Lay Health Worker Mobilization to Address Disparities in Parent Training Services

动员非专业卫生工作者解决家长培训服务方面的差异

• 批准号: 9314833
• 负责人: Miya Barnett
• 金额: $ 14.97万
• 依托单位: UNIVERSITY OF CALIFORNIA SANTA BARBARA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-04-01 至 2021-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9314833
• 关键词: Address; Attitude; Behavioral; Caregivers; Caring; Child; Child Mental Health; Child Rearing; Client; Clinical; Communities; Community Outreach; Consultations; County; Data; Data Analyses; Development; Disease; Early Intervention; Effectiveness; Enrollment; Evaluation; Evidence based practice; Family; Fellowship; Foundations; Funding; Goals; Health; Health Policy; Health Services Research; Home environment; Hybrids; Intervention; Interview; Investments; Knowledge; Latino; Los Angeles; Low income; Measures; Mental Health; Mental Health Services; Mentored Research Scientist Development Award; Mentorship; Methods; Minority Groups; Modeling; Monitor; National Institute of Mental Health; Outcome; Parent-Child Relations; Parents; Penetration; Population Heterogeneity; Preventive Intervention; Process; Provider; Public Health; Recruitment Activity; Research; Research Methodology; Research Project Grants; Role; Services; Speed; Statistical Models; Structure; Surveys; System; Taxes; Testing; Training; Training Programs; Underserved Population; care systems; career; child mental health service; community organizations; community partnership; community setting; cost; design; disparity reduction; early childhood; economic evaluation; ethnic diversity; ethnic minority population; evidence base; experience; health disparity; health economics; health training; implementation science; improved; innovation; insight; low socioeconomic status; member; outreach; preference; prevent; programs; racial minority; response; responsible research conduct; skill acquisition; skills; success; theories; therapy development; tool; trial comparing

Project Summary/ Abstract The proposed K01 Mentored Research Scientist Development Award will provide the applicant with advanced training and skills to launch an independent research program focused on developing and evaluating implementation interventions that reduce mental health (MH) disparities for ethnically diverse families. This K01 proposal seeks to develop an evidence base for leveraging Lay Health Workers (LHW), community members without formalized MH training, to address determinants of MH disparities related to client demand for and the supply of behavioral parent training (BPT) programs in underserved communities. The community- partnered development and pilot evaluation of the LHW Enhancing Engagement for Parents (LEEP) implementation intervention will train LHW to conduct outreach and promote treatment engagement and skill acquisition for Latino families in Parent-Child Interaction Therapy (PCIT). Aim 1 of the study will assess the current context of LHW mobilization in children's evidence-based service delivery in community MH agencies through qualitative interviews with agency leaders and LHW, and quantitative surveys of LHW. Mixed-method analyses of these data will inform the development of LEEP. In Aim 2, the applicant will partner with community stakeholders to develop an implementation plan, structure, and process materials (e.g., fidelity measures) for LEEP. Aim 3 will pilot LEEP within an effectiveness/implementation hybrid design. Qualitative and quantitative data will inform the evaluation of LEEP including its feasibility, acceptability, and effects on client engagement, clinical outcomes, and implementation outcomes. The proposed study is well suited to the community setting and expertise the applicant brings to the project. Los Angeles County Department of MH (LACDMH) has invested considerable efforts in the implementation of evidence-based practices, including PCIT. The applicant's postdoctoral fellowship focused a MH policy reform within LACDMH, providing her insight into this large system of care. To meet her career objectives and the aims of this research project, the applicant requires additional training in: (1) implementation and health services research methodology to measure and reduce MH disparities; (2) application of implementation strategies and theories to inform the development of interventions to address supply and demand determinants of disparities; (3) approaches to improve parental entry into and engagement in treatment. Mentorship and consultation from primary sponsor, Dr. Jeanne Miranda (MH disparity reduction), co-sponsor, Dr. Anna Lau (MH disparities, implementation science), Dr. John Landsverk (implementation science), Dr. Lisa Saldana (economic evaluations of implementation efforts), Dr. Maryam Kia-Keating (community-partnered research, LHW models), Dr. Camille Nebeker (LHW training, responsible conduct of research), Dr. Emily Winslow (parent engagement), Dr. Karen Nylund-Gibson (multilevel statistical models) and Dr. Susan Ettner (health economics) will facilitate this training.

项目总结/摘要 拟议的K 01指导研究科学家发展奖将为申请人提供先进的 培训和技能，以启动一个独立的研究计划，重点是开发和评估 实施干预措施，减少不同种族家庭的心理健康差异。这 K 01提案旨在为利用非专业卫生工作者（LHW）、社区 没有接受过正规人力资源培训的成员，以解决与客户需求相关的人力资源差异的决定因素 在服务不足的社区提供行为父母培训（BPT）计划。社区- 合作开发和试点评估LHW增强家长参与（LEEP） 实施干预将培训LHW进行外展并促进治疗参与和技能 为拉丁裔家庭提供亲子互动治疗（PCIT）。研究的目标1将评估 在社区卫生服务机构提供儿童循证服务中动员LHW的当前背景 通过对机构领导和LHW的定性访谈，以及对LHW的定量调查。混合方法 对这些数据的分析将为LEEP的发展提供信息。在目标2中，申请人将与社区合作 利益相关者制定实施计划、结构和流程材料（例如，保真度测量）， 睡吧目标3将在有效性/执行混合设计中试行LEEP。定性和定量 数据将为LEEP的评估提供信息，包括其可行性，可接受性和对客户参与的影响， 临床结果和实施结果。建议的研究非常适合社区环境 以及申请人为项目带来的专业知识。洛杉矶县卫生部（LACDMH） 在实施循证做法方面投入了相当大的努力，包括预防后感染和治疗。的 申请人的博士后奖学金集中在LACDMH内的MH政策改革，提供了她对此的见解 大护理系统。为了实现她的职业目标和本研究项目的目标，申请人 需要额外的培训：（1）实施和卫生服务研究方法，以衡量和 减少MH差距;（2）应用实施战略和理论， 解决造成差距的供求决定因素的干预措施;（3）改善父母教育的方法 进入和参与治疗。来自主要赞助商Jeanne博士的指导和咨询 米兰达（减少智力水平差异），共同发起人，安娜刘博士（智力水平差异，实施科学），约翰博士 Landsverk（执行科学）、丽莎萨尔达纳博士（执行工作的经济评价）、 Maryam Kia-Keating（社区合作研究，LHW模型），Camille Nebeker博士（LHW培训， 负责的研究行为）、艾米丽温斯洛博士（家长参与）、Karen Nylund-Gibson博士 （多层次统计模型）和Susan Ettner博士（卫生经济学）将为这一培训提供便利。