The association between facilitator competent adherence and outcomes in parenting programs: a systematic review and SWiM analysis

Martin, M., Steele, B., Spreckelsen, T.F. , Lachman, J.M. , Gardner, F. and Shenderovich, Y. (2023) The association between facilitator competent adherence and outcomes in parenting programs: a systematic review and SWiM analysis. Prevention Science, (doi: 10.1007/s11121-023-01515-3) (PMID:36884129) (Early Online Publication)

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There is increasing interest about the fidelity with which interventions are implemented because it is theorized that better implementation fidelity by facilitators is associated with better participant outcomes. However, in the parenting program literature, there is mixed evidence on the relationship between implementation fidelity and outcomes. This paper provides a synthesis of the evidence on the relationship between facilitator delivery and outcomes in the parenting program literature. Following PRISMA guidelines, this paper synthesizes the results of a systematic review of studies on parenting programs aiming to reduce violence against children and child behavior problems. Specifically, it examines associations between observational measures of facilitator competent adherence and parent and child outcomes. A meta-analysis was not feasible due to study heterogeneity. As a result, Synthesis Without Meta-Analysis guidelines were followed. Searches in electronic databases, reference searching, forward citation tracking, and expert input identified 9653 articles. After screening using pre-specified criteria, 18 articles were included. The review found that most studies (n = 13) reported a statistically significant positive relationship with at least one parent or child outcome. However, eight studies reported inconsistent findings across outcomes, and four studies found no association with outcomes. The results suggest that better facilitator competent adherence is generally associated with positive parent and child outcomes. However, this finding is weakened by the methodological heterogeneity of included studies and due to the wide variety of ways in which studies conceptualized competent adherence-outcome relationships.

Item Type:Articles
Keywords:Parenting, fidelity, behavioral interventions, systematic review, violence prevention.
Status:Early Online Publication
Glasgow Author(s) Enlighten ID:Spreckelsen, Dr Thees and Lachman, Dr Jamie
Authors: Martin, M., Steele, B., Spreckelsen, T.F., Lachman, J.M., Gardner, F., and Shenderovich, Y.
Subjects:H Social Sciences > H Social Sciences (General)
College/School:College of Social Sciences > School of Social and Political Sciences > Sociology Anthropology and Applied Social Sciences
Journal Name:Prevention Science
ISSN (Online):1573-6695
Published Online:08 March 2023
Copyright Holders:Copyright © 2023 The Authors
First Published:First published in Prevention Science 2023
Publisher Policy:Reproduced under a Creative Commons License

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