
ObjectiveAs most studies focus on the initial adaptation of culturally tailored parenting programs in real-world settings, scalability and sustainability remain understudied. In this study, we used normalization process theory (NPT) as a conceptual framework to identify and understand the contextual factors impacting the scalability and sustainability of a culturally tailored parenting program, Ladnaan, in three Swedish municipalities.MethodNineteen managers, coordinators, and group leaders completed a survey and participated in individual or focus group interviews.ResultsOur analyses showed that participants agreed on the need for the Ladnaan intervention among immigrant families. However, they were concerned that insufficient resources may hinder the recruitment and retention of parents, particularly as certain resources were allocated to the delivery of other, non-evidence-based interventions. Both managers and coordinators emphasized that embedding Ladnaan into everyday practice is conditioned on the collective work and engagement of all stakeholders, which will occur only if local authorities feel they own the program. The recruitment and retention of group leaders was mentioned as a key challenge in sustaining Ladnaan as the need for the program fluctuated over time.ConclusionThese findings highlight the importance of promoting evidence-based programs within the services available for forcibly displaced parents, and of coordinating efforts to scale up and sustain these programs.
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Sociologi, immigrants, culturally tailored; immigrants; normalization process theory; parenting programs; parents; scaling up; sustainable implementation, parents, sustainable implementation, Health Care Service and Management, Health Policy and Services and Health Economy, Folkhälsovetenskap, global hälsa och socialmedicin, Hälsovetenskaper, Public Health, Global Health and Social Medicine, parenting programs, BF1-990, scaling up, Sociology, Health Sciences, culturally tailored, Psychology, normalization process theory
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Sociologi, immigrants, culturally tailored; immigrants; normalization process theory; parenting programs; parents; scaling up; sustainable implementation, parents, sustainable implementation, Health Care Service and Management, Health Policy and Services and Health Economy, Folkhälsovetenskap, global hälsa och socialmedicin, Hälsovetenskaper, Public Health, Global Health and Social Medicine, parenting programs, BF1-990, scaling up, Sociology, Health Sciences, culturally tailored, Psychology, normalization process theory
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 0 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
