Taking preventive intervention to scale: The nurse-family partnership

Olds, David L.; Hill, Peggy; O’Brien, Ruth; Racine, David; Moritz, Pat

doi:10.1016/s1077-7229(03)80046-9

Cited by 119 publications

(95 citation statements)

References 33 publications

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“…We hypothesize that the initial train-the-trainer model was somewhat naïve and that without structures in place for ongoing support across the multiple levels of authority and organization, practices are not likely to be maintained. This conclusion is in keeping with the research on sustainability and implementation of programs in schools McLaughlin, 1975, 1978;Datnow and Castellano, 2000;Elliott and Mihalic, 2004;Greenwood et al, 1975;McLaughlin, 1990;Olds et al, 2003). We have begun to explore the types of support structures and the level of monitoring and mentoring required for reaching and maintaining precision of practice over time.…”

Section: Next Stage Of Researchmentioning

confidence: 56%

Impact of the Good Behavior Game, a universal classroom-based behavior intervention, on young adult service use for problems with emotions, behavior, or drugs or alcohol

Poduska¹,

Kellam²,

Wang³

et al. 2008

Drug and Alcohol Dependence

110

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Background-The Good Behavior Game (GBG) is a classroom behavior management strategy focused on socializing children to the role of student and aimed at reducing early aggressive, disruptive behavior, a confirmed antecedent to service use. The GBG was tested in a randomized field trial in 19 elementary schools in two cohorts of children as they attended first and second grades. This article reports on the impact of the GBG on service use through young adulthood.Methods-Three or four schools in each of five urban areas were matched and randomly assigned to one of three conditions: 1) GBG, 2) an intervention aimed at academic achievement, or 3) the standard program of the school system. Children were assigned to classrooms to ensure balance, and teachers and classrooms were randomly assigned to intervention conditions.Results-This study provides evidence of a positive impact of a universal preventive intervention on later service use by males, although not by females, for problems with emotions, behavior, or drugs or alcohol. For both cohorts, males in GBG classrooms who had been rated as highly aggressive, disruptive by their teachers in the fall of first grade had a lower rate of school-based service use than their counterparts in control classrooms.Phone: 410-347-8553, Email: jpoduska@air.org. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Replication-The design employed two cohorts of students. Although both first-and second-grade teachers received less training and support with the second cohorts of students than with the first cohort, the impact of GBG was similar across both cohorts. NIH Public Access KeywordsGood Behavior Game; developmental epidemiology; universal prevention; classroom behavior management; aggressive behavior; mental health service use

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Section: Next Stage Of Researchmentioning

confidence: 56%

Impact of the Good Behavior Game, a universal classroom-based behavior intervention, on young adult service use for problems with emotions, behavior, or drugs or alcohol

Poduska¹,

Kellam²,

Wang³

et al. 2008

Drug and Alcohol Dependence

110

View full text Add to dashboard Cite

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“…As the program is expanded to new communities, a great deal of emphasis is placed on delivering the program with fidelity to the model tested in the original trials. 1,10,11 We need, however, to discover even better ways of formulating the NFP model and its delivery. This focus on improving the NFP is consistent with the growing emphasis on improving health care by using methods that are appropriately rigorous given the nature of the issue being addressed.…”

Section: Discussionmentioning

confidence: 99%

Improving the Nurse–Family Partnership in Community Practice

et al. 2013

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BACKGROUND: Evidence-based preventive interventions are rarely final products. They have reached a stage of development that warrant public investment but require additional research and development to strengthen their effects. The Nurse-Family Partnership (NFP), a program of nurse home visiting, is grounded in findings from replicated randomized controlled trials. OBJECTIVE: Evidence-based programs require replication in accordance with the models tested in the original randomized controlled trials in order to achieve impacts comparable to those found in those trials, and yet they must be changed in order to improve their impacts, given that interventions require continuous improvement. This article provides a framework and illustrations of work our team members have developed to address this tension. METHODS: Because the NFP is delivered in communities outside of research contexts, we used quantitative and qualitative research to identify challenges with the NFP program model and its implementation, as well as promising approaches for addressing them. RESULTS: We describe a framework used to address these issues and illustrate its use in improving nurses’ skills in retaining participants, reducing closely spaced subsequent pregnancies, responding to intimate partner violence, observing and promoting caregivers’ care of their children, addressing parents’ mental health problems, classifying families’ risks and strengths as a guide for program implementation, and collaborating with indigenous health organizations to adapt and evaluate the program for their populations. We identify common challenges encountered in conducting research in practice settings and translating findings from these studies into ongoing program implementation. CONCLUSIONS: The conduct of research focused on quality improvement, model improvement, and implementation in NFP practice settings is challenging, but feasible, and holds promise for improving the impact of the NFP.

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“…A number of rigorous randomized trials have shown that theoretically based, developmentally and culturally sensitive interventions can produce positive outcomes for children and adolescents with mental health and behavioral problems (e.g., Olds et al 2003;Henggeler et al 1998). As the number and variety of well-validated interventions increases, the pressure also has increased from a broad range of stakeholders (e.g., scientific and practice institutes, state legislatures, public interest legal challenges) to incorporate evidence-based practices (EBP) into publicly funded child welfare, mental health, and juvenile justice systems (NIMH 2001(NIMH , 2004.…”

Section: Implementation; Randomized Design; Community Development Teamentioning

confidence: 99%

“…County leaders from the mental health, child welfare and juvenile justice systems were recruited to participate because studies have shown that successful incorporation of researchbased interventions require changes in existing policies, procedures, and practices (Olds et al 2003;Schoenwald et al 2004). Upon notification of study funding, the CiMH investigators emailed then sent a letter to the system leaders in all eligible counties notifying them that the grant was underway and inviting them to participate in the study.…”

Section: Recruitmentmentioning

confidence: 99%

Engaging and Recruiting Counties in an Experiment on Implementing Evidence-based Practice in California

Chamberlain

Brown

Saldana

et al. 2008

Adm Policy Ment Health

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There is a growing consensus that implementation of evidence-based intervention and treatment models holds promise to improve the quality of services in child public service systems such as mental health, juvenile justice, and child welfare. Recent policy initiatives to integrate such researchbased services into public service systems have created pressure to expand knowledge about implementation methods. Experimental strategies are needed to test multi-level models of implementation in real world contexts. In this article, the initial phase of a randomized trial that tests two methods of implementing Multidimensional Treatment Foster Care (an evidence-based intervention that crosses child public service systems) in 40 non-early adopting California counties is described. Results are presented that support the feasibility of using a randomized design to rigorously test contrasting implementation models and engaging system leaders to participate in the trial. Keywords Implementation; Randomized design; Community development team; Multidimensional treatment foster careA number of rigorous randomized trials have shown that theoretically based, developmentally and culturally sensitive interventions can produce positive outcomes for children and adolescents with mental health and behavioral problems (e.g., Olds et al. 2003;Henggeler et al. 1998). As the number and variety of well-validated interventions increases, the pressure also has increased from a broad range of stakeholders (e.g., scientific and practice institutes, state legislatures, public interest legal challenges) to incorporate evidence-based practices (EBP) into publicly funded child welfare, mental health, and juvenile justice systems (NIMH 2001(NIMH , 2004. Despite the increasing availability and demand for well-validated interventions, it is estimated that 90% of public systems do not deliver treatments or services that are evidence-

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Taking preventive intervention to scale: The nurse-family partnership

Cited by 119 publications

References 33 publications

Impact of the Good Behavior Game, a universal classroom-based behavior intervention, on young adult service use for problems with emotions, behavior, or drugs or alcohol

Impact of the Good Behavior Game, a universal classroom-based behavior intervention, on young adult service use for problems with emotions, behavior, or drugs or alcohol

Improving the Nurse–Family Partnership in Community Practice

Engaging and Recruiting Counties in an Experiment on Implementing Evidence-based Practice in California

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