Engaging Immigrants in Preventive Parenting Interventions

让移民参与预防性育儿干预措施

• 批准号: 8699806
• 负责人: Joyce Rivera Javier
• 金额: $ 13.36万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-20 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8699806
• 关键词: Address; Adolescent; Affect; Applications Grants; Asian Americans; Attention; Attitude; Behavior; Behavior Disorders; Behavioral; Behavioral Symptoms; Belief; Caring; Child; Child Mental Health; Communities; Consultations; Data; Development; Development Plans; Discipline; Discrimination; Educational Background; Emotional disorder; Enrollment; Evaluation; Evidence based program; Exhibits; Feedback; Filipino; Filipino American; Fostering; Future; Goals; Health Personnel; Health Services; Health Status; Immigrant; Immigration; Intention; Intervention; Interview; K-Series Research Career Programs; Knowledge; Lead; Mental Health; Mental disorders; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methods; Minority; Modeling; National Institute of Child Health and Human Development; Outcome; Parenting Education; Parenting behavior; Parents; Participant; Pathway interactions; Philippines; Planning Theory; Population; Positioning Attribute; Preparation; Prevention Research; Preventive; Problem behavior; Provider; Public Health; Randomized Controlled Trials; Research; Research Design; Research Methodology; Research Personnel; Risk; Social status; Solutions; Statistical Methods; Stress; Structure; Surveys; Technical Expertise; Testing; Training; Training Programs; Underserved Population; Youth; arm; base; behavioral health; career development; demographics; design; dissemination research; early childhood; effective intervention; evidence base; health belief; health disparity; high risk; implementation research; improved; innovation; patient oriented research; post intervention; prevent; programs; prospective; public health relevance; self esteem; skills; successful intervention; theories; uptake

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.

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调查员，具体重点是制定和评估基于理论的策略，以提高菲律宾移民参与基于证据的预防性育儿干预措施。由课程作业和指导组成的详细职业发展计划将促进候选人在以下方面的专业知识发展：1）设计和评估基于理论的策略，以增加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）进行预防研究的先进统计方法。事实证明，在幼儿期提供的循证育儿计划可以有效预防儿童心理健康障碍的发生和升级。然而，有效育儿计划的参与率很低，尤其是在高风险、难以接触到的人群中，例如菲律宾裔美国人。拟议研究的总体目标是设计和试点测试基于理论的家长参与干预措施，以提高菲律宾家长在“不可思议的岁月”中的参与度，这是一项基于证据的预防性育儿计划，被证明可以提高育儿技能并减少儿童行为症状。基于健康信念模型和计划行为理论制定的中心假设是，根据文化量身定制的家长参与干预措施包括提高知识、态度和信念的教育策略，将导致更多地参与基于证据的育儿计划。在准备提交 R01 拨款申请来检验这一假设时，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：设计并试点测试基于理论的家长参与干预措施，以提高菲律宾家长对循证预防性育儿计划的参与度。在目标 1 中，将对菲律宾家长进行访谈，探讨影响参与育儿计划的因素。在目标 2 中，社区合作伙伴的反馈和目标 1 的调查结果将用于在信仰和社区环境中设计和试点家长参与干预措施，以测试其提高家长参与的有效性。在这场战争结束时，哈维尔博士将有能力开发和评估创新解决方案，以减少菲律宾人之间的心理健康差异，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群体。如果该方法和干预形式在菲律宾人中取得成功，则可以使用类似的策略来有效地覆盖其他亚裔美国少数群体，他们中的许多人不愿意寻求行为健康服务，并以类似的方式组织成可及的服务 以社区为基础的团体。