection sector.Chapter 2 presents a review of the literature (submitted for publication) pertaining to provider implementation and sustainment of EBPs with families and communities experiencing disadvantage. Important factors that facilitate success and create barriers to program sustainment are synthesized into key themes. These themes are drawn on to develop the Sustained Implementation Support Framework for EBPs. The need to develop a conceptual framework and a measure to guide and evaluate EBP implementation in community settings is established.Chapter 3 outlines the preliminary validation of a measure, the Sustained Implementation Support Scale, of enablers and inhibitors (program benefits, program burden, workplace support, workplace cohesion and leadership style) to EBP sustainment (submitted for publication). This study demonstrated that practitioners sustaining implementation at least three years post training were more likely to have supervision/peer support, reported higher levels of program benefit, workplace support and positive leadership style, and lower program burden compared to practitioners who were non-sustainers. Workplace cohesion was not significantly related to iii sustained implementation. This highlights the potential benefit of using an evaluation measure to assess service provider perceptions of sustainment inhibitors and enablers to enhance capacity to sustain EBPs.Chapter 4 consists of a paper (submitted for publication) reporting on the use of the
Statement of parts of the thesis submitted to qualify for the award of another degreeNone.ix Acknowledgements