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调查员，重点是开发和评估基于理论的战略，以提高菲律宾移民参与循证预防性育儿干预的程度。由课程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发展：1)设计和评估基于理论的策略，以增加父母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、实施和评估基于社区的预期干预试验；以及4)进行预防研究的先进统计方法。在儿童早期提供的循证育儿方案已被证明在预防儿童精神健康障碍的发生和升级方面有效。然而，有效的育儿计划的参与率很低，特别是在高风险、难以接触到的人群中，如菲律宾裔美国人。这项拟议研究的总体目标是设计和试点测试一种基于理论的父母参与干预措施，以增加菲律宾父母在令人难以置信的岁月中的参与度，这是一项基于证据的预防性育儿计划，证明可以提高育儿技能，减少儿童行为症状。根据健康信念模型和计划行为理论形成的中心假设是，由改善知识、态度和信念的教育战略组成的文化定制的父母参与干预将导致更多人参与循证育儿计划。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者；目标2：设计和试点测试基于理论的父母参与干预措施，以增加菲律宾父母参与循证预防性育儿计划。在目标1中，将对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，社区伙伴的反馈和目标1的调查结果将被用来设计和试点信仰和社区环境中的家长参与干预，以测试其增加家长参与的有效性。在这一行动结束时，哈维尔博士将处于有利地位，可以开发和评估缩小菲律宾人心理健康差距的创新解决方案。菲律宾人是一个研究不足的群体，也是美国第二大移民人口。如果这种方法和干预模式在菲律宾人中取得成功，可以使用类似的策略来有效地接触到其他亚裔少数族裔，他们中的许多人不愿寻求行为健康服务，并以类似的方式组织成以社区为基础的可接近的群体。

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.