Smart and Secure Children

项目总结(见说明)： 该项目旨在通过与文化相关的育儿课程--聪明和安全的儿童(SSC)，提高0-5岁儿童父母的知识和技能，以此作为减少健康差距的战略。SSC是通过以社区为基础的参与性研究过程与当地社区家长共同开发的。SSC课程旨在增加优质的育儿知识和技能以及精神健康，作为家长的保护因素，以减少贫困和影响儿童学前能力和行为健康的相关风险因素的负面影响。这些风险因素最终会导致健康差距，特别是在精神健康方面。 具体地说，这项拟议的研究将确定SSC(干预组)相对于控制组(社会参与和互动)的两种交付方法在以下方面的有效性：1)提高优质父母的知识、优质父母技能和父母的心理健康；2)改善优质父母对儿童学前准备以及社会和行为健康的影响。 该项目将使用一组随机的对照试验研究设计，以评估父母参与者(即母亲、父亲和祖父母)在养育质量和精神健康方面的改善，并将每个干预小组与控制小组中父母的改善进行比较。 每个目标社区内训练有素的家长领袖将从他们的正式和非正式社交网络中招募家长，成为拟议研究的社会参与学习小组的家长参与者。每个社交网络(或集群)的招募家长参与者将被随机分配到三个不同的部门中的一个，每个部门都由训练有素的家长领导提供便利。参与的父母的知识、技能和心理健康状况将在基线和干预后立即进行测量，总共 五(5)干预后家长评估。将按照标准工具的建议，每隔一段时间对儿童学前准备情况和行为健康进行基线试点评估。

PROJECT SUMMARY (See instructions): This project seeks to improve the knowledge and skills of parents of children 0-5 years of age through a cultural relevant parenting curriculum, Smart & Secure Children (SSC), as a strategy for reducing disparities in health. The SSC was developed with local community parents through a collaborative community-based participatory research process. The SSC curriculum is designed to increase quality parenting knowledge and skills and mental well being as protective factors for parents in order to reduce the negative impact of poverty and related risk factors affecting children's preschool ability and behavioral health. These risk factors ultimately lead to health disparities, particularly in mental health. Specifically, the proposed research will determine the effectiveness of two delivery methods of SSC (intervention arms) relative to a control arm (social participation and interaction) in: 1) improving knowledge of quality parenting, quality parenting skills, and mental health well-being of parents and 2) the subsequent impact of improved quality parenting on the children's pre-school readiness and social and behavioral health. The project will use a cluster of randomized, controlled trial study design, to assess improvements in quality parenting and mental well-being among parent participants (i.e., mothers, father and grandparents) with each of the intervention arms being compared to the improvements among parent in the control arm. Trained parent leaders within each targeted neighborhoods will recruit parents from their formal and informal social networks to become parent participants in the social participation learning groups of the proposed study. Recruited parent participants of each social network (or cluster) will be randomly allocated to one of three distinct arms, each facilitated by trained parent leaders. Knowledge, skills, and mental well-being of participating parents will be measured at base-line and immediately at post-intervention intervals for a total of five (5) post-intervention parent assessments. Baseline pilot assessment of children pre-school readiness and behavioral health will be conducted at intervals as recommended by the standard tools.