Building Capacity in Evidencebased Programs: The Strengthening Families Program for Parents and Yout

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Building Capacity in Evidence-based Programs
The Strengthening Families Program for Parents
and Youth 10-14 2007 CYFAR Conference -
Chicago
Kristen Bruder, M.S. Family Living Educator Dunn
County UW-Extension
Pam Peterson, M.S., APSW Family Living
Educator Door County UW-Extension
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Evidence-Based Programs and Practices

• Research has demonstrated that specific
  approaches and strategies can reduce problem
  behaviors enhance positive developmental
  outcomes
• The most effective programs and practices are
  termed evidence-based

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History of evidence-based programs

• Medical practice and health care
• Public health
• Social work
• Clinical and school psychology
• Prevention science
• Other fields

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What makes a program evidence-based?

• Based on a solid scientific theoretical
  foundation
• Carefully implemented and evaluated using
  rigorous scientific methods
• Replicated and evaluated in a variety of settings
  with a range of audiences
• Evaluation findings have been subjected to
  critical review and published in respected
  scientific journals
• Certified as evidence-based by a federal agency
  or respected research organization

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More Terminology

• Research-based
• Research-based content
• ?
• Evidence-based programs

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Why the interest in evidence-based programs?

• Critical mass of scientific evidence
• Efficiency (dont need to reinvent the wheel)
• Increases likelihood that programs will have the
  desired impact
• Evidence helps sell the program to funders,
  stakeholders and potential audiences
• Data may be available to estimate economic
  benefits (e.g., cost-effectiveness)

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An EBP by any other name

• Exemplary - Department of Education, Office of
  Juvenile Justice Prevention
• Effective - Centers for Disease Control and
  Prevention, Center for Substance Abuse
  Prevention, National Institute on Drug Abuse,
  OJJDP
• Model - CSAP, Surgeon General
• Proven Promising Practices Network
• Promising - Surgeon General, DOE, OJJDP

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Principles of Effective Programs

• Sufficient Dosage and Intensity
• Comprehensive
• Developmentally Culturally
• Appropriate

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Principles of Effective Programs

• Theory Driven
• Well-trained Committed Staff
• Implementation Fidelity
• Evaluation Oriented

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Strengthening Families Program for Parents and
Youth 10-14

• Recognized as exemplary and evidence-based by
• Iowa State University
• Office of Juvenile Justice and Delinquency
  Prevention
• National Institute on Drug Abuse
• US Department of Education
• US Department of Health and Human Services

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Strengthening Families Program for Parents and
Youth 10 - 14

• Youth Session Activity
• What does George worry about?
• What does George do to impress
• his friends?

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Strengthening Families Programfor Parents and
Youth 10-14

• Program Format
• Developed for parents and youth 10-14
• Designed for 7-10 families per series
• Seven two-hour sessions with graduation
• Four booster sessions to be held 3-12 months
  later

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Typical SFP Session
Family Meal
1 Hour Simultaneously 1 Hour
Parent Session
Youth Session
Family Session
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Strengthening Families Programfor Parents and
Youth 10-14

• Special Features of the Program
• Timing the transition to the teen years
• Parents and youth learn together
• Videos portray parent-child interaction
• User friendly materials
• Fun, interactive projects and activities
• Families eat meal together
• Child care provided
• Rigorously evaluated

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Family Needs
Flexibility for Meals
Managing Children
Parenting Skills
Reason to Participate
Transportation
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Strengthening Families Program
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Strengthening Families Programfor Parents and
Youth 10-14

• Core Themes
• Using Love and Limits
• Empathy
• Rules/Responsibilities to Reach Goals
• Expressing Appreciation
• Open and Clear Communication
• Protecting Against Substance Abuse

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Strengthening Families Programfor Parents and
Youth 10-14

• First Hour
• Parent group Video clip

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Strengthening Families Programfor Parents and
Youth 10-14

• First Hour
• Youth group

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Strengthening Families Programfor Parents and
Youth 10-14

• Second Hour
• Parents and youth together

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Strengthening Families Program 10-14 Reduces
Aggressive and Hostile Behaviors
Aggression and Hostility Index
SOURCE Spoth, R., Redmond, C., Shin, C. (2000)
Reducing adolescents' aggressive and hostile
behaviors Randomized trial effects of a brief
family intervention four years past baseline.
Archives of Pediatrics and Adolescent Medicine
154, 1248-1257
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Strengthening Families Program 10-14 Reduces
Alcohol Initiation
Spoth, R., Redmond , C., Shin, C. (2000)
Reducing adolescents' aggressive and hostile
behaviors Randomized trial effects of a brief
family intervention four years past baseline.
Archives of Pediatrics and Adolescent Medicine
154 , 1248-1257.
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Strengthening Families Program 10-14 Improves
Positive Discipline by Parents
Spoth, R., Goldberg, C., Redmond, C. (1999).
Engaging families in longitudinal preventive
intervention research Discrete-time survival
analysis of socioeconomic and social-emotional
risk factors. Journal of Consulting and Clinical
Psychology, 67(1), 157-163.
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Economic benefits of effective programs

• Cost-Benefit Analysis
• A technique for assessing the economic impact
  of a program by taking into account a programs
  financial costs and benefits

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Long Term Cost Saving of SFP 10-14

• 9.60 saved!

• For every
• 1
• invested

Spoth, R.L., Guyll, M., Day, S. Journal of
Studies on Alcohol. Universal family-focused
interventions in alcohol-use disorder prevention
cost-effectiveness and cost-benefit analyses of
two interventions. March 2002 v63, i2 p219(10).
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Wisconsin Project

• Building statewide capacity of an Evidence-Based
  Program
• The Strengthening Families Program, for Parents
  and Youth 10-14

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Building Statewide Capacity

• 6 State Trainers
• 51 Colleagues
• 200 Facilitators

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Strengthening Families Programfor Parents and
Youth 10-14

• Populations served
• Hmong families (Eau Claire Co)
• Hispanic families (Door Co, Waukesha Co)
• American Indian families (Forest Co,
  Potawatomi/Sokaogon Chippewa)
• White families (throughout the state)

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Building Statewide Capacity

• How do we build statewide capacity with a program?

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Building Statewide Capacity

• Family Strengthening
• Valuable Outcomes and Skills
• Community members can become facilitators
• Timing
• Collaboration
• Extension as a leader

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Partners/Funding

• Wisconsin Clearinghouse for Prevention Resources
• Wisconsin Department of Heath and Family Services
• University of Wisconsin-Extension, Family Living
  Programs 4-H Youth Development

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State Trainer Team

• Working together for a common goal
• Resources
• Websites
• - www.uwex.edu/ces/flp/families/strengthening.cfm
  
• - www.extension.iastate.edu/sfp/
• Program Overview
• Facilitator website
• Listserv
• WisLine

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Lessons Learned

• Program fidelity
• Program outcomes
• Recruitment of facilitators
• Challenging audiences

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Lessons Learned

• Program recruitment/attrition
• Meals child care
• Scheduling and timing of programs
• Transportation
• Program sustainability

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Strengthening Families Program for Parents and
Youth 10-14

• Summary
• Evidence-based programs have demonstrated
  effectiveness
• SFP for Parents and Youth 10 -14
• Long-term prevention
• Cost benefit savings
• Family fun and learning
• Build partnerships to build capacity

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Strengthening Families Program for Parents and
Youth 10-14

• Kristen Bruder, Family Living Educator
• UW-Extension, Dunn County
• [phone]
• kristen.bruder_at_ces.uwex.edu
• Pam Peterson, Family Living Educator
• UW-Extension, Door County
• [phone]
• pam.peterson_at_ces.uwex.edu