Component analysis of adherence in a family intervention
Open accessAbstract
Purpose: Most studies of adherence use a single global measure to examine the relation of adherence to outcomes. These studies inform us about effects of overall implementation but not about importance of specific program elements. Previous research on the Strengthening Families Program 10‐14 has shown that outcomes were unrelated to global adherence. The purpose of the present study was to determine whether adherence to specific components of SFP was related to outcomes, even though global adherence was not. Design/methodology/approach: The authors micro‐coded data from an observational study of 11 instances of SFP (N=47 facilitators, 151 participants) into specific process and content components. Using multilevel analysis, they examined the relation of each component to program outcomes, accounting for individual‐ and program‐level variables. Findings: Most associations of adherence with outcome were negligible for European‐Americans but significant for minority participants. Research limitations/implications: Global assessments of implementation are insufficient for complex, multi‐component prevention programs and may obscure relations of implementation to outcomes. Additionally, program components may function differently based on participant characteristics. Practical implications: Facilitators would benefit from understanding the function of individual program components, particularly when programs are delivered to diverse audiences. Program developers should provide detailed logic models of program theory to guide facilitators’ decisions about adaptation. Originality/value: This is one of only a few studies to examine the relation of adherence to specific intervention components to outcomes in a real‐world setting. Results show the utility of component analysis and the importance of considering individual characteristics for implementation assessment.
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There is evidence that family-based interventions to reduce substance use reach more minority participants if they are adapted to fit local culture and context.
“For example, there is evidence that family-based interventions to reduce substance use reach more minority participants if they are adapted to fit local culture and context (e.g., to reflect sociocultural values of Hispanic populations and rural settings) (59, 69, 82).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [59]
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- Authors
- Hill, L. G., & Owens, R. W.
- Affiliations
- Washington State University (US)
- ORCID
- Hill, Laura G.
- Venue
- Health Education
- Publisher
- Emerald
- Published
- 2013-06-21
- Volume
- 113
- Issue
- 4
- Pages
- 264-280
- ISSN
- 0965-4283 (ISSN-L)
- PMC
- PMC4203683
- OpenAlex
- W1992700017
- Cited by
- 22
- References
- 30
- Citations by year
- 2026: 1 · 2024: 1 · 2022: 1 · 2021: 4 · 2019: 3 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 1 · 2014: 4
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Education (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R21DA025139, R21DA019758)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- medication adherence, component analysis, family intervention, Strengthening Families Program, program implementation, program outcomes, European Americans, logic model, program adaptation
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