000150748 001__ 150748
000150748 005__ 20251017144649.0
000150748 0247_ $$2doi$$a10.1186/s12889-025-21519-8
000150748 0248_ $$2sideral$$a142804
000150748 037__ $$aART-2025-142804
000150748 041__ $$aeng
000150748 100__ $$aLorente-Català, Rosa
000150748 245__ $$aImplementation of the STEPPS program for the treatment of self-harm behaviors in Catalonia’s prisons: barriers and facilitators
000150748 260__ $$c2025
000150748 5060_ $$aAccess copy available to the general public$$fUnrestricted
000150748 5203_ $$aBackground
The Systems Training for Emotional Predictability and Problem Solving (STEPPS) is an evidence-based program that has been shown to be effective in reducing self-harm behaviors in Correctional Settings (CS). However, there is limited understanding of the contextual factors that impact the implementation of this intervention within such complex environments. A comprehensive understanding of the implementation process is crucial for the successful adoption of this program. This study aims to examine the factors that influence the implementation of the STEPPS program in CS, specifically regarding the management of self-harm behaviors.
Method
A hybrid implementation effectiveness type III study was conducted in penitentiary centers in Catalonia (Spain). Eight Focus Group Discussions based on the Consolidated Framework for Implementation Research (CFIR) were conducted with 17 professionals who implemented the STEPPS program. Additionally, quantitative data were gathered using an open-closed questionnaire based on a CFIR questionnaire.
Results
The results indicated that the scientific evidence and knowledge acquired during the implementation process were seen as facilitators. Also, meetings and support from the external research team were considered positive factors. Conversely, implementation barriers of the STEPPS program in CS included the complexity of the intervention format and the mobility of inmates between modules and centers during the duration of the program.
Conclusions
These findings represent the first attempt to address self-harm behaviors within CS while considering the implementation process. They provide valuable insight into adapting evidence-based interventions, such as STEPPS, for implementation in CS.
000150748 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII-FIS/PI19-00723
000150748 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000150748 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000150748 700__ $$0(orcid)0000-0002-8001-911X$$aJaén, Irene$$uUniversidad de Zaragoza
000150748 700__ $$aBuscà-Huertas, Xavier
000150748 700__ $$aFramis, Berta
000150748 700__ $$aGarcía-Palacios, Azucena
000150748 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000150748 773__ $$g25, 1 (2025), 378 [15 pp.]$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458
000150748 8564_ $$s1127840$$uhttps://zaguan.unizar.es/record/150748/files/texto_completo.pdf$$yVersión publicada
000150748 8564_ $$s1988545$$uhttps://zaguan.unizar.es/record/150748/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000150748 909CO $$ooai:zaguan.unizar.es:150748$$particulos$$pdriver
000150748 951__ $$a2025-10-17-14:35:33
000150748 980__ $$aARTICLE