| Literature DB >> 34191244 |
Emilie Phillips Smith1, Dawn P Witherspoon2, Pui-Wa Lei2.
Abstract
Implementation of evidence-based practices is a critical factor in whether afterschool programs are successful in having a positive impact upon risk reduction and positive youth development. However, important prevention research reveals that contextual and organizational factors can affect implementation (Bradshaw & Pas in School Psychology Review, 40, 530-548, 2011) (Flaspohler et al., in American Journal of Community Psychology, 50(3-4), 271-281, 2012) (Gottfredson et al., Prevention Science, 3, 43-56, 2002) (McIntosh et al., Journal of Positive Behavior Interventions, 18(4), 209-218, 2016) (Payne in Prevention Science, 10, 151-167, 2009). Using a latent profile approach (LPA), this paper examines multiple organizational and neighborhood contextual factors that might affect the degree to which afterschool programs effectively implement evidence-based practices in the context of a cluster-randomized trial of the Paxis Good Behavior Game (PaxGBG). The Interactive Systems Framework (ISF) explores dimensions of capacity that might matter for prevention efforts. As expected, we found that well-resourced and high-quality programs performed well in terms of implementation (the Haves) and, in neighborhood contexts rich in racial-ethnic diversity. Yet, we found that some programs with less physical and material capacity (the Have Nots), demonstrated greater program quality (i.e., supportive adult and peer relationships, engagement, a sense of belonging) and implementation, relative to programs with better capacity (e.g., space, material resources, staffing, and leadership, the Have Somes). While capacity matters, intentional prevention initiatives that seek to promote evidence-based practices are helpful to sites in supporting organizations that might otherwise fail to provide quality programming for youth. This paper addresses a conundrum in prevention science, namely, how to make programming accessible to those who need it with a focus on organizational processes, program quality, and implementation of evidence-based practices.Entities:
Keywords: Afterschool programs; Capacity; Evidence-based practices; Implementation; Latent profile analysis; Neighborhood/community contexts; Pax Good Behavior Game; Program quality; geographic; racial-ethnic; socio-economic diversity
Mesh:
Year: 2021 PMID: 34191244 PMCID: PMC8458217 DOI: 10.1007/s11121-021-01258-z
Source DB: PubMed Journal: Prev Sci ISSN: 1389-4986
Demographic description of the programs
| Measures | N | Mean | SD | Min | Max |
|---|---|---|---|---|---|
| Implementation of evidence-based practices | |||||
| ACA—Afterschool Climate Assessment (i.e., Posted behavioral systems and guidelines, praise, reinforcement, incentives, active supervision by adults and interaction with children) | 72 | .50 | .16 | .13 | .90 |
| Observed program quality variables | |||||
| CIS—harshness | 72 | 1.27 | .25 | 1.00 | 2.42 |
| CIS—permissiveness | 72 | 1.92 | .48 | 1.11 | 3.26 |
| PPRS—supportive relations with adults | 72 | 3.08 | .40 | 2.07 | 3.78 |
| PPRS—supportive relations with peers | 72 | 3.23 | .31 | 2.48 | 3.85 |
| PPRS—level of engagement | 72 | 3.21 | .30 | 2.39 | 3.85 |
| YPQA—belonging | 72 | 3.40 | .43 | 2.50 | 4.33 |
| Progam capacity—director report | |||||
| Space/facilities | 72 | 2.31 | .54 | 1.27 | 4.00 |
| Materials | 72 | 2.97 | .72 | 1.60 | 4.00 |
| Community linkages | 72 | .01 | .55 | − .84 | 1.41 |
| Program leadership | 72 | .67 | .33 | 0 | 1.00 |
| Staff capacity and readiness | 72 | -.03 | .83 | − 1.61 | 1.49 |
| Program demographic variables—program archival data | |||||
| Average number of children | 70 | 24.61 | 11.68 | 11.00 | 68.00 |
| % free lunch | 70 | 48.46 | 30.15 | 1.00 | 100.00 |
| % White | 72 | 51.88 | 30.69 | 0 | 96.00 |
| % Asian Pacific Islander | 72 | 2.93 | 3.10 | 0 | 17.00 |
| % African-American | 72 | 25.93 | 25.03 | 1.00 | 100.00 |
| % Latino | 72 | 18.13 | 21.56 | 0 | 90.00 |
| Neighborhood context—geographic data | |||||
| Urban | 20 (28%) | ||||
| Suburban | 46 (64%) | ||||
| Rural | 6 (8%) | ||||
| Centered diversity | 72 | .36 | .21 | .05 | .69 |
| Centered risk | 72 | − .05 | .78 | − .95 | 2.06 |
Psychometric and descriptive data for implementation fidelity and afterschool program quality scales
| 10 | 0.62 | 0.77 | |
| Caregiver Interaction Scale (CIS) | |||
| Harshness | 6 | 0.75 | 0.56 |
| Permissiveness | 3 | 0.84 | 0.58 |
| Promising Practices Rating Scale (PPRS) | |||
| Supportive relations with adults | 5 | 0.88 | 0.59 |
| Supportive relations with peers | 3 | 0.89 | 0.50 |
| Level of engagement | 3 | 0.84 | 0.56 |
| Youth Program Quality Assessment (YPQA) | |||
| Sense of belonging | 4 | 0.55 | 0.34 |
| Space-facilities (e.g., art room, computer lab, kitchen, gym, auditorium, multipurpose room, sports fields and courts) | 15 | .80 | - |
| Materials (e.g., physical education equipment, books, computers, games, puzzles) | 5 | .73 | - |
| Community linkages (e.g., frequency and quality of interactions with teachers, parents, and other local resources) | 15 | .88 | - |
| Leadership—posted mission statement and goals, behavioral management plan in place, rewarding staff who do well | 5 | .80 | - |
| Staffing capacity and readiness (e.g., eager to learn/develop, responsive to professional development, implementing new curricula and programs, aware and committed to program goals, shared disciplinary practices.) | 6 | .92 | - |
Model fit statistics for 2- to 4-class solutions
| Statistics | 2-class | 3-class | 4-class |
|---|---|---|---|
| AIC | 2167.38 | 2092.27 | 2062.26 |
| BIC | 2244.79 | 2197.10 | 2194.31 |
| Sample-size adjusted BIC | 2137.66 | 2052.17 | 2011.57 |
| Entropy | .979 | .956 | .923 |
| Vuong-Lo-Mendell-Rubin likelihood ratio test for k-1 (H0) vs. k classes | ∆2LL = 148.22, df = 12, p = .01 | ∆2LL = 99.01, df = 12, p = .24 | ∆2LL = 54.11, df = 12, p = .39 |
| Lo-Mendell-Rubin adjusted likelihood ratio test | Value = 145.39, p = .01 | Value = 97.12, p = .25 | Value = 53.07, p = .39 |
| Class proportions | .21, .79 | .22, .18, .60 | .19, .40, .32, .08 |
Characteristics of the three latent profiles
| Measures | Class 1—Have not (n = 16) | Class 2—Have some (n = 13) | Class 3—Have both (n = 43) | |||
|---|---|---|---|---|---|---|
| Mean | SD | Mean | SD | Mean | SD | |
| Urban | 6.3% | 30.8% | 34.9% | |||
| Suburban | 93.8% | 53.8% | 55.8% | |||
| Rural | 0% | 15.4% | 9.3% | |||
| Index of Neighborhood Diversity (1-D) | .44 | .17 | .33 | .26 | .34 | .19 |
| Centered Neighborhood Risk Index | − .16 | .71 | − .07 | .77 | − .01 | .81 |
| Program demographics | ||||||
| % White children | 57.44% | 17.56% | 59.92% | 34.37% | 47.37% | 33.05% |
| % African-American children | 27.69% | 15.58% | 22.46% | 28.12% | 26.33% | 27.23% |
| % Latino children | 8.31% | 4.98% | 14.38% | 18.21% | 22.91% | 24.86% |
| % Asian Pacific Islander children* | 4.50% a | 3.22% | 1.54% b | 1.33% | 2.77% ab | 3.24% |
| Average staff years of education* | 13.22a | .91 | 13.99ab | 1.26 | 14.39b | 1.34 |
| Average staff age | 35.82 | 8.03 | 32.60 | 7.93 | 35.05 | 6.71 |
| Average staff social service experience | 3.71 | 2.48 | 4.91 | 2.43 | 4.97 | 2.70 |
| Average staff child youth experience | 4.84 | 2.60 | 5.64 | 2.84 | 6.21 | 2.74 |
| % staff male | .10 | .19 | .17 | .18 | .21 | .26 |
| % staff White | .56 | .41 | .82 | .27 | .53 | .39 |
| % staff Asian pacific islander or other | .03 | .13 | .00 | .00 | .02 | .08 |
| % staff Black | .39 | .42 | .15 | .23 | .30 | .36 |
| % staff Latinx | .02 | .06 | .03 | .08 | .14 | .28 |
| Number of children enrolled | 18.50 | 6.22 | 27.42 | 10.62 | 26.14 | 12.88 |
| % free/reduced lunch | 37.63 | 22.53 | 51.92 | 29.63 | 51.60 | 32.39 |
| Program capacity | ||||||
| Space** | − .78 | .30 | .15b | 1.15 | .24 | 1.00 |
| Materials*** | − 1.56 | .38 | .56 | .70 | .41 | .57 |
| Community linkages*** | − 1.33 | .32 | .49 | .81 | .35 | .79 |
| Leadership*** | − 1.30 | .85 | .70 | .35 | .27 | .74 |
| Staff** | − .66 | .60 | .35 | .84 | .14 | 1.08 |
| Program quality | ||||||
| CIS (not harsh)*** | − .48 | 1.11 | − .57 | 1.52 | .35 | .55 |
| CIS (not permissive) | .01 | 1.06 | − .41 | .93 | .12 | 1.00 |
| SRA*** | − .28 | .81 | − 1.39 | .84 | .53 | .60 |
| SRP*** | − .29 | .88 | − 1.18 | .61 | .46 | .81 |
| YPQA—engagement*** | − .24 | 1.03 | − 1.11 | .91 | .43 | .72 |
| YPQA—belonging*** | − .55 | .80 | − .90 | .60 | .48 | .88 |
| Implementation | ||||||
| ACA*** | .45 | .16 | .35 | .11 | .56 | .14 |
Cell means on the same row that do not share common letters are statistically significant at p < .05 by Tukey’s HSD
*p < .05; **p < .01; ***p < .001
Auxiliary regression estimates of ACA on neighborhood variables by latent classes
| Capacity on | Profile 1 (Have Nots) | Profile 2 (Have Some) | Profile 3 (Haves) | |||
|---|---|---|---|---|---|---|
| Estimate | SE | Estimate | SE | Estimate | SE | |
| Intercept | .339 | .221 | .217* | .106 | .395*** | .087 |
| Centered diversity | −.513** | .200 | .242 | .185 | .332* | .133 |
| Centered risk | .214* | .087 | -.037 | .041 | −.021 | .038 |
| Rural | .016 | .090 | .016 | .090 | .016 | .090 |
| Suburban | .401* | .193 | .084 | .080 | .101 | .076 |
| Residual variance | .013*** | .002 | .013*** | .002 | .013*** | .002 |
| Latent means | −1.002*** | .297 | −1.185*** | .327 | 0a | – |
Urban is the reference for neighborhood locale
*p < .05; **p < .01; ***p < .001
aClass 3 is the reference
Fit statistics for different auxiliary regression models
| AIC | BIC | Sample size adjusted BIC | |
|---|---|---|---|
| M1 | 67.092 | 110.348 | 50.486 |
| M2 | 64.955 | 87.722 | 56.215 |
| M3 | 63.031 | 90.351 | 52.543 |
| M4 | 62.360 | 98.787 | 48.376 |
M1, regression slopes and residual variances were different across classes; M2, regression slopes and residual variances were equal across classes; M3, regression slopes were equal across classes, but residual variances were not; M4, residual variances and the slope for rural were equal across classes