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Prevention Science
Published in: Prevention Science 5/2017

01-07-2017

Adapting Current Strategies to Implement Evidence-Based Prevention Programs for Paraprofessional Home Visiting

Authors: Erin Rotheram-Fuller, Dallas Swendeman, Kim Becker, Eric Daleiden, Bruce Chorpita, Maryann Koussa Youssef, Mary Jane Rotheram-Borus

Published in: Prevention Science | Issue 5/2017

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Abstract

This paper describes a strategy for using evidence-based interventions (EBI) that does not require replication and fidelity. Eight parents, identified as positive role models, conducted home visits for 101 low-income Latina and Korean pregnant women. The home visitors, called mentor mothers (MM), were trained in 10 of the practice elements common to 80% of child-focused EBI and how to apply these skills to support mothers in obesity prevention, to increase the duration of breastfeeding, and to reduce depression. MM reported the content and skills utilized on each home visit on mobile phones. Each MM made an average of 153 home visits (SD = 173.3), with 28 of these visits being phone contacts. Body mass index (BMI) at 6 months was significantly associated with the frequency of MM focused on coping with depression (r = .24), but was not related to practice elements used by MM. The duration of breastfeeding was significantly related to the frequency with which MM focused on the topic of breastfeeding (r = .28) and parenting (r = .3), and MM use of attending (r = .24) and relaxation (r = .27). Depression was significantly correlated with the frequency of addressing depression (r = .27), but not to practice elements. MM did use different strategies in the first 150 visits compared to their last 150 visits, reflecting data-informed supervision. Evidence synthesized from EBI was used as a novel training method, with real-time monitoring and data-informed supervision providing evidence of iterative quality improvements in MM behaviors over time, as well as a way for linking implementation processes to outcomes.
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Metadata
Title
Adapting Current Strategies to Implement Evidence-Based Prevention Programs for Paraprofessional Home Visiting
Authors
Erin Rotheram-Fuller
Dallas Swendeman
Kim Becker
Eric Daleiden
Bruce Chorpita
Maryann Koussa Youssef
Mary Jane Rotheram-Borus
Publication date
01-07-2017
Publisher
Springer US
Published in
Prevention Science / Issue 5/2017
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-017-0787-z

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