Evidence-based interventions often include quality improvement methods to support fidelity and improve client outcomes. Clinical supervision is promoted as an effective way of developing practitioner confidence and competence in delivery; however, supervision is often inconsistent and embedded in hierarchical line management structures that may limit the opportunity for reflective learning. The Peer Assisted Supervision and Support (PASS) supervision model uses peer relationships to promote the self-regulatory capacity of practitioners to improve intervention delivery. The aim of the present study was to assess the acceptability and feasibility of PASS amongst parenting intervention practitioners. A Q-methodology approach was used to generate data and 30 practitioners volunteered to participate in the study. Data were analyzed and interpreted using standard Q-methodology procedures and by-person factor analysis yielded three factors. There was consensus that PASS was acceptable. Participants shared the view that PASS facilitated an environment of support where negative aspects of interpersonal relationships that might develop in supervision were not evident. Two factors represented the viewpoint that PASS was also a feasible model of supervision. However, the third factor was comprised of practitioners who reported that PASS could be time consuming and difficult to fit into existing work demands. There were differences across the three factors in the extent to which practitioners considered PASS impacted on their intervention delivery. The findings highlight the importance of organizational mechanisms that support practitioner engagement in supervision.
This chapter makes the case for the adoption of practitioner supervision as a quality assurance mechanism for the implementation of parenting interventions. This chapter addresses the need for effective and efficient supervision and posttraining support for the evidence-based program workforce to ensure the sustainability of delivery and the ongoing maintenance of program fidelity. Alongside other fidelity mechanisms, supervision can help develop practitioners’ confidence and competence in delivery and promote adherence to intervention protocols. Peer supervision has the potential to be both efficient and effective and may be more acceptable to stakeholders than traditional hierarchical supervision models. The Peer-Assisted Supervision and Support model is described, and findings describing its acceptability and feasibility to parenting program practitioners are presented.
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