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Published on: June 1, 2015
Community Social Paediatrics Approach, an Innovative Healthcare Intervention: Implementation Fidelity in Atlantic
Danielle Doucet1, Anik Dubé1, Hélène Corriveau1
1University of Moncton, Moncton, New Brunswick, Canada.
Insights
Community Social Paediatrics approach (CSPA) implementation in Canada showed high fidelity in assessment and follow-up, but lower in administration and governance. Adequate resources are recommended for improved CSPA fidelity.
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.
Abstract:
The Community Social Paediatrics approach (CSPA) is a comprehensive and personalized approach to care that is becoming more widely used throughout Canada. However, data on its implementation fidelity remain scarce. The purpose of this research was to assess the implementation fidelity of a CSPA established in 2017 in Canada. Data were collected through focus group interviews with the CSPA team using an implementation fidelity grid based on the Dr. Julien Foundation standard accreditation criteria. Results showed that on one hand, administrative and financial management and governance were among those domains with lower ratings. On the other hand, assessment/orientation and follow-up/support had high levels of fidelity of implementation. This research helps to better understand which factors are contributing to varying levels of fidelity of implementation. To reach an increased level of fidelity of implementation, it is recommended that adequate resources be in place.
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