The development, reliability, and validity of the <scp>Facilitator Assessment Tool</scp>: An implementation fidelity measure used in <scp>Parenting for Lifelong Health for Young Children</scp>

Martin, Mark T.; Lachman, Jamie M.; Murphy, Hugh; Gardner, Frances; Foran, Heather M.

doi:10.1111/cch.13075

Cited by 4 publications

(4 citation statements)

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“…One session per facilitator will be observed live or video-recorded and assessed using the recording with the Facilitator Assessment Tool. 55 Facilitators and supervisors will complete questionnaires to provide information on demographics and previous experience and to collect pre-post data on staff well-being and parenting stress (for staff who are caregivers). The sample sizes are determined by the delivery model and the number of families in the intervention study.…”

Section: Methodsmentioning

confidence: 99%

Family-focused intervention to promote adolescent mental health and well-being in Moldova and North Macedonia (FLOURISH): feasibility study protocol

Shenderovich,

Piolanti,

Babii

et al. 2023

BMJ Open

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IntroductionFamily-Focused Adolescent & Lifelong Health Promotion (FLOURISH) project will adapt, implement and evaluate a programme to support adolescent mental health and well-being through strategies, such as strengthening parenting practices, adolescent-caregiver relationships, adolescent and parent socioemotional skills, and social support.Methods and analysisThe project will focus on adolescents aged 10–14 years and their caregivers in North Macedonia and Moldova. The countries were selected based on implementation readiness of two organisations and a need for accessible evidence-informed services to help mitigate health risks due to economic, social and political challenges. Parenting for Lifelong Health (PLH) for Parents and Teens is a family-based programme developed for low-resource settings. PLH has been adapted with input from advisory groups. The programme includes additional components to strengthen impacts on adolescents: adolescent mental health tools, based on UNICEF’s Helping Adolescents Thrive, adolescent peer support and participation booster. This pilot is first of three study phases. The pilot will be a feasibility testing of the adapted intervention and the assessment and implementation procedures to determine further refinements. The pilot will examine if the adapted programme is acceptable for adolescents, their families and providers, explore contextual factors relevant to embedding this programme into longer-term scale-up and investigate whether the programme can be delivered with fidelity and participation; whether the participants report changes in adolescent emotional and behavioural problems, well-being and other outcomes; and whether the study tools are feasible and appropriate. Pre-post adolescent and caregiver questionnaires will provide outcome data. Process evaluation will include attendance and fidelity data, and focus groups. We will examine delivery cost and resource requirements.Ethics and disseminationThe study was approved at the University of Klagenfurt (Austria), Medical Faculty at St. Cyril and Methodius University (North Macedonia) and National Committee of Ethical Expertise for Clinical Trials (Moldova). Through stakeholder engagement and dissemination, FLOURISH will advance scale-up of open-source family interventions.Trial registration numberTrial registration: ID101095528; project page:https://www.flourish-study.org/about.html;https://www.linkedin.com/company/flourish-study/

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Section: Methodsmentioning

confidence: 99%

Family-focused intervention to promote adolescent mental health and well-being in Moldova and North Macedonia (FLOURISH): feasibility study protocol

Shenderovich,

Piolanti,

Babii

et al. 2023

BMJ Open

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“…Content fidelity was measured using a checklist consisting of items that captured key intervention strategies for each session. It was developed by the research team following the treatment components of the adapted PLH-YC and the PLH-YC Facilitator Assessment Tool (Martin et al, 2023). Either “present” or “absent” was recorded to indicate whether a content area was covered during a session, with a standard of 80% regarded as high intervention fidelity (Borrelli et al, 2005).…”

Section: Methodsmentioning

confidence: 99%

Feasibility and Acceptability of Parenting for Lifelong Health Program in Mainland China

Wang

Liu

Liang

et al. 2023

Research on Social Work Practice

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Purpose: Parenting for Lifelong Health for Young Children (PLH-YC) is a program to prevent child maltreatment. This study aimed to examine the feasibility, acceptability and preliminary effects of the adapted program for Chinese parents. Methods: A pre–post single-arm pilot trial was conducted with 21 Chinese parents. A mixed-method design was utilized to collect questionnaire-based quantitative data and qualitative data of interviews and focus group discussions. Results: Program implementation was feasible, with overall high recruitment, enrollment, attendance, acceptability and fidelity. Quantitative results demonstrated reductions in general child maltreatment, physical and emotional abuse, child behavioral problems, and improvements in positive parenting. Thematic analyses identified reduced violent discipline, psychological aggression, and child behavioral problems, strengthened parent–child bonds, increased parenting confidence, and decreased family conflict. Conclusion: The adapted PLH-YC program for Chinese parents has shown good feasibility and acceptability, and exhibited a significant association with reduced child maltreatment. Further randomized controlled trials are required.

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“… Designing fidelity measures and assessment processes that will provide valuable information to various stakeholders, not just researchers. To do so, measures might be designed by engaging stakeholders in a content validity exercise (e.g., Martin et al, 2022 ). Establishing procedures to collect fidelity assessment data as well as relevant information associated with the fidelity assessment process (e.g., documenting time required per assessor and per trainer to complete assessor training).…”

Section: Recommendation For Future Research and Practicementioning

confidence: 99%

Section: Recommendation For Future Research and Practicementioning

confidence: 99%

The Case for Assessing and Reporting on Facilitator Fidelity: Introducing the Fidelity of Implementation in Parenting Programs Guideline

Martin,

Shenderovich,

Caron

et al. 2023

Glob Implement Res Appl

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The sizeable body of evidence indicating that parenting programs have a positive impact on children and families highlights the potential public health benefits of their implementation on a large scale. Despite evidence and global attention, beyond the highly controlled delivery of parenting programs via randomized trials, little is known about program effectiveness or how to explain the poorer results commonly observed when implemented in community settings. Researchers, practitioners, and policymakers must work together to identify what is needed to spur adoption and sustainment of evidence-based parenting programs in real-world service systems and how to enhance program effectiveness when delivered via these systems. Collecting, analyzing, and using facilitator fidelity data is an important frontier through which researchers and practitioners can contribute. In this commentary, we outline the value of assessing facilitator fidelity and utilizing the data generated from these assessments; describe gaps in research, knowledge, and practice; and recommend directions for research and practice. In making recommendations, we describe a collaborative process to develop a preliminary guideline—the Fidelity of Implementation in Parenting Programs Guideline or FIPP—to use when reporting on facilitator fidelity. Readers are invited to complete an online survey to provide comments and feedback on the first draft of the guideline.

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The development, reliability, and validity of the Facilitator Assessment Tool: An implementation fidelity measure used in Parenting for Lifelong Health for Young Children

Cited by 4 publications

References 42 publications

Family-focused intervention to promote adolescent mental health and well-being in Moldova and North Macedonia (FLOURISH): feasibility study protocol

Family-focused intervention to promote adolescent mental health and well-being in Moldova and North Macedonia (FLOURISH): feasibility study protocol

Feasibility and Acceptability of Parenting for Lifelong Health Program in Mainland China

The Case for Assessing and Reporting on Facilitator Fidelity: Introducing the Fidelity of Implementation in Parenting Programs Guideline

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