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

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Archives of Pediatrics and Adolescent Medicine 154, 1248-1257 ... Kristen Bruder, Family Living Educator. UW-Extension, Dunn County (715) 232-1636 ... – PowerPoint PPT presentation

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


1
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
2
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

3
History of evidence-based programs
  • Medical practice and health care
  • Public health
  • Social work
  • Clinical and school psychology
  • Prevention science
  • Other fields

4
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

5
More Terminology
  • Research-based
  • Research-based content
  • ?
  • Evidence-based programs

6
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)

7
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

8
Principles of Effective Programs
  • Sufficient Dosage and Intensity
  • Comprehensive
  • Developmentally Culturally
  • Appropriate

9
Principles of Effective Programs
  • Theory Driven
  • Well-trained Committed Staff
  • Implementation Fidelity
  • Evaluation Oriented

10
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

11
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?

12
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

13
Typical SFP Session
Family Meal
1 Hour Simultaneously 1 Hour
Parent Session
Youth Session
Family Session
14
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

15
Family Needs
Flexibility for Meals
Managing Children
Parenting Skills
Reason to Participate
Transportation
16
Strengthening Families Program
17
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

18
Strengthening Families Programfor Parents and
Youth 10-14
  • First Hour
  • Parent group Video clip

19
Strengthening Families Programfor Parents and
Youth 10-14
  • First Hour
  • Youth group

20
Strengthening Families Programfor Parents and
Youth 10-14
  • Second Hour
  • Parents and youth together

21
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
22
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.
23
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.
24
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

25
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).
26
Wisconsin Project
  • Building statewide capacity of an Evidence-Based
    Program
  • The Strengthening Families Program, for Parents
    and Youth 10-14

27
Building Statewide Capacity
  • 6 State Trainers
  • 51 Colleagues
  • 200 Facilitators

28
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)

29
Building Statewide Capacity
  • How do we build statewide capacity with a program?

30
Building Statewide Capacity
  • Family Strengthening
  • Valuable Outcomes and Skills
  • Community members can become facilitators
  • Timing
  • Collaboration
  • Extension as a leader

31
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

32
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

33
Lessons Learned
  • Program fidelity
  • Program outcomes
  • Recruitment of facilitators
  • Challenging audiences

34
Lessons Learned
  • Program recruitment/attrition
  • Meals child care
  • Scheduling and timing of programs
  • Transportation
  • Program sustainability

35
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

36
Strengthening Families Program for Parents and
Youth 10-14
  • Kristen Bruder, Family Living Educator
  • UW-Extension, Dunn County
  • (715) 232-1636
  • kristen.bruder_at_ces.uwex.edu
  • Pam Peterson, Family Living Educator
  • UW-Extension, Door County
  • (920) 746-2260
  • pam.peterson_at_ces.uwex.edu
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