Experiences of Native Participants in the Promoting First Relationships® Intervention: Focus Group Findings.
Experiences of Native Participants in the Promoting First Relationships® Intervention: Focus Group Findings.
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促进第一关系的本地参与者的经验®干预：焦点小组发现。
DOI：
10.1007/s10995-022-03533-z
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发表时间：
2022-11
影响因子：
2.3
通讯作者：
Buchwald, Dedra S
中科院分区：
文献类型：
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作者：
O'Leary, Rae;Oxford, Monica L;Booth-LaForce, Cathryn;London, Sara;Buchwald, Dedra S
我们在一个土著社区的随机对照试验中测试了促进第一关系®（PFR），这是一项基于证据的预防性干预计划，旨在促进婴幼儿的依恋以及社会和情感发展。定量结果产生了有效性的证据;但在本报告中，我们的目标是评估参与者的现实生活经验，挑战和建议的改进措施，以进一步适应该计划。在研究结束时，我们进行了三个焦点小组（N = 17）-两组完成10周干预的参与者和一组未完成的参与者。焦点小组的结构，以产生讨论（1）的元素或活动，他们喜欢和其他具有挑战性的PFR，（2）建议的解决方案，参与者的挑战，（3）与视频记录和讲义的经验，和（4）方面的计划，可以改变，使其更具文化相关性。焦点小组成绩单的定性分析揭示了五个主题：（1）对PFR提供者和计划的赞赏，（2）个人成长，（3）改善父母与孩子的关系，（4）参与者的挑战，和（5）参与者的建议，以改善计划。这些定性结果补充了我们对PFR计划积极影响的定量评估。此外，他们提供了重要的指导，为未来的实施PFR在这个，和其他土著社区，以及深入了解更广泛的问题时，考虑调整干预方案的土著家庭。
We tested Promoting First Relationships® (PFR), an evidence-based preventive intervention program for caregivers promoting attachment and social and emotional development of infants and toddlers, in a randomized controlled trial in a Native community. Quantitative results yielded evidence of efficacy; but in this report, our objective was to assess the participants’ real-life experiences, challenges, and suggested enhancements to further adapt the program. At the end of the study we conducted three focus groups (N = 17)—two groups for participants who completed the 10-week intervention and one group for those who did not. Focus groups were structured to generate discussion about (1) elements or activities of PFR they enjoyed and others that were challenging, (2) suggested solutions to participant challenges, (3) experiences with video recordings and handouts, and (4) aspects of the program that could be changed to make it more culturally-relevant. Qualitative analysis of the focus group transcripts revealed five themes: (1) appreciation for PFR providers and program, (2) personal growth, (3) improved caregiver-child relationships, (4) participant challenges, and (5) participant suggestions to improve the program. These qualitative results complement our quantitative assessment of the positive impact of the PFR program. Additionally, they provide importance guidance for future implementation of PFR in this, and other Native communities, as well as insight into broader issues to consider when adapting intervention programs for Native families.