Abstract
Ecological or multidimensional theories are commonly used to explain the causal pathways that contribute to complex social problems. While it is generally understood that context matters for improving and strengthening parental capacity and positive child development, it is less well recognized that context also matters for the capacity of interventions, even those that are well specified and researched, to realize their full potential. Indeed, the attention being given to directing public investments to “evidence-based models” suggests that a program, once proven to work, can be successfully transplanted in a range of communities and that positive outcomes can be replicated at scale. However, rarely do these so-called proven programs replicate their impacts when taken to scale. Maximizing the impacts and viability of evidence-based programs, in many ways, depends upon the ability of local communities to facilitate collaboration across sectors and target investment around a shared mission and set of core outcomes. The purpose of this commentary is to articulate why focusing on both program and context offers policymakers a more promising pathway for achieving meaningful and sustainable improvements in a child’s well-being and healthy development.
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Aarons, G. A., Green, A. E., Palinkas, L. A., Self-Brown, S., Whitaker, D. J., Lutzker, J. R., & Chaffin, M. J. (2012). Dynamic adaptation process to implement an evidence-based child maltreatment intervention. Implementation Science, 7, 32.
Alonso-Marsden, S., Dodge, K., O’Donnell, K., Murphy, R., Sato, J., & Christopoulos, C. (2011). Predictors of family participation in a universal nurse home visiting program to prevent child maltreatment. Montreal, Canada: Paper presented at the Biennial Meeting of the Society of Research in Child Development.
Backer, T. E. (2001). Finding the balance: Program fidelity and adaptation in substance abuse prevention: A state-of-the-art review. Rockville, MD: Center for Substance Abuse Prevention.
Barth, R. P., Landsverk, J., Chamberlain, P., Reid, J. B., Rolls, J. A., Hurlburt, M. S., et al. (2005). Parent-training programs in child welfare services: Planning for a more evidence-based approach to serving biological parents. Research on Social Work Practice, 15(5), 353–371.
Bauman, L. J., Stein, R. E., & Ireys, H. T. (1991). Reinventing fidelity: The transfer of social technology among settings. American Journal of Community Psychology, 19(4), 619–639.
Belsky, J. (1980). Child maltreatment: An ecological integration. American Psychologist, 35, 320–335.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.
Child Welfare Information Gateway. (2011). Child maltreatment prevention: Past, present, and future. Child Welfare Information Gateway. https://www.childwelfare.gov/pubs/issue_briefs/cm_prevention.cfm. Accessed 15 July 2015.
Cicchetti, D., & Rizley, R. (1981). Developmental perspectives on the etiology, intergenerational transmission, and sequelae of child maltreatment. New Directions for Child Development, 11, 31–55.
Conger, D., & Ross, T. (2006). Project Confirm: An outcome evaluation of a program for children in the child welfare and juvenile justice systems. Youth Violence and Juvenile Justice, 4(1), 97–115.
Daro, D. (2010). Replicating evidence-based home visiting models: A framework for assessing fidelity. Research Brief 3 -- Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment. Washington, DC: Children’s Bureau, Administration for Children and Families, U.S. Department of Health and Human Services. Available at http://www.supportingebhv.org/.
Daro, D. (2011). Home visitation. In E. Zigler, W. Gilliam, & S. Barnett (Eds.), The preschool education debates (pp. 169–173). Baltimore, MD: Paul H. Brookes Publishing Co.
Daro, D., & Dodge, K. (2009). Creating community responsibility for child protection: Expanding partnerships, changing context. Future of Children, 19(2), 67–94.
Daro, D., & Dodge, K. (2010). Strengthening home-visiting intervention policy: Expanding reach, building knowledge. In R. Haskins & W. S. Barnett (Eds.), New directions for America’s preschool policies (pp. 79–86). Washington D.C.: NIERR and Brookings.
Daro, D., Howard, E., Tobin, J., & Harden, A. (2005). Welcome home and early start: An assessment of program quality and outcome. Chicago, IL: Chapin Hall at the University of Chicago.
Dodge, K. A., Goodman, B., Murphy, R., O’Donnell, K., & Sato, J. (2013). Randomized controlled trial of universal postnatal nurse home visiting: Impact on emergency care. Pediatrics, 132, S140–S146. http://pediatrics.aappublications.org/content/132/Supplement.
Fischer, R., Lalich, N., & Coulton, C. (2008). Taking it to scale: Evaluating the scope and reach of a community-wide initiative on early childhood. Evaluation and Program Planning, 31, 199–208.
Garbarino, J. (1977). The human ecology of child maltreatment: A conceptual model for research. Journal of Marriage and the Family, 39, 721–735.
Green, B. L., Rockhill, A., & Burrus, S. (2008). The role of interagency collaboration for substance-abusing families involved with child welfare. Child Welfare, 87(1), 29–61.
Hagermoser Sanetti, L. M., & Kratochwill, T. R. (2009). Toward developing a science of treatment integrity: Introduction to the special issue. School Psychology Review, 38(4), 445–459.
Haskins, R., & Margolis, G. (2014). Show me the evidence: Obama’s fight for rigor and results in social policy. Washington, DC: Brookings Institution Center on Children and Families.
Institute of Medicine (IOM) and National Research Council (NRC). (2014). New directions in child abuse and neglect research. Washington, DC: The National Academies Press.
Johnson, M. A., Stone, S., Lou, C., Ling, J., Claassen, J., & Austin, M. J. (2008). Assessing parent education programs for families involved with child welfare services: Evidence and implications. Journal of Evidence-Based Social Work, 5(1/2), 191–236.
Johnson, P., Wistow, G., Schulz, R., & Hardy, B. (2003). Interagency and interprofessional collaboration in community care: The interdependence of structures and values. Journal of Interprofessional Care, 17(1), 69–83.
Kania, J., & Kramer, M. (2011). Collective impact. Stanford Social Innovation Review, 9(1), 36–41.
Kempe, C. H. (1982). Cross-cultural perspectives in child abuse. Pediatrics, 69, 497–498.
Kimbrough-Melton, R., & Melton, G. (2015). “Someone will notice, and someone will care”: How to build strong communities for children. Child Abuse and Neglect, 41(March), 67–78.
Lee, C.-Y., August, G., Realmuto, G., Horowitz, J., Bloomquist, M., & Klimes-Dougan, B. (2008). Fidelity at a distance: Assessing implementation fidelity of the Early Risers prevention program in a going to scale intervention trial. Prevention Science, 9, 215–229.
Lombardi, J. (2015). A foundation for sustainable development: Advancing toward a new era for young children and families. Early Childhood Matters, 124(June), 5–7.
Matone, M., O’Reilly, A., Luan, X., Localio, A. R., & Rubin, D. (2012). Emergency department visits and hospitalizations for injuries among infants and children following statewide implementation of a home visitation model. Maternal and Child Health Journal, 16(9), 1754–1761.
McCall, L. (2005). The complexity of intersectionality. Signs, 30(3), 1771–1800.
Mildon, R., & Shlonsky, A. (2011). Bridge over troubled water: Using implementation science to facilitate effective services in child welfare. Child Abuse & Neglect, 35(9), 753–756.
Paulsell, D., Del Grosso, P., & Supplee, L. (2014). Supporting replication and scale-up of evidence-based home visiting programs: Assessing the implementation knowledge base. American Journal of Public Health, 104(9), 1624–1632. doi:10.2105/AJPH.2014.301962.
Powell, B., Bosk, E., Wilen, J., Danko, C., Van Scoyoc, A., & Banman, A. (2015). Evidence-based programs in “real world” settings: Finding the best fit. In D. Daro, A. Cohn-Donnelly, L. Huang, & B. Powell (Eds.), Advances in child abuse prevention knowledge: The perspective of new leadership (pp. 145–165). New York: Springer.
Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P System Population Trial. Prevention Science, 10(1), 1–12.
Sanders, M. R., Turner, K. M., & Markie-Dadds, C. (2002). The development and dissemination of the Triple P—Positive Parenting Program: A multilevel, evidence-based system of parenting and family support. Prevention Science, 3(3), 173–189.
Sedlak, A. J., Schultz, D., Wells, S. J., Lyons, P., Doueck, H. J., & Gragg, F. (2006). Child protection and justice systems processing of serious child abuse and neglect cases. Child Abuse & Neglect, 30(6), 657–677.
Tankersley, D., Vonta, T., & Ionescu, M. (2015). Quality in early childhood settings: Universal values and cultural flexibility. Early Childhood Matters, 124(June), 78–81.
Tibbits, M., Bumbarger, B., Kyler, S., & Perkins, D. (2010). Sustaining evidence-based interventions under real-world conditions: Results from a large-scale diffusion project. Prevention Science, 11(3), 252–262.
Urban Institute. (2012). Best Start LA pilot community evaluation: Annual outcomes report, year 3. Washington DC: Urban Institute.
Wallack, L., & Lawrence, R. (2005). Talking about public health: Developing America’s “second language”. American Journal of Public Health, 95(4), 567–570.
Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., Blachman, M., & Saul, J. (2008). Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41(3-4), 171–181.
Weinberg, L. A., Zetlin, A., & Shea, N. M. (2009). Removing barriers to educating children in foster care through interagency collaboration: A seven county multiple-case study. Child Welfare, 88(4), 77–111.
Welsh, B., Sullivan, C., & Olds, D. (2010). When early crime prevention goes to scale: A new look at the evidence. Prevention Science, 11(2), 115–125.
Wulczyn, F., Daro, D., Fluke, J., Feldman, S., Glodek, C., & Lifanda, K. (2010). Adapting a systems approach to child protection: Key concepts and considerations. New York: United Nations Children’s Fund.
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Daro, D. Early Family Support Interventions: Creating Context for Success. Glob Soc Welf 3, 91–96 (2016). https://doi.org/10.1007/s40609-016-0048-2
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DOI: https://doi.org/10.1007/s40609-016-0048-2