Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support

Reluctance by practitioners to follow manuals is often cited as a reason for the lack of adoption of empirically supported treatments (ESTs). We contend that rigid adherence to the therapeutic techniques described in a manual is neither necessary nor desirable. Rather, practitioners should flexibly...

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Main Authors: Mazzucchelli, Trevor, Sanders, M.
Format: Journal Article
Published: Wiley-Blackwell 2010
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/26528
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author Mazzucchelli, Trevor
Sanders, M.
author_facet Mazzucchelli, Trevor
Sanders, M.
author_sort Mazzucchelli, Trevor
building Curtin Institutional Repository
collection Online Access
description Reluctance by practitioners to follow manuals is often cited as a reason for the lack of adoption of empirically supported treatments (ESTs). We contend that rigid adherence to the therapeutic techniques described in a manual is neither necessary nor desirable. Rather, practitioners should flexibly deliver interventions to meet the diverse needs of consumers, but in such a way that the intervention is not moved beyond its evidence base. This tension between adherence and flexibility is reframed as an issue of practitioner generalization. The present paper draws on the authors’ experiences from disseminating the Triple P-Positive Parenting Program to describe a number of strategies that can both safe-guard the fidelity with which ESTs are delivered and encourage their flexible delivery.
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spelling curtin-20.500.11937-265282017-09-13T15:55:05Z Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support Mazzucchelli, Trevor Sanders, M. empirically supported treatment fidelity generalization evidence-based practice dissemination flexibility Reluctance by practitioners to follow manuals is often cited as a reason for the lack of adoption of empirically supported treatments (ESTs). We contend that rigid adherence to the therapeutic techniques described in a manual is neither necessary nor desirable. Rather, practitioners should flexibly deliver interventions to meet the diverse needs of consumers, but in such a way that the intervention is not moved beyond its evidence base. This tension between adherence and flexibility is reframed as an issue of practitioner generalization. The present paper draws on the authors’ experiences from disseminating the Triple P-Positive Parenting Program to describe a number of strategies that can both safe-guard the fidelity with which ESTs are delivered and encourage their flexible delivery. 2010 Journal Article http://hdl.handle.net/20.500.11937/26528 10.1111/j.1468-2850.2010.01215.x Wiley-Blackwell restricted
spellingShingle empirically supported treatment
fidelity
generalization
evidence-based practice
dissemination
flexibility
Mazzucchelli, Trevor
Sanders, M.
Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support
title Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support
title_full Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support
title_fullStr Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support
title_full_unstemmed Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support
title_short Facilitating practitioner flexibility within an empirically supported intervention: Lessons from a system of parenting support
title_sort facilitating practitioner flexibility within an empirically supported intervention: lessons from a system of parenting support
topic empirically supported treatment
fidelity
generalization
evidence-based practice
dissemination
flexibility
url http://hdl.handle.net/20.500.11937/26528