OBJECTIVE: To evaluate the effectiveness of a coparenting intervention on exclusive breastfeeding among primiparous mothers and fathers.METHODS: A randomized controlled trial was conducted in a large teaching hospital in Toronto, Canada. Couples were randomized to receive either usual care (n = 107) or a coparenting breastfeeding support intervention (n = 107). Follow-up of exclusive breastfeeding and diverse secondary outcomes was conducted at 6 and 12 weeks postpartum.RESULTS: Significantly more mothers in the intervention group than in the control group continued to breastfeed at 12 weeks postpartum (96.2% vs 87.6%, P = .02). Although proportionately more mothers in the intervention group were exclusively breastfeeding at 6 and 12 weeks, these differences were not significant. Fathers in the intervention group had a significantly greater increase in breastfeeding self-efficacy scores from baseline to 6 weeks postpartum compared with fathers in the control group (P = .03). In addition, significantly more mothers in the intervention group than in the control group reported that their partners provided them with breastfeeding help in the first 6 weeks (71% vs 52%, P = .02) and that they were satisfied with their partners' involvement with breastfeeding (89% vs 78.1%, P = .04). Mothers in the intervention group were also more satisfied with the breastfeeding information they received (81% vs 62.5%, P , .001).CONCLUSIONS: The significant improvements in breastfeeding duration, paternal breastfeeding selfefficacy, and maternal perceptions of paternal involvement and assistance with breastfeeding suggest that a coparenting intervention involving fathers warrants additional investigation. WHAT'S KNOWN ON THIS SUBJECT:Fathers' attitude and support affects breastfeeding outcomes. Fathers are currently not targeted in breastfeeding support and care provided by health care professionals. Breastfeeding interventions delivered to fathers have been shown to increase breastfeeding exclusivity and duration. WHAT THIS STUDY ADDS:A coparenting breastfeeding support intervention delivered to mothers and fathers in the postpartum period showed beneficial effects on breastfeeding duration, paternal breastfeeding confidence, breastfeeding help provided by fathers, and mothers' satisfaction with fathers' involvement with breastfeeding.

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This article presents results of a survey investigating parents' needs for parenting services, their access to and preferences for parenting programs. Canadian parents (N ϭ 2,340) completed the International Parenting Survey (Morawska, Heinrichs, & Sanders, 2011) with respect to the youngest of their children who was in the 2-12 year age range. In this community sample, over a quarter of parents reported that they had consulted a professional about their child's behavior in the last year. Fifteen percent of parents had participated in some form of parenting program, although only a quarter of these programs were evidence-based. Parents' top-reported barriers to participating in a parenting program were lack of awareness and felt need, followed by practical barriers such as lack of time and access to child care. Parents expressed interest in a diverse array of delivery modes for parenting programs. Implications for enhancing access to parenting programs are discussed.

As the process of evidence-based practice (EBP) gains a foothold in the curricula of schools of social work and the various helping professions, instructors have been encountering a unique set of challenges. On one hand, educators must develop new curricula to convey material that is often complex and is, even in its most advanced state, still in its infancy. On the other hand, instructors may find themselves in the awkward position of challenging traditional classroom material and entrenched practices. This article offers a supplement to EBP texts by practically discussing some of the philosophical tenets of EBP, suggesting steps to enhance the learning environment, offering instructional supports, and identifying a common set of pitfalls and some suggested solutions.

This study examined group leaders' adherence to The Incredible Years Parenting Program's components and collaborative process during a yearlong dissemination in a large multicultural city and universal prevention context. Mixed methods were used to evaluate adherence and develop an understanding of the barriers and facilitators of therapist fidelity. Results suggest that the protocol and collaborative group processes were implemented with a high degree of adherence with the three exceptions of role plays, videotape modeling dosage, and "buddy calls." A number of interconnected barriers with implications for future implementation were identified. Key contributors to adherence included the training and structure of the program, emphasis on accountability and ongoing session monitoring, and important aspects of supervision and group leader qualities.