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- Title
Utilizing broad‐based partnerships to design a precision approach to implementing evidence‐based home visiting.
- Authors
Haroz, Emily E.; Ingalls, Allison; Wadlin, Joshua; Kee, Crystal; Begay, Marissa; Neault, Nicole; Barlow, Allison
- Abstract
The aim of this paper is to describe a participatory process for adapting an implementation strategy, using a precision approach, for an evidence‐based home visiting program, Family Spirit. Family Spirit serves Native American and low‐income communities nationwide. To redesign Family Spirit's implementation strategy, we used workshops (n = 5) with key stakeholders and conducted an online survey with implementers (n = 81) to identify hypothesized active ingredients and "pivot points" to guide when to tailor the program and for whom. Active ingredients identified included the relationship between the home visitor and clients, lessons ensuring child safety and healthy development, parent–child communication, and goal setting. Pivot points included whether the client is a first‐time mother who has substance abuse history, has a baby at risk for childhood obesity, and/or has sexual or reproductive health concerns. These results are informing the adaptation of Family Spirit' implementation strategy making it more responsive to diverse families while balancing fidelity to the previously proven standard model. Key Terms and Definitions: •Active Ingredients: Factors of an intervention responsible for changes in client outcomes.•Implementation strategy: Systematic process or methods, techniques, activities, and resources that support the adoption, integration and sustainment of evidence‐based interventions into usual care settings (Brownson, Colditz, & Proctor, 2018).•Effectiveness research: Aims to determine the impact of an intervention with demonstrated efficacy when delivered in "real‐world" settings (Brownson, Colditz, & Proctor, 2018).•Implementation research: Aimed at understanding the process and factors that are associated with successful integration of evidence‐based interventions within a particular practice setting (Brownson, Colditz, & Proctor, 2018).
- Subjects
PARENT-child communication; POOR communities; CHILDHOOD obesity; NATIVE Americans; SUBSTANCE abuse
- Publication
Journal of Community Psychology, 2020, Vol 48, Issue 4, p1100
- ISSN
0090-4392
- Publication type
Article
- DOI
10.1002/jcop.22281