Health Equity and Enrollment in Preventive Parenting Programs: A Qualitative Study of Filipino Parents.
Health Equity and Enrollment in Preventive Parenting Programs: A Qualitative Study of Filipino Parents.
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DOI：
10.1080/23794925.2021.2013141
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发表时间：
2022
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这项定性研究确定了父母的健康信念和规范的信念与儿童的行为和心理健康问题，并研究了菲律宾学龄儿童的父母之间的循证育儿干预的好处和障碍。第二个目的是也使用的结果，以通知基于理论的视频干预的发展，以增加入学率在育儿干预。半结构化的采访进行了15个父母谁有或没有参加过不可思议的岁月®育儿计划，一个循证育儿干预。访谈进行了录音和逐字记录。使用“编码共识，共现，和比较”的方法，紧急主题映射到一个矩阵对优先级编码的健康信念模型（HBM）和计划行为理论（TPB）的结构。父母认为，感知的易感性可能会受到影响，包括知识的健康差异影响菲律宾青年在美国感知的严重程度与行为和心理健康的关注学校，家庭动态，欺凌和家长的应对策略。感知到的好处包括加强亲子关系，建立支持系统，学习积极的育儿技巧。感知障碍包括物流，耻辱，并认为该计划的相关性，文化因素，如代际差异的养育，和家庭问题。社会规范和主观规范有关的父母参与也进行了讨论。将HBM和TPB应用于父母干预措施的入学率可以解释入学率低的原因。未来的干预措施需要针对未来行为健康问题的易感性，障碍和入学的好处，并影响主观和社会规范。
This qualitative study identified the parent health beliefs and normative beliefs related to child behavioral and mental health problems and examined the benefits and barriers of enrolling in an evidence-based parenting intervention among Filipino parents of school-aged children. A secondary aim was to also use the results to inform the development of a theory-based video intervention to increase enrollment in parenting interventions. Semi-structured interviews were conducted with fifteen parents who had or had not participated in the Incredible Years® parenting program, an evidence-based parenting intervention. Interviews were recorded and transcribed verbatim. Using a “Coding Consensus, Co-occurrence, and Comparison” methodology, emergent themes were mapped into a matrix against a priori-coded health belief model (HBM) and Theory of Planned Behavior (TPB) constructs. Parents believed that perceived susceptibility could be influenced by including knowledge of health disparities affecting Filipino youth in the U.S. Perceived severity was related to behavioral and mental health concerns about school, family dynamics, bullying and parent coping strategies. Perceived benefits included strengthening parent-child relationships, creating support systems, and learning positive parenting skills. Perceived barriers included logistics, stigma, and the perception of the relevance of the program, cultural factors such as generational differences about parenting, and family issues. Social norms and subjective norms related to parent participation were also discussed. Applying the HBM and TPB to enrollment in parenting interventions may explain low enrollment rates. Future interventions need to target perceived susceptibility to future behavioral health problems, barriers, and benefits to enrollment, and influence subjective and social norms.