Service Providers’ Adherence to an Evidence-Based Parenting Program: What are They Missing and Why?

Taylor, Whitney D.; Asgary-Eden, Veronica; Lee, Catherine M.; LaRoche, Kathryn J.

doi:10.1007/s10826-013-9812-4

Cited by 15 publications

(11 citation statements)

References 45 publications

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“…There is a high probability that EBPs will be adapted by therapists when delivered in community settings (e.g., Stern et al, 2007; Taylor et al, 2015). Thus, it is advisable to engage with providers in a dialogue around dissemination to systematically plan for the eventuality of local adaptations (Aarons et al, 2012; Cabassa & Baumann, 2013; Chambers & Norton, 2016; Foa et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Therapist report of adaptations to delivery of evidence-based practices within a system-driven reform of publicly funded children’s mental health services.

Lau

Barnett

Stadnick

et al. 2017

Journal of Consulting and Clinical Psychology

100

105

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Objective This study examined clinical adaptations reported by community therapists to multiple evidence-based practices (EBPs) currently implemented in children’s mental health services. Based on an item set informed by Stirman and colleagues’ model (2015), two factors emerged describing Augmenting adaptations and Reducing/Reordering adaptations. We employed multilevel modeling to examine therapist- and practice-level predictors of therapist reports of each type of adaptation. Method Data were drawn from an online survey, including a novel therapist report measure of EBP adaptations, completed by 572 therapists (89.2% female, Mage = 37.08 years, 33.4% Non-Hispanic White) delivering EBPs in the context of a system-driven, fiscally mandated implementation effort. Results Analyses revealed that the two types of therapist adaptations (Augmenting and Reducing/Reordering) could be readily discriminated, with therapists reporting significantly more Augmenting than Reducing/Reordering adaptations. Therapists of Hispanic/Latino ethnicity and with fewer years of experience reported more extensive Augmenting adaptations, but no therapist background characteristics were associated with Reducing/Reordering adaptations. Therapists’ general attitudes that EBPs diverged from their personal approach to therapy were associated with reporting more Augmenting and Reducing/Reordering adaptations. In contrast, negative perceptions toward the specific EBP predicted Reducing/Reordering adaptations, but not Augmenting adaptations. Conclusions Community therapist reports suggest that most adaptations undertaken involve engaging with the practice to augment the fit of the EBPs for local contexts; however, when practices were perceived negatively, therapists were more likely to make adaptations reducing or rearranging components.

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Section: Discussionmentioning

confidence: 99%

Therapist report of adaptations to delivery of evidence-based practices within a system-driven reform of publicly funded children’s mental health services.

Lau

Barnett

Stadnick

et al. 2017

Journal of Consulting and Clinical Psychology

100

105

View full text Add to dashboard Cite

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“…Canadian applications of Triple P have included analysis of clinical measures at a practitioner and agency level, and process evaluations exploring, for example, facilitators and barriers to parent participation (e.g., Houlding, Schmidt, Stern, Jamieson, & Bord, 2012) and practitioner adherence (e.g., Taylor, Asgary-Eden, Lee, & LaRoche, 2015). A Social Sciences and Humanities Research Council of Canada-funded study ongoing in parts of Quebec will offer the first Canadian population outcome formal evaluation of Triple P (focused on child maltreatment).…”

Section: The Triple P Positive Parenting Programmentioning

confidence: 99%

Supporting Parenting to Promote Children's Social and Emotional Well-being

Smith

Brown

Feldgaier

et al. 2015

Canadian Journal of Community Mental Health

Self Cite

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The effects of parenting on the healthy development of children and adolescents, and on preventing behavioural, emotional, and social problems, are pervasive. A public health approach to parent education and support can have major impact on the mental health of Canadians. Many of the values and strategic directions advocated by the Mental Health Commission of Canada can be realized in a population-based system for parent support such as the Triple P Positive Parenting Program. Triple P's core principles, program components, and means of implementation are described, with illustrations from across Canada.Keywords: parenting support, children's well-being, population-level interventions, Mental Health Commission of Canada, Triple P Positive Parenting Program RÉSUMÉLes parents jouent un rôle clé dans le développement des enfants et des jeunes, ainsi que dans la prévention des problèmes comportementaux, émotionnels et sociaux. Une approche axée sur la santé publique à l'égard de l'éducation et de l'appui aux parents pourrait avoir un impact majeur sur la santé mentale

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“…Existing literature suggests that therapist experience may be associated with aspects of EBP implementation, although results are mixed. One study found that therapists with more experience showed higher adherence to EBP processes and exercises and thus made fewer adaptations, while less experience was associated with increased omission of EBP elements (Taylor, Asgary‐Eden, Lee, & LaRoche, 2015). In contrast, other studies have found that therapists with fewer years of experience were more likely to augment EBPs (Lau et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

How community therapists describe adapting evidence‐based practices in sessions for youth: Augmenting to improve fit and reach

Kim

Brookman‐Frazee

Barnett

et al. 2020

Journal Community Psychology

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The study sought to (a) characterize the types and frequency of session-level adaptations made to multiple evidencebased practices (EBPs) and (b) identify therapist-, client-, and session-level predictors of adaptations. Within the community implementation of multiple EBPs, 103 community mental health therapists reported on 731 therapy sessions for 280 clients. Therapists indicated whether they adapted EBPs in specific sessions and described adaptations in open-ended responses. Responses were coded using the Augmenting and Reducing adaptations framework. Therapists reported making adaptations in 59% of sessions. Augmenting adaptations were reported more frequently than Reducing adaptations. Multilevel logistic regression analyses revealed that greater therapist openness to EBPs, younger child age, and presenting problems was associated with Augmenting adaptations. Child presenting problem of externalizing problems predicted fewer Reducing adaptations compared with internalizing problems. This study extends the growing research examining adaptations within the context of the system-driven implementation of multiple EBPs by applying the Augmenting and Reducing adaptation framework to the session-level.

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Service Providers’ Adherence to an Evidence-Based Parenting Program: What are They Missing and Why?

Cited by 15 publications

References 45 publications

Therapist report of adaptations to delivery of evidence-based practices within a system-driven reform of publicly funded children’s mental health services.

Therapist report of adaptations to delivery of evidence-based practices within a system-driven reform of publicly funded children’s mental health services.

Supporting Parenting to Promote Children's Social and Emotional Well-being

How community therapists describe adapting evidence‐based practices in sessions for youth: Augmenting to improve fit and reach

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