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Investigating feasibility and fidelity of the Parenting Young Children program in Sweden
Institution:1. School of Education and Communication, Box 1026, SE-551 11, Jönköping, Sweden;2. Department of Social Work, University of Gothenburg, Sweden;1. School of Economics and Management, Xidian University, No. 2 South Taibai Street, Xi’an, Shaanxi Province, PR China;2. Shaanxi Xi ''an Yanta District, Shida Road, Shaanxi Normal University, Xi’an, Shaanxi Province, PR China;1. Claremont Graduate University, United States;2. California State University, Los Angeles, United States;1. Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA;2. Texas A&M University, Health Science Center, School of Public Health, MS 1266, College Station, TX 77843-1266, USA;1. School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, K1G 5Z3, Canada;2. Department of Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5, Canada;3. Population Health, Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Ontario, K1N 7K4, Canada;4. Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, K1H 8L6, Canada;1. Department of Nursing, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, Ontario, L2S 3A1, Canada;2. Department of Geography & Tourism Studies, Brock University, 1812 Sir Isaac Brock Way St. Catharines, Ontario, Canada
Abstract:Specific aimsThis study explored feasibility and fidelity of an education program for parents with intellectual disability. The Australian Parenting Young Children intervention was translated and adapted for support workers in the Swedish social services.MethodFidelity was examined using implementation diaries tracking frequency of implementation of program activities and teaching approaches ((over 14 months, completed by 27 support workers from 15 municipalities). Eighteen of these support workers and their managers (n = 12) completed questionnaires examining feasibility using Roger’s concepts of program compatibility and complexity.FindingsResults showed that implementation of Parenting Young Children was feasible, with overall positive attitudes to Evidence Based Practice, good program compatibility, low perceived program complexity, and high satisfaction with implementation support. The fidelity measures suggest problems in how the program is used by some support workers: parents received less than the recommended number of sessions and activities such as observation of parents and follow up, were infrequently used by support workers.DiscussionThe findings raise questions about how program support and education should be provided. Difficulties in defining fidelity within the flexibility of the Parenting Young Children program are also discussed.
Keywords:Implementation  Program flexibility  Intellectual disability  Feasibility  Fidelity  Parenting Young Children
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