Identifying pre-implementation barriers, facilitators and strategies for integrating a co-designed, technology-assisted parenting program within an adult mental health service

Abstract Background Children of parents experiencing mental health challenges are at an increased risk of mental health issues themselves. Parenting interventions can improve parent and child outcomes; however, parents often face barriers to accessing them. Delivering technology-assisted parenting programs within adult mental health services may overcome barriers by providing accessible, family-focused support and minimising demands on services. Yet little is known about how these programs can be efficiently and appropriately implemented in adult mental health settings. This study aimed to: (1) understand the perceived barriers and facilitators to implementing a co-designed, technology-assisted parenting program in an adult mental health service, from the perspective of service providers, and (2) use this understanding to develop practical strategies to guide the implementation of such programs in practice. Methods Individual interviews were conducted with 13 service providers ( n = 9 clinicians, n = 4 managers). Data collection and analysis were informed by the Consolidated Framework for Implementation Research (CFIR). Implementation strategies were drawn from the Expert Recommendations for Implementing Change (ERIC), with the CFIR-ERIC Matching Tool used to link identified barriers with targeted implementation strategies. Results We identified 22 CFIR constructs as facilitators and 12 as barriers. Eighteen implementation strategies were suggested for overcoming these barriers, with many strategies falling within the ERIC clusters ‘Use evaluative and iterative strategies’ ( n = 5) and ‘Train and educate stakeholders’ ( n = 4). Conclusions Findings highlight key factors influencing the implementation of a technology-assisted parenting program into an adult mental health service and suggest actionable strategies to mitigate barriers. Health services aiming to enhance parental mental health and family functioning through embedding technology-assisted parenting programs can use these findings to guide implementation.