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Modification to a systematically braided parent-support curriculum: Results from a feasibility pilot.
Kate Guastaferro1, Katy Miller2, Betty S Lai3
1The Methodology Center, The Pennsylvania State University, University Park PA.
Journal of Child and Family Studies
|December 3, 2019
Summary
Modifying parent support programs like Parents as Teachers and SafeCare at Home (PATSCH) based on provider and parent feedback improved child safety and health behaviors. This approach minimizes risks to program fidelity.
Area of Science:
- Child development and family well-being research.
- Evidence-based intervention adaptation and implementation science.
Background:
- Parent support programs aim to enhance child safety and well-being.
- Combining interventions (systematic braiding) risks compromising program fidelity.
- Provider adaptation of programs may omit essential components.
Purpose of the Study:
- To evaluate the feasibility and acceptability of a modified Parents as Teachers and SafeCare at Home (PATSCH) curriculum.
- To assess the impact of a modified PATSCH curriculum on parent behaviors and satisfaction.
Main Methods:
- Pilot study of a modified PATSCH curriculum, removing a provider-identified redundant section.
- Pre-post design with 18 parent-child dyads.
- Qualitative feedback informed curriculum modification.
Main Results:
- Significant improvements in parent behaviors related to home safety and child health.
- Improvements in self-reported parenting behaviors, indicating the retained PAT curriculum effectively teaches these skills.
- High satisfaction reported by both providers and parents with the modified curriculum.
Conclusions:
- Modifying evidence-based curricula to align with provider and parent preferences can enhance acceptability and delivery.
- Adapting programs while maintaining fidelity is crucial for effective parent support interventions.
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