Engaging Immigrants in Preventive Parenting Interventions

描述（由申请人提供）：这个以患者为导向的研究职业发展奖的总体目标是让候选人乔伊斯·哈维尔博士成为一名独立的研究者，特别关注发展和评估基于理论的策略，以提高菲律宾移民在循证预防性育儿干预中的参与度。一份详细的职业发展计划，包括课程作业和指导，将促进候选人在以下方面的专业发展：1)设计和评估基于理论的策略，以提高家长对循证育儿计划的参与；2)在实施和传播研究中使用混合方法；3)设计、实施和评估前瞻性社区干预试验。4)采用先进的统计方法进行预防研究。在儿童早期提供的基于证据的育儿方案已被证明在预防儿童心理健康障碍的发生和升级方面是有效的。然而，有效育儿计划的参与率很低，特别是在高风险、难以接触的人群中，如菲律宾裔美国人。拟议研究的总体目标是设计和试点测试一个基于理论的父母参与干预，以增加菲律宾父母在“不可思议的岁月”中的参与，这是一个以证据为基础的预防性育儿计划，被证明可以提高育儿技能并减少儿童行为症状。以健康信念模型和计划行为理论为基础的中心假设是，根据文化量身定制的父母参与干预，包括提高知识、态度和信念的教育策略，将增加对循证育儿计划的参与。在准备提交R01拨款申请以检验这一假设时，提出了以下具体目标：目标1：调查影响菲律宾幼儿父母参与循证育儿计划的障碍和促进因素；目标2：设计和试点测试一个以理论为基础的家长参与干预，以增加菲律宾家长在以证据为基础的预防性育儿计划中的参与。在目标1中，将与菲律宾父母进行访谈，以探索影响参与育儿计划的因素。在目标2中，来自目标1的社区伙伴反馈和结果将用于设计和试点信仰和社区环境中的家长参与干预，以测试其提高家长参与的有效性。在这个奖项结束时，哈维尔博士将有能力开发和评估创新的解决方案，以减少菲律宾人之间的心理健康差距。菲律宾人是一个未被充分研究的群体，也是美国第二大移民人口。如果这种方法和干预形式在菲律宾人身上取得成功，那么类似的策略可以有效地用于其他亚裔美国少数民族。其中许多人不愿寻求行为保健服务，并同样组织成无障碍社区团体。

DESCRIPTION (provided by applicant): The overall goal of this patient-oriented research career development award is for the candidate, Dr. Joyce Javier to become an independent investigator, with a specific focus on developing and evaluating theory-based strategies to improve participation of Filipino immigrants in evidence-based preventive parenting interventions. A detailed career development plan consisting of coursework and mentorship will promote the candidate's development of expertise in 1) the design and evaluation of theory-based strategies to increase parent participation in evidence-based parenting programs, 2) the use of mixed methods in implementation and dissemination research, 3) the design, implementation, and evaluation of prospective community-based interventional trials, and 4) advanced statistical methods for conducting prevention research. Evidence-based parenting programs provided in early childhood have proven to be effective in preventing the onset and escalation of child mental health disorders. However, participation rates in efficacious parenting programs are low, especially among high-risk, hard-to-reach populations, such as Filipino Americans. The overall objective of the proposed research is to design and pilot test a theory-based parent engagement intervention to increase participation among Filipino parents in the Incredible Years, an evidence-based preventive parenting program demonstrated to improve parenting skills and diminish child behavioral symptoms. The central hypothesis, formulated based on the Health Belief Model and Theory of Planned Behavior is that a culturally-tailored parent engagement intervention consisting of educational strategies to improve knowledge, attitudes, and beliefs will lead to increased participation in evidence-based parenting programs. In preparation for submitting a R01 grant application to test this hypothesis, the following specific aims are proposed: Aim 1: Investigate the barriers and facilitators that affect participation in an evidence-based parenting program among Filipino parents of young children; Aim 2: Design and pilot test a theory-based, parent engagement intervention to increase participation among Filipino parents in an evidence-based preventive parenting program. In Aim 1, interviews will be conducted with Filipino parents to explore factors that influence participatin in parenting programs. In Aim 2, community partner feedback and findings from Aim 1 will be used to design and pilot the parent engagement intervention in faith and community-based settings in order to test its efficacy for increasing parent participation. At the end of this awar, Dr. Javier will be well positioned to develop and evaluate innovative solutions to decreasing mental health disparities among Filipinos, an understudied group that is also the second largest immigrant population in the U.S. If the approach and intervention format succeed with Filipinos, comparable strategies can be used to effectively reach other Asian-American minorities, many of whom are reluctant to seek behavioral health services and similarly organized into accessible community-based groups.