Parenting Programs for Underserved Populations in Low- and Middle-Income Countries: Issues of Scientific Integrity and Social Justice
Parenting Programs for Underserved Populations in Low- and Middle-Income Countries: Issues of Scientific Integrity and Social Justice
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DOI：
10.1007/s40609-018-0121-0
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发表时间：
2019-09-01
影响因子：
1.4
通讯作者：
Rodriguez, Melanie M. Domenech
中科院分区：
文献类型：
--
作者：
Baumann, Ana A.;Mejia, Anilena;Rodriguez, Melanie M. Domenech
研究表明，育儿计划对于预防儿童的行为和情绪困难是有效的，但在这些干预措施的开发、测试和实施过程中，需要更多地关注环境和文化问题。在制定和测试干预措施时，往往不考虑美国和全球南方未得到充分服务和被剥夺公民权的社区的意见和需求。为服务不足和边缘化社区的弱势儿童和家庭成功实施循证干预措施，需要认真考虑现有的预防、评估和实施科学范例如何影响社会正义和公平问题。这篇论文将描述一个育儿项目研究团队如何与他们的全球合作伙伴合作，通过平衡对严格科学方法的需求和权力问题来产生当地知识。来自美国、拉丁美洲、非洲和东南亚的作者总结了他们在研究设计和测量、干预措施的可转移性和适应性以及不同育儿干预措施的传播和实施等问题上的挑战和成功经验，同时通过参与性方法将社区置于其工作的中心。我们描述的创新方法跨越了为世界各地弱势儿童和家庭制定、适应、优化、评估、实施和扩大不同育儿计划的干预措施的连续统一体。最后，我们提供了具体和务实的建议，以增加这些社区中与文化相关和有效的育儿计划的可及性。
Research suggests that parenting programs are effective for preventing behavioral and emotional difficulties in children, but a lot more attention needs to be paid to issues of context and culture during the development, testing, and implementation of these interventions. The views and needs of underserved and disenfranchised communities in the USA and the Global South are often not taken into account for the development and testing of interventions. The successful implementation of evidence-based interventions for vulnerable children and families in underserved and marginalized communities requires careful consideration of how existing paradigms of prevention, evaluation, and implementation science impact issues of social justice and equity. This paper will describe how a team of parenting program researchers has been collaborating with their partners globally in generating local knowledge by balancing the need for rigorous scientific methods with issues of power. Authors from the USA, Latin America, Africa, and Southeast Asia draw on their experiences regarding challenges and successes with issues regarding study design and measurement, the transferability and adaptation of interventions, and the dissemination and implementation of different parenting interventions while placing communities at the center of their efforts through participatory methods. We describe innovative approaches that span the continuum of intervention development, adaptation, optimization, evaluation, implementation, and scale-up of different parenting programs for vulnerable children and families across the world. We conclude by offering specific and pragmatic recommendations to increase access of culturally relevant and effective parenting programs in these communities.