Evidence map›Paper›PMID 39966975›Full record

ArticleImplementation science : IS2025

Outcome preferences in fidelity-adaptation scenarios across evidence-based parenting programs: A discrete choice experiment.

Kristoffer Pettersson, Philip Millroth, Fabrizia Giannotta, Pernilla Liedgren, Aaron R Lyon, Henna Hasson, Ulrica von Thiele Schwarz

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Article in Implementation science : IS, 2025. 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

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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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

7 authors.

Kristoffer PetterssonSchool of Health, Care and Social Welfare, Mälardalen University, 721 23, Västerås, SE, Sweden. kristoffer.pettersson@mdu.se.ORCID 0009-0002-1697-1867
Philip MillrothDepartment of Psychology, Uppsala University, 752 37, Uppsala, SE, Sweden.
Fabrizia GiannottaDepartment of Public Health Sciences, Stockholm University, 106 91, Stockholm, SE, Sweden.
Pernilla LiedgrenSchool of Health, Care and Social Welfare, Mälardalen University, 721 23, Västerås, SE, Sweden.
Aaron R LyonDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Henna HassonProcome Research Group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, 171 77, Stockholm, SE, Sweden.
Ulrica von Thiele SchwarzSchool of Health, Care and Social Welfare, Mälardalen University, 721 23, Västerås, SE, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImplementing evidence-based parenting programs often involves navigating fidelity-adaptation decisions. While research has explored various aspects of this dilemma, little is known about how practitioners' outcome preferences influence their decisions in real-world scenarios.

methodsThis study employed a discrete choice experiment (DCE) to investigate the relative importance of five outcomes (Relationship Quality, Satisfaction, Workload Strain, Value Conflict, and Reach) in fidelity-adaptation decisions among 209 practitioners delivering evidence-based parenting programs in Sweden. The DCE presented 25 choice sets across five contextual scenarios, analyzed using Bayesian hierarchical logistic regression.

resultsAll five outcomes significantly influenced practitioners' choices, with Relationship Quality emerging as the most impactful (log-odds: 4.56, 95% CI [4.16, 4.91]). Satisfaction and minimizing Value Conflict showed similar importance (log odds: 2.45 and -2.40, respectively), while Workload Strain and Reach had slightly less impact (log odds: -2.10 and 1.96, respectively).

conclusionsThis study offers a novel perspective on the role of outcome preference in navigating fidelity-adaptation decisions. The strong preference for improving parent-child relationships aligns with core parenting program goals, while consideration of other outcomes reflects practitioners' holistic approach to implementation. These findings can inform the design of interventions and implementation strategies that balance effectiveness with real-world constraints, potentially enhancing parenting programs' adoption, sustainability, and impact.

Indexed as

Choice BehaviorEvidence-Based PracticeParentingAdultBayes TheoremFemaleHumansImplementation ScienceMaleMiddle AgedParent-Child RelationsSwedenWorkloadAdaptationDilemmasDiscrete choice experimentOutcome preferenceParenting programsTrade-offs

Identifiers

PMID39966975
PMCPMC11837681

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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.