Evidence map›Paper›PMID 39010121›Full record

ArticleHealth research policy and systems2024

Moving from idea to reality: The barriers and enablers to implementing Child and Family Hubs policy into practice in NSW, Australia.

Anna Calik, Huei Ming Liu, Alicia Montgomery, Suzy Honisett, Kerri-Anne Van Munster, Tamara Morris, Valsamma Eapen, Sharon Goldfeld, Harriet Hiscock, John Eastwood and 1 more

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Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Anna CalikDepartment of Community Paediatrics, Sydney Local Health District (SLHD), Sydney, NSW, Australia. anna.calik@health.nsw.gov.au.
Huei Ming LiuDepartment of Community Paediatrics, Sydney Local Health District (SLHD), Sydney, NSW, Australia.
Alicia MontgomeryDepartment of Community Paediatrics, Sydney Local Health District (SLHD), Sydney, NSW, Australia.
Suzy HonisettCentre of Research Excellence in Childhood Adversity and Mental Health, Centre for Community Child Health, Murdoch Children's Research Institute, Victoria, Australia.
Kerri-Anne Van MunsterDepartment of Community Paediatrics, Sydney Local Health District (SLHD), Sydney, NSW, Australia.
Tamara MorrisDepartment of Community Paediatrics, Sydney Local Health District (SLHD), Sydney, NSW, Australia.
Valsamma EapenDiscipline of Psychiatry and Mental Health/Faculty of Medicine and Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia.
Sharon GoldfeldDepartment of Paediatrics, University of Melbourne, Victoria, Australia.
Harriet HiscockDepartment of Paediatrics, University of Melbourne, Victoria, Australia.
John EastwoodDepartment of Community Paediatrics, Sydney Local Health District (SLHD), Sydney, NSW, Australia.
Susan WoolfendenDepartment of Community Paediatrics, Sydney Local Health District (SLHD), Sydney, NSW, Australia. susan.woolfenden@health.nsw.gov.au.

Funding

National Health and Medical Research Council Practitioner Fellowship 1136222National Health and Medical Research Council Practitioner Fellowship 1155290
6 · The paper itself

Abstract

backgroundAdverse childhood experiences can impact physical and mental health throughout the lifespan. To support families experiencing adversity and improve child health and developmental equity, an integrated, multi-sector response is required. Child and Family Hubs (Hubs) are a feasible and acceptable approach to providing such a response. In the Australian context, a number of federal and New South Wales (NSW) state policies support an integrated, multi-sector response using Hubs to support families experiencing adversity. This study examined NSW policy stakeholder and health service manager perspectives on the barriers and enablers to translating policy into practice in the implementation of Child and Family Hubs.

methodsSemi-structured interviews were conducted with 11 NSW government policy stakeholders and 13 community health service managers working in child and family policy and planning or child and family community-based services. Interviews were of 30-60 min duration and explored stakeholder knowledge, perspectives and experiences around childhood adversity, and barriers and enablers to operationalizing policies supporting Hubs. Analysis of barriers and facilitators to implementation of Hub models of care was undertaken using the Consolidated Framework for Implementation Research (CFIR).

resultsKey barriers that emerged included short-term and inconsistent funding, lack of resourcing for a Hub co-ordinator, limited support for evaluation and insufficient time to plan for Hub implementation. Key enablers included flexibility and adaptability of Hub models to meet local needs, formal change management processes, strong governance structures and engagement among Hub practitioners. Key insights included the importance of targeted strategies to support sustained individual practice change and the need for organization-wide commitment to enable the successful adoption and maintenance of the Hub model of care.

conclusionsThis study provides valuable insights and contributes evidence around what is needed to strengthen and support the operationalization and scalability of the Hub model of care. Key recommendations for Hub practitioners include the importance of formal change management processes and establishment of strong governance structures, while key recommendations for policymakers include the need for sustainable Hub funding and a standardized, evidence-based framework to support Hub implementation and evaluation.

Indexed as

Health PolicyAdministrative PersonnelChildChild HealthChild Health ServicesCommunity Health ServicesFamilyHumansInterviews as TopicNew South WalesPolicy MakingQualitative ResearchStakeholder ParticipationChildhood adversityHealth policyIntegrated careIntegrated health serviceScalability

Identifiers

PMID39010121
PMCPMC11247851

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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.