Engaging Immigrants in Preventive Parenting Interventions

描述（由申请人提供）：这个以病人为导向的研究职业发展奖的总体目标是候选人，乔伊斯哈维尔博士成为一名独立的调查员，具体侧重于开发和评估以理论为基础的战略，以提高菲律宾移民参与以证据为基础的预防性育儿干预措施。一个详细的职业发展计划，包括课程和指导将促进候选人的专业知识的发展1）基于理论的战略，以增加父母参与循证育儿计划的设计和评估，2）在实施和传播研究中使用混合方法，3）设计，实施和评估前瞻性的社区为基础的干预试验，（4）先进的预防研究统计方法。事实证明，在幼儿期提供的循证育儿方案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。拟议的研究的总体目标是设计和试点测试的理论为基础的父母参与干预，以增加参与菲律宾父母在难以置信的岁月，证据为基础的预防性育儿计划证明，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制定的中心假设是，文化定制的父母参与干预包括教育策略，以改善知识，态度和信念，将导致更多的参与循证育儿计划。在准备提交R 01赠款申请，以测试这一假设，提出了以下具体目标：目标1：调查的障碍和促进因素，影响参与菲律宾父母的幼儿循证育儿计划;目标2：设计和试点测试的理论为基础的，家长参与干预，以增加参与菲律宾父母在循证预防育儿计划。在目标1中，将对菲律宾父母进行访谈，以探讨影响父母参与计划因素。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，以测试其增加家长参与的功效。Javier博士将能够很好地开发和评估创新的解决方案，以减少菲律宾人的心理健康差异，这是一个未充分研究的群体，也是美国第二大移民人口。他们中的许多人不愿意寻求行为健康服务，并同样被组织成可访问的社区团体。

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.