Implementation of Parenting Programs in Real-World Community Settings: A Scoping Review.

Area of Science:

• Public Health
• Family Studies
• Implementation Science

Background:

• Effective parenting programs are vital for child and family well-being.
• High-quality implementation in community settings presents significant challenges.
• Limited understanding exists regarding how these programs are implemented in real-world contexts.

Purpose of the Study:

• To map the existing evidence on the implementation of evidence-based parenting programs in real-world community settings.
• To identify implementation outcomes, adaptations, barriers, and facilitators.
• To highlight areas for improved reporting and future research.

Main Methods:

• A scoping review following the Joanna Briggs Institute methodology.
• Systematic search of 12 databases, gray literature, and reference lists.
• Inclusion of 145 studies detailing the implementation of 53 parenting programs worldwide.

Main Results:

• Most studies involved families facing psychosocial risks and engaged with family support agencies.
• Commonly reported implementation outcomes were fidelity and acceptability.
• Program providers frequently adapted interventions to overcome barriers and enhance program fit.

Conclusions:

• There is a need for more detailed and consistent reporting of implementation processes and outcomes.
• Standardized terminology and measurement of implementation outcomes are essential for accurate evaluation.
• Future research should examine the impact of adaptations, cost-effectiveness, and sustainability of parenting programs in community settings.