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Translating evidence-based parenting programs for primary care: Stakeholder recommendations for sustainable

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Summary

Adapting evidence-based programs (EBPs) for primary care requires considering intervention and setting characteristics. Stakeholder input is crucial for successful tailoring, focusing on behavioral health and financial outcomes.

Keywords:
health services researchimplementation scienceintegrated delivery of health careorganizational decision makingparentingpediatric obesityprimary health care

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Area of Science:

  • Implementation science
  • Primary care research
  • Evidence-based program adaptation

Background:

  • Translating evidence-based programs (EBPs) to new settings necessitates careful consideration of intervention attributes and local context.
  • Compelling evidence is vital for engaging decision-makers in program adoption.

Purpose of the Study:

  • To describe the process of a partnership and stakeholder recommendations for adapting an EBP for primary care.
  • To inform the translation of EBPs into primary care settings.

Main Methods:

  • A community advisory board (CAB) comprising primary care delivery stakeholders was established.
  • Thematic analysis was performed on field notes and transcriptions from CAB and clinic meetings.

Main Results:

  • Parenting programs focusing on behavioral and physical health are suitable for primary care.
  • Implementation requires tailoring due to primary care's structural variability.
  • Financial and organizational outcomes are key motivators for decision-makers.

Conclusions:

  • Program content and structure are intrinsically linked to implementation outcomes.
  • Stakeholder engagement is essential for successful EBP adaptation in primary care.