Introduction: Parenting programs have been identified as a valuable service provision to promote quality parent-child relationships and attachment styles. The Triple P positive parenting program and the Circle of Security parenting (COS-P) program are evidence-based interventions designed to prevent behavioral and emotional problems in children. However, there is a lack of literature on the experiences of providers delivering these programs in the Canadian context. This study aimed to investigate and characterize these experiences through a mixed-methods approach.
Methods: A total of 83 providers participated in the cross-sectional portion of the study, completing readiness measures prior to program implementation. The qualitative descriptive component of the study involved a sub-group of 22 providers in semi-structured focus groups, 12 months after program implementation. Descriptive measures were analyzed using R studio V. 4.2.0, while NVIVO Version 13 was used to manage the thematic analysis of the focus groups. The mixed-methods component involved an explanatory sequential approach, which involved integrating the data via a joint display table.
Results: Organizational readiness involving training, supervision, and support were crucial for program delivery. Barriers identified included a lack of support, overwhelming workload, difficulty engaging parents, and program-specific barriers, while facilitators included positive experiences with training, teamwork, confidence, virtual delivery, and managerial support.
Discussion: The results suggest that organizational readiness is crucial to the successful delivery of these programs. Providers require training, supervision, and ongoing support to deliver these interventions effectively. Additionally, barriers and facilitators in the delivery of these programs were identified, which can inform future program implementation and improve outcomes.
Conclusion: This study provides valuable insights for organizations and providers to effectively deliver parenting programs like Triple P and COS-P by addressing barriers and facilitators of delivery, which can consequently improve parent-child relationships and attachment styles. / Thesis / Master of Public Health (MPH) / Effective delivery of evidence-based parenting programs is essential to promoting positive health outcomes for children and families. Unfortunately, very little research has investigated the experiences of providers delivering these programs. Due to this, our study applied a mixed methods approach that involved 83 providers who completed various readiness measures prior to program implementation, and 22 providers who participated in follow-up focus groups, 12 months after program implementation. The results of our study determined that organizational readiness, which is inclusive of training, supervision, and support, is critical to successful program delivery. Furthermore, we were able to identify barriers and facilitators of program delivery, which can inform future implementation efforts and improve program quality, while promoting positive outcomes for parents and children. This study provides unique insights into the experiences of parenting program providers in Canada and can serve as a tool to inform future program implementation and delivery efforts.
| Identifer | oai:union.ndltd.org:mcmaster.ca/oai:macsphere.mcmaster.ca:11375/28463 |
| Date | January 2023 |
| Creators | Fernandes Melo, Matthew |
| Contributors | Gonzalez, Andrea, Health Sciences |
| Source Sets | McMaster University |
| Language | English |
| Detected Language | English |
| Type | Thesis |
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