Supporting the caregiver-child dyad’s relationship: An evaluation of implementation quality in the Chilean Crecer Jugando program |
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| Institution: | 1. Infancia Primero Foundation, General Bustamante N°26, second floor, Providencia, Santiago, Chile;2. Tufts Interdisciplinary Evaluation Research team, Tufts University, 574 Boston Avenue, Suites 106 and 111, Medford, MA, 02155, United States;3. Department of Public Health, Universidad Católica de Chile, Diagonal Paraguay 362, Santiago, Chile;1. Division of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, USA;2. Department of Sociology, Anthropology, and Health Administration and Policy, University of Maryland, Baltimore County, USA;1. Research and Innovation Centre for Human Movement and Learning, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark;2. Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark;3. Active Living, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark;4. Department of Physiotherapy and Occupational Therapy, University College Copenhagen, Copenhagen, Denmark;5. University College Lillebaelt, Denmark |
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| Abstract: | This study presents an evaluation of the implementation quality of the Chilean program Crecer Jugando (CJ), a 16 weekly sessions group-based parenting program for children 0 to 4 years old and their primary caregivers aiming at promoting positive caregiver-child interaction. The implementation of CJ in two public health care centers (HCC) in Chile’s Metropolitan Region was assessed based on Donabedian’s theoretical model, focusing on the dimensions of the program’s structure (e.g., infrastructure and supplies), processes (e.g., coordination of CJ team with the HCCs, participants’ attendance, CJ team interaction with participating children), and preliminary outcomes (i.e., parenting stress, caregiver-child interaction). A total of 63 main caregiver-child dyads participated in the study, which took place over a six-month period. Results indicated that the CJ program was feasible to be implemented in two HCCs and would benefit from improving the coordination with the HCCs and the quality of interaction of the CJ team with participating children. After participation in the CJ program, caregivers showed a decrease in their parenting stress. Lessons learned are discussed. |
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| Keywords: | Implementation evaluation Implementation quality Parenting program Primary health care |
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