Implementing parenting programs in real-world community settings is fundamental to making effective programs widely available and consequently improving the lives of children and their families. Despite the literature acknowledging that the high-quality implementation of parenting programs is particularly challenging in real-world community settings, little is known about how the programs are implemented in these settings. This scoping review followed the methodological framework described by the Joanna Briggs Institute to map evidence on how evidence-based parenting programs have been implemented under real-world conditions. A systematic search of 12 scientific databases, gray literature, and the reference lists of the included studies identified 1918 records, of which 145 were included in the review. Fifty-three parenting programs were identified in studies documenting implementation in real-world community settings worldwide. Most studies included families in psychosocial risk engaged with family-support agencies. The qualitative synthesis identified several implementation outcomes, adaptations, barriers, and facilitators. Most studies reported a maximum of two implementation outcomes, mainly fidelity and acceptability. Providers frequently made adaptations, mainly to bring down barriers and to tailor the program to improve its fit. Findings highlight the need for a more detailed description of the implementation of programs, with greater consistency in terminology, operationalization, and measurement of implementation outcomes across studies. This will promote a more transparent, consistent, and accurate evaluation and reporting of implementation and increase the public health impact of parenting programs. Future studies should also assess the impact of adaptations and the cost-effectiveness and sustainability of programs in real-world community settings.

在现实社区环境中实施育儿计划对于广泛实施有效的计划并从而改善儿童及其家庭的生活至关重要。尽管文献承认，在现实世界的社区环境中，高质量地实施育儿计划尤其具有挑战性，但人们对如何在这些环境中实施这些计划知之甚少。本次范围界定审查遵循乔安娜布里格斯研究所描述的方法框架，以绘制关于如何在现实条件下实施基于证据的育儿计划的证据。对 12 个科学数据库、灰色文献和纳入研究的参考文献列表进行系统检索，确定了 1918 条记录，其中 145 条纳入了综述。研究记录了全球现实社区环境中的实施情况，确定了 53 个育儿计划。大多数研究都纳入了与家庭支持机构合作的处于心理社会风险的家庭。定性综合确定了一些实施结果、适应措施、障碍和促进因素。大多数研究最多报告两种实施结果，主要是保真度和可接受性。提供者经常进行调整，主要是为了减少障碍并调整计划以提高其适应性。研究结果强调需要对计划的实施进行更详细的描述，并在各研究的术语、操作性和实施结果的衡量方面保持更大的一致性。这将促进对实施情况进行更加透明、一致和准确的评估和报告，并增加育儿计划对公共卫生的影响。 未来的研究还应该评估适应的影响以及现实社区环境中项目的成本效益和可持续性。