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Measures of facilitator competent adherence used in parenting programs and their psychometric properties: a systematic review

Abstract:
Implementation fidelity is a critical component of intervention science, which aims to understand how interventions unfold in practice to improve outcomes. A key element of fidelity is facilitator competent adherence—the extent to which a program is delivered as prescribed with the specified level of quality. We conducted a two-part systematic review examining these aspects in parenting programs aiming to reduce child behavior problems and maltreatment. Part One reviews measures of facilitator competent adherence and Part Two examines the psychometric properties of the observational measures found. Searches identified 9153 articles from electronic databases, citation tracking, and expert input. After screening using pre-specified criteria, 156 (Part One) and 41 (Part Two) articles remained. In Part One, measure, facilitator, and intervention characteristics were extracted and synthesized from 65 measures. Most measures were observational, used by facilitators and researchers, and employed Likert-scale ratings. In Part Two, evidence on the reliability (internal consistency, inter-rater, intra-rater, test–retest) and validity (content, construct, convergent/divergent, criterion) of 30 observational measures identified from Part One was synthesized and evaluated. An adapted COSMIN checklist was used to assess study and measure quality. We found most studies to be of reasonably high quality. This is the first review to summarize and critically appraise measures of facilitator competent adherence used in the parenting program literature and establish their psychometric properties. The findings underscore the need to advance research on measures of facilitator competent adherence; reliable, valid, and high-quality implementation measures allow for evidence-based decisions regarding the delivery and scale-up of parenting programs. PROSPERO Registration Number: CRD42020167872.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1007/s10567-021-00350-8

Authors


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Institution:
University of Oxford
Division:
SSD
Department:
Social Policy & Intervention
Oxford college:
Jesus College
Role:
Author
ORCID:
0000-0002-3202-3800
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Role:
Author
ORCID:
0000-0002-2028-558X
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Role:
Author
ORCID:
0000-0001-9475-9218
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Role:
Author
ORCID:
0000-0001-7508-7348


Publisher:
Springer
Journal:
Clinical Child and Family Psychology Review More from this journal
Volume:
24
Pages:
834-853
Publication date:
2021-05-21
Acceptance date:
2021-04-28
DOI:
EISSN:
1573-2827
ISSN:
1096-4037


Language:
English
Keywords:
Pubs id:
1179649
Local pid:
pubs:1179649
Deposit date:
2021-05-31

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