Community Social Paediatrics Approach, an Innovative Healthcare Intervention: Implementation Fidelity in Atlantic...

Area of Science:

• Child and Adolescent Health
• Healthcare Management
• Social Work in Healthcare

Background:

• The Community Social Paediatrics approach (CSPA) is an increasingly adopted, comprehensive care model in Canada.
• Limited data exists on the implementation fidelity of CSPA programs.
• Assessing CSPA implementation is crucial for optimizing service delivery.

Purpose of the Study:

• To evaluate the implementation fidelity of a Canadian Community Social Paediatrics approach (CSPA) program established in 2017.
• To identify domains with high and low fidelity within the CSPA model.
• To understand factors influencing CSPA implementation fidelity.

Main Methods:

• Focus group interviews were conducted with the CSPA team.
• An implementation fidelity grid, based on Dr. Julien Foundation accreditation criteria, was utilized.
• Qualitative data analysis explored team perspectives on CSPA implementation.

Main Results:

• High fidelity of implementation was observed in the assessment/orientation and follow-up/support domains.
• Lower fidelity ratings were noted in administrative/financial management and governance domains.
• Variations in fidelity were linked to specific operational and structural factors.

Conclusions:

• The CSPA model demonstrates strengths in direct client care aspects.
• Areas such as administrative and governance structures require targeted improvement for enhanced fidelity.
• Ensuring adequate resources is essential for successful and consistent CSPA implementation.