ArticlePrevention science : the official journal of the Society for Prevention Research2018
The Cascading Effects of Multiple Dimensions of Implementation on Program Outcomes: a Test of a Theoretical Model.
Article in Prevention science : the official journal of the Society for Prevention Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Beyond Clicks: A Systematic Review of How Engagement is Defined, Predicted, and Linked to Child Outcomes in Self-directed eHealth Preventive Parenting Programs.Prevention science : the official journal of the Society for Prevention Research · 2025Pooled it
- What is fidelity? A systematic review of provider fidelity and its associations with engagement and outcomes in parenting programs.Clinical psychology review · 2025Pooled it
- Measures of Facilitator Competent Adherence Used in Parenting Programs and Their Psychometric Properties: A Systematic Review.Clinical child and family psychology review · 2021Pooled it
- Responsiveness to mHealth Intervention for Cannabis Use in Young Adults Predicts Improved Outcomes.Prevention science : the official journal of the Society for Prevention Research · 2022Trial
- Motivational Interviewing and Caregiver Engagement in the Family Check-Up 4 Health.Prevention science : the official journal of the Society for Prevention Research · 2021Trial
- Implementation fidelity of a pilot group-based nutrition intervention for pregnant women (Nutri Pou Ti' Moun 2): a mixed methods assessment.BMC public health · 2026Observational
- Validation of the Observational Assessment Tool for Tailoring (OATT).Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Implementation science in integrated behavioral health: Charting the road ahead.Families, systems & health : the journal of collaborative family healthcare · 2025Article
- RE-AIMing for health equity: Using RE-AIM to evaluate equitable implementation of the family check-up 4 health.Psychological services · 2025Article
- Examining characteristics of father-child relationship: A qualitative scoping review protocol.Wellcome open research · 2025Article
- Adjunctive interventions: change methods directed at recipients that support uptake and use of health innovations.Implementation science : IS · 2024Article
- Moving beyond dosage and adherence: A protocol for capturing dimensions of active child engagement as a measure of fidelity for social-emotional learning interventions.Frontiers in psychology · 2022Article
- Effects of theFrontiers in psychology · 2022Article
- The Development, Evaluation, and Implementation of Parenting-focused Prevention Programs in Collaboration with Family Court.Family court review · 2021Article
- Implementation methodology from a social systems informatics and engineering perspective applied to a parenting training program.Families, systems & health : the journal of collaborative family healthcare · 2021Article
- Family as a health promotion setting: A scoping review of conceptual models of the health-promoting family.PloS one · 2021Article
- Annual Research Review: The state of implementation science in child psychology and psychiatry: a review and suggestions to advance the field.Journal of child psychology and psychiatry, and allied disciplines · 2019Review
- Redesigning Implementation Measurement for Monitoring and Quality Improvement in Community Delivery Settings.The journal of primary prevention · 2019Article
- How Program Users Enhance Fidelity: Implementing the WITS Programs in Rural Canadian Elementary Schools.Prevention science : the official journal of the Society for Prevention Research · 2018Article
- A machine learning approach to improve implementation monitoring of family-based preventive interventions in primary care.Implementation research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
This study tests a theoretical cascade model in which multiple dimensions of facilitator delivery predict indicators of participant responsiveness, which in turn lead to improvements in targeted program outcomes. An effectiveness trial of the 10-session New Beginnings Program for divorcing families was implemented in partnership with four county-level family courts. This study included 366 families assigned to the intervention condition who attended at least one session. Independent observers provided ratings of program delivery (i.e., fidelity to the curriculum and process quality). Facilitators reported on parent attendance and parents' competence in home practice of program skills. At pretest and posttest, children reported on parenting and parents reported child mental health. We hypothesized effects of quality on attendance, fidelity and attendance on home practice, and home practice on improvements in parenting and child mental health. Structural Equation Modeling with mediation and moderation analyses were used to test these associations. Results indicated quality was significantly associated with attendance, and attendance moderated the effect of fidelity on home practice. Home practice was a significant mediator of the links between fidelity and improvements in parent-child relationship quality and child externalizing and internalizing problems. Findings provide support for fidelity to the curriculum, process quality, attendance, and home practice as valid predictors of program outcomes for mothers and fathers. Future directions for assessing implementation in community settings are discussed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.