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In this study we compared two theoretically different parenting programs for children with externalizing behavior problems, one behavioral, Comet, and one non-behavioral, Connect. Participants were 209 parents with children ages 8-12 who were randomized to the two programs. Parents experienced markedly less child externalizing behavior problems, both conduct problems and ADHD symptoms, as well as increased competence, improved family climate, and decreased emotional dyscontrol and levels of stress after both programs. The differences in effects between the programs were small and only measures of use of specific behavioral techniques had medium effects in favor of Comet. Thus, both Comet and Connect appear to be effective interventions but more research is needed, especially concerning long-term evaluations.

Studien handlar om hur professionella inom verksamheter som arbetar med föräldraskapsstöd upplever stödet och dess effekt, samt hur de anser att stödet kan utvecklas och göras mer lättillgänglig. Studien baseras på fyra semistrukturerade intervjuer med personer som arbetar eller har erfarenhet av arbete med föräldraskapsstöd. Det insamlade materialet analyserades med hjälp av en riktad innehållsanalys utifrån tre teman; Stödets betydelse ur ett professionsperspektiv, Viktiga faktorer för ett gott resultat och Eventuella hinder, utmaningar och arbete för ett mer lättillgängligt stöd. Studiens slutsatser tyder på att föräldraskapsstöd utöver att stärka föräldrar i sin föräldraförmåga, kan även bidra till att föräldrar får ett ökat självförtroende och en känsla av egenmakt. Föräldraskapsstöd bör ses som ett förebyggande arbete som minskar risken för negativa utfall och ett normbrytande beteende hos barn och unga. Utbudet på föräldraskapsstödsinsatser behöver anpassas för att möta de behov som finns och även göras mer jämlikt över hela landet. Arbetet kräver ett professionellt förhållningssätt, flexibilitet och bör grunda sig i empowerment. Föräldraskapsstöd behöver även marknadsföras ytterligare samt normaliseras för att göra det mer lättillgängligt för allmänheten.

Due to poverty and a lack of stimulation, many children living in Low- and Middle income countries suffer from developmental delay and do not develop to their full potential. Yet, remarkable recovery is often possible given that early interventions are available. The aim of this systematic literature review was to find out what could be done to decrease the gap between the current development and the developmental potential among children aged 0-8 years, living in Low –and Middle income countries. The research questions were the following: What intervention programs are provided by communities in Low- and Middle income counties with the intention of training parents´ to support their children reaching their developmental potential? What are the impacts of the interventions on children’s development, and what are the impacts of the interventions on parents´ knowledge about children`s development? Twelve studies were identified through a database search. After analyzing the data two different types of intervention programs emerged: parenting programs and stimulation programs. The gap between children´s current developmental levels and their developmental potential was not measured in the studies.  However, the intervention programs show to have positive effects on informing parents regarding child development, as well as making positive impacts on children’s cognitive development and social skills. The interventions mainly focus on children under the age of three, while interventions focusing on older children are few and need to be further researched. Simple matters, such as home-made toys and interactive communication with the children, can make a big impact on children’s development, which prepares children for future education.

Adoption of evidence-based parenting programs by community agencies requires an understanding of the variables that affect their implementation. This study examined variables associated with the implementation of Triple P – Positive Parenting Program in Ontario. Surveys were completed on-line by 63 administrators, 54 supervisors, and 215 service providers from 69 different agencies. In a first article, I report on agencies’ pre-implementation openness, readiness, and resistance as well as on service providers’ self-reported use of and adherence to the program. Respondents from the vast majority of agencies reported openness to change prior to implementation but approximately half reported that they were not ready and experienced resistance. Although the majority of trained service providers used the program, a significant minority had not delivered it since training. The average adherence rate reported by service providers who used the program was 85.9%. In the second article, I report on the variables associated with implementation. The majority of respondents reported that they had adequate office resources to implement Triple P. Over half the managers (administrators and supervisors) and over two thirds of service providers reported that their agency had received adequate training. The most commonly identified barrier to implementation was agency characteristics which included organizational climate, service provider characteristics, and supervision. Adequate office resources and positive agency characteristics were associated with higher program usage by service providers. Service providers’ reports impacted their individual adherence rates whereas managers had broader perspectives of the quality of implementation in their organizations. Differences in reports between managers and service providers were not associated with usage or adherence.

Adoption of evidence-based parenting programs by community agencies requires an understanding of the variables that affect their implementation. This study examined variables associated with the implementation of Triple P – Positive Parenting Program in Ontario. Surveys were completed on-line by 63 administrators, 54 supervisors, and 215 service providers from 69 different agencies. In a first article, I report on agencies’ pre-implementation openness, readiness, and resistance as well as on service providers’ self-reported use of and adherence to the program. Respondents from the vast majority of agencies reported openness to change prior to implementation but approximately half reported that they were not ready and experienced resistance. Although the majority of trained service providers used the program, a significant minority had not delivered it since training. The average adherence rate reported by service providers who used the program was 85.9%. In the second article, I report on the variables associated with implementation. The majority of respondents reported that they had adequate office resources to implement Triple P. Over half the managers (administrators and supervisors) and over two thirds of service providers reported that their agency had received adequate training. The most commonly identified barrier to implementation was agency characteristics which included organizational climate, service provider characteristics, and supervision. Adequate office resources and positive agency characteristics were associated with higher program usage by service providers. Service providers’ reports impacted their individual adherence rates whereas managers had broader perspectives of the quality of implementation in their organizations. Differences in reports between managers and service providers were not associated with usage or adherence.

Adoption of evidence-based parenting programs by community agencies requires an understanding of the variables that affect their implementation. This study examined variables associated with the implementation of Triple P – Positive Parenting Program in Ontario. Surveys were completed on-line by 63 administrators, 54 supervisors, and 215 service providers from 69 different agencies. In a first article, I report on agencies’ pre-implementation openness, readiness, and resistance as well as on service providers’ self-reported use of and adherence to the program. Respondents from the vast majority of agencies reported openness to change prior to implementation but approximately half reported that they were not ready and experienced resistance. Although the majority of trained service providers used the program, a significant minority had not delivered it since training. The average adherence rate reported by service providers who used the program was 85.9%. In the second article, I report on the variables associated with implementation. The majority of respondents reported that they had adequate office resources to implement Triple P. Over half the managers (administrators and supervisors) and over two thirds of service providers reported that their agency had received adequate training. The most commonly identified barrier to implementation was agency characteristics which included organizational climate, service provider characteristics, and supervision. Adequate office resources and positive agency characteristics were associated with higher program usage by service providers. Service providers’ reports impacted their individual adherence rates whereas managers had broader perspectives of the quality of implementation in their organizations. Differences in reports between managers and service providers were not associated with usage or adherence.

Approximately 10–25% of children and youth suffer from mental health problems, such as depression, emotional difficulties, and disruptive behaviors. The evidence base of the effectiveness of preventive interventions targeting youth mental health currently delivered in regular care is weak. Also, little is known about what is needed for continued delivery of preventive programs in regular care. Hence, there is an evident need of effectiveness evaluations of preventive interventions and their implementation in regular care. In childhood, parenting is an important risk or protective factor for child development, and many programs to improve parents’ parenting has been developed used as preventive interventions. Using an ecological approach to prevention and the prevention research cycle as the theoretical framework this dissertation aim to investigate: 1) the long-term effectiveness of four parenting programs (Cope, Comet, Connect, and the Incredible Years); 2) whether the programs work better for some compared to others; 3) if it matters where parents attend the programs; 4) the field of implementation research regarding group based parenting programs ; and 5) implementation challenges specifically related to such parenting programs. Overall, the long-term results reveal that there are no significant difference in effectiveness across the programs over time. Also, the programs does not seem work better for some compared to others, and neither does it seem as if program effectiveness is much influenced by the sectors delivering the programs (child and adolescent psychiatry, social care, or school). Concerning the implementation of preventive interventions the research base is small, and conclusive evidence concerning implementation aspects of group based parenting programs are non-existing. Thus, it was not possible to draw firm conclusions about their implementation. Nonetheless, existing research clearly suggest that program specific challenges can influence the implementation of group based parenting programs. Implications for practice and research are discussed, for instance, adaptations to the prevention research cycle.

Adoption of evidence-based parenting programs by community agencies requires an understanding of the variables that affect their implementation. This study examined variables associated with the implementation of Triple P – Positive Parenting Program in Ontario. Surveys were completed on-line by 63 administrators, 54 supervisors, and 215 service providers from 69 different agencies. In a first article, I report on agencies’ pre-implementation openness, readiness, and resistance as well as on service providers’ self-reported use of and adherence to the program. Respondents from the vast majority of agencies reported openness to change prior to implementation but approximately half reported that they were not ready and experienced resistance. Although the majority of trained service providers used the program, a significant minority had not delivered it since training. The average adherence rate reported by service providers who used the program was 85.9%. In the second article, I report on the variables associated with implementation. The majority of respondents reported that they had adequate office resources to implement Triple P. Over half the managers (administrators and supervisors) and over two thirds of service providers reported that their agency had received adequate training. The most commonly identified barrier to implementation was agency characteristics which included organizational climate, service provider characteristics, and supervision. Adequate office resources and positive agency characteristics were associated with higher program usage by service providers. Service providers’ reports impacted their individual adherence rates whereas managers had broader perspectives of the quality of implementation in their organizations. Differences in reports between managers and service providers were not associated with usage or adherence.

No / A culturally sensitive approach needs to be adopted in disseminating evidence-based preventive programs internationally, and very little is known about effective dissemination into low-resource settings such as low and middle income countries. Following guidelines on optimizing the fit of evidence-based parenting programs worldwide, a cultural relevance study was conducted in Panama, Central America. Parents (N = 120) from low-resource communities were surveyed to explore cultural relevance of material from the Triple P-Positive Parenting Program. Intention to participate and views on delivery formats and program features were also examined. Descriptive statistics and regressions were carried out to analyze the results. Parents found program materials highly relevant and reported that they would be willing to participate in a program if one was offered. A large proportion of the sample expressed a preference for self-directed formats such as books, articles and brochures (77.6 %). Regression analyses suggested that most parents considered material as relevant, interesting and useful, regardless of other factors such as socio-economic status, gender, the level of child behavioral difficulties, parental stress, parental confidence and expectations of future behavioral problems. The study provides a potential approach for dissemination of research and offers an insight into the needs and preferences of a particular segment of the world’s population—parents in low-resource settings. Strategies for meeting the needs and preferences of these parents in terms of service delivery are discussed.