Partnering together to explore the tailored implementation of the F-words for Child Development at an organizational level.

The F-words for Child Development refer to concepts of Function, Family, Fitness, Fun, Friends and Future. The words can guide strength-based approaches to child development service delivery. The study is informed by implementation research. It gathers information about the tailored strategies used to implement interventions guided by the F-words, contextual influences, and the effectiveness and impact of the strategies within a therapy service provider organization, and for children and their families receiving services with the organization. The strategies used to implement the F-words intervention will be developed by an implementation team within the organization in consultation with a research assistant at a focus group and will reflect the group's knowledge of the organization, and client needs and contexts. The implementation team comprises directors, managers and other leaders within the organisation, and could also include therapists and parents who fulfill this role. The strategies developed by the implementation team will be incorporated into a blueprint/plan which is documented and provided to therapists who will adopt them when implementing services with children and their families. Development, documentation and sharing the implementation plan will take 2 weeks. The F-words implementation intervention may include strategies such as the F-words Life-wheel approach for setting goals and guiding coaching, educational outreach and educational materials such as those found on the F-words knowledge hub, and involvement of local champions to promote the F-words intervention. Services which will employ the strategies are delivered by New Zealand registered occupational therapists and physiotherapists. They will have engaged in a 1-day on-line training workshop about the F-words for Child Development delivered by experts within the organization. Services will commence 2 weeks after provision of the implementation plan using strategies from the plan to frame service delivery. Services which incorporate the the F-words for Child Development implementation intervention are provided individually. The services respond to the individual service provision context, individual needs of children and their families and environmental constraints such as general health recommendations during the global pandemic. Services include interventions delivered through modalities such as face-to-face, internet resources (e.g. the F-words knowledge hub) or consultation via telephone or Zoom. The frequency and duration of services framed by the F-words for Child Development respond to the individual needs of families and their children and there is no minimum or maximum frequency or duration of services. Services guided by the F-words for Child Development implementation intervention are developed and delivered in the clinic setting, online, at the children's homes or schools, whichever is appropriate for the child and family needs and routines. Services guided by the implementation plan are personalised according to interviews conducted with children and their families where their unique needs, strengths and resources are discussed. Interviews for personalisation of services will begin 4 weeks after implementation commences. Examples of services guided by the F-words implementation intervention may include coaching, education, or movement skills training. The stage of developing and commencing implementation of the F-words intervention strategies is expected to take 1 month. Implementation of the services employing the strategies will take 11 months. Post implementation interviews with children and their families will occur 6 months after receiving services guided by the F-words strategies. Adherence to and adoption of the implementation strategies will be tracked by the implementation team and therapists providing services using spreadsheets. Families' application of the F-words for Child Development will be ascertained during qualitative interview post intervention.