Can Evidence-Based Prevention Programs be Sustained in Community Practice Settings? The Early Risers’ Advanced-Stage Effectiveness Trial

August, Gerald J.; Bloomquist, Michael L.; Lee, Susanne S.; Realmuto, George M.; Hektner, Joel M.

doi:10.1007/s11121-005-0024-z

Cited by 75 publications

(82 citation statements)

References 27 publications

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Section: Nih-pa Author Manuscriptmentioning

confidence: 72%

“…Although the intervention was implemented with regular state foster parents who were not specially selected, the interventionists were not employed independently from the study in county or community agencies. Therefore, the results obtained most closely map onto what have been described as early-stage effectiveness trials where developers maintain some control over the intervention (versus advanced-stage trials where there is complete local ownership of the intervention and developers are not involved; August et al, 2006).If the goal is to empower public child service systems to implement evidence-based interventions into routine practice, next steps would involve studies that examine questions related to embedding interventions into public agencies, including examining models for training agency employees and supervisors to conduct the interventions and evaluations. This study represents an effort to demonstrate that the capabilities of foster and kinship parents can be enhanced to positively impact outcomes for the children in their care.…”

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confidence: 73%

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Prevention of Behavior Problems for Children in Foster Care: Outcomes and Mediation Effects

et al. 2008

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Parent training for foster parents is mandated by federal law and supported by state statues in nearly all states; however, little is known about the efficacy of that training, and recent reviews underscore that the most widely used curricula in the child welfare system (CWS) have virtually no empirical support (Farmer et al., 2007;Grimm, 2003). On the other hand, numerous theoretically-based, developmentally-sensitive parent training interventions have been found to be effective in experimental clinical and prevention intervention trials (e.g., Kazdin & Wassell, 2000;McMahon & Forehand, 2003;Patterson & Forgatch, 1987;Webster-Stratton et al., 2001). One of these, Multidimensional Treatment Foster Care (MTFC; Chamberlain 2003), has been used with foster parents of youth referred from juvenile justice. The effectiveness of an intervention based on MTFC was tested in a universal randomized trial with 700 foster and kinship parents in the San Diego County CWS. The goal of the intervention was to reduce child problem behaviors through strengthening foster parents' skills. The trial was designed to examine effects on both child behavior and parenting practices, allowing for specific assessment of the extent to which improvements in child behavior were mediated by the parenting practices targeted in the intervention. Child behavior problems were reduced significantly more in the intervention condition than in the control condition, and specific parenting practices were found to mediate these reductions, especially for high-risk children (i.e., those with more than 6 behavior problems per day at baseline). Keywords parent management training; foster parents; effectiveness trialChild welfare services are estimated to cost $20 billion per year (Allphin et al., 2001), yet very little experimental research has been used to guide the interventions used within that system. In a systematic review of research on children in foster care, Wulczyn et al. (2005) found that most existing studies were descriptive in nature. They and other researchers (e.g., Courtney, 2000) have called for experimental research to improve practices in the child welfare system (CWS), particularly for children in out-of-home care. In this study, we tested Correspondence should be directed to Patricia Chamberlain, Oregon Social Learning Center, 10 Shelton McMurphey Boulevard, Eugene, (541) 485-2711; fax, (541) NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript the effectiveness of an intervention designed to strengthen foster parents' parenting skills through the implementation of a theoretically-based intervention that had been shown in previous randomized studies to have positive short-and long-term effects on child outcomes Chamberlain & Reid, 1991;Leve et al., 2005). The intervention was expected to lead to improvements in foster parent child management skills, which were expected to result in fewer child behavior problems. Previous work has shown that behavior problems (particularly externalizing behaviors) are o...

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Section: Nih-pa Author Manuscriptmentioning

confidence: 72%

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confidence: 73%

Prevention of Behavior Problems for Children in Foster Care: Outcomes and Mediation Effects

et al. 2008

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“…For example, within the Prevention Synthesis and Translation System, prevention scientists and other researchers may test EBPs with new populations and subgroups (e.g., August et al 2006;Botvin et al 2003;Gottfredson et al 2006). As such, some may decide to develop adaptations in a manner that is consistent with the guidelines identified in this article, but with less direct input from other systems of the ISF.…”

Section: Program Adaptation Across the Interactive Systems Frameworkmentioning

confidence: 99%

Using Planned Adaptation to Implement Evidence‐Based Programs with New Populations

Lee

Altschul

Mowbray

2008

American J of Comm Psychol

158

199

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The Interactive Systems Framework (ISF) for Dissemination and Implementation (Wandersman et al. 2008) elaborates the functions and structures that move evidence-based programs (EBPs) from research to practice. Inherent in that process is the tension between implementing programs with fidelity and the need to tailor programs to fit the target population. We propose Planned Adaptation as one approach to resolve this tension, with the goal of guiding practitioners in adapting EBPs so that they maintain core components of program theory while taking into account the needs of particular populations. Planned Adaptation is a form of capacity building within the Prevention Support System that provides a framework to guide practitioners in adapting programs while encouraging researchers to provide information relevant to adaptation as a critical aspect of dissemination research, with the goal of promoting wider dissemination and better implementation of EBPs. We illustrate Planned Adaptation using the JOBS Program (Caplan et al. 1989), which was developed for recently laid-off, working- and middle-class workers and subsequently implemented with welfare recipients.

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“…A subsequent advanced-stage effectiveness trial sought to determine whether the same agency could sustain practice infrastructure and reproduce program effects with a new cohort of participants, allowing supervision, implementation, and funding to vary on the basis of routine conditions. Compared to results obtained in the early-stage effectiveness trial, program attendance rates were lower and only one positive outcome was replicated (August, Bloomquist, Lee, Realmuto, & Hektner, 2006). Organizational barriers that impeded program sustainability included unreliable transportation, poor collaboration between the agency and local schools, high staff turnover, and agency downsizing.…”

Section: Evidence Basementioning

confidence: 66%

Incorporating Multifaceted Mental Health Prevention Services in Community Sectors-of-Care

Gewirtz

August

2008

Clin Child Fam Psychol Rev

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This article proposes a framework for embedding prevention services into community sectors-ofcare. Community sectors-of-care include both formal and grassroots organizations distributed throughout a community that provide various resources and services to at-risk children and their families. Though the child population served by these organizations is often at elevated risk for mental health problems by virtue of children's exposure to difficult life circumstances (poverty, maltreatment, homelessness, domestic violence, etc) these children face many barriers to accessing evidence-based prevention or treatment services. We review evidence and propose a framework for integrating prevention services into community sectors-of-care that serve high-risk children and families.

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Can Evidence-Based Prevention Programs be Sustained in Community Practice Settings? The Early Risers’ Advanced-Stage Effectiveness Trial

Cited by 75 publications

References 27 publications

Prevention of Behavior Problems for Children in Foster Care: Outcomes and Mediation Effects

Prevention of Behavior Problems for Children in Foster Care: Outcomes and Mediation Effects

Using Planned Adaptation to Implement Evidence‐Based Programs with New Populations

Incorporating Multifaceted Mental Health Prevention Services in Community Sectors-of-Care

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