Participation in Preventive Parenting Interventions

描述(申请人提供)：我申请这个奖项的目标是获得我需要的额外培训，以开发一个独立的研究计划，专注于开发和测试基于理论的策略，以增加低社会保障和市中心幼儿父母对预防性育儿计划的参与。事实证明，育儿技能干预措施有助于预防儿童心理健康和药物使用障碍的发生和升级。然而，育儿干预的参与率往往很低，严重限制了其在人口层面的影响。虽然效率和参与率对人口有效性的贡献是一样的，但对前者的研究很多，对后者的实证研究很少。NIMH已经确定了研究精神卫生服务参与的决定因素，以及制定和测试策略以提高参与度、保留率和干预依从性作为主要研究目标(NIMH，2000,2001a，2001b)。因此，最大限度地提高参与度可能是预防科学家为增加育儿干预措施的公共健康益处所能承担的最重要的任务之一。为了实现我的职业目标，我需要在四个方面培养技能：1)制定和评估基于理论的战略，以增加父母的参与；2)理论和研究知识，为参与研究提供信息；3)文化能力测量和干预发展；4)预防研究的先进统计方法。作为研究计划的一部分，将进行两项研究。第一项研究的目标是从40名父母那里获得关于参与度干预的可接受性和感知有效性的反馈，该干预旨在增加对预防性育儿计划的参与。在研究2中，敬业度干预将在228名家长中试行，以测试其在增加家长参与方面的有效性。研究2还将在先前研究的基础上扩展，考虑参与如何受到动机因素、育儿认知、父母适应、项目偏好和社会文化因素的影响。增加对循证育儿干预措施的参与将增加接受服务的家庭数量，从而降低儿童心理健康和药物滥用障碍的人口水平，从而改善这些干预措施对公共卫生的影响。

DESCRIPTION (provided by applicant): My goal in applying for this award is to obtain the additional training I need to develop an independent program of research focused on developing and testing theory-based strategies to increase participation in preventive parenting programs among low-SES, inner-city parents of young children. Parenting skills interventions have proven to be helpful in preventing the onset and escalation of child mental health and substance use disorders. However, engagement rates in parenting interventions are often quite low, severely limiting their impact at the population level. Although efficacy and participation rate contribute equally to population effectiveness, an abundance of research has been devoted to the former with little empirical study of the latter. NIMH has identified research examining determinants of mental health service participation and formulating and testing strategies to enhance engagement, retention, and intervention adherence as primary research objectives (NIMH, 2000, 2001 a, 2001 b). Thus, maximizing participation may be one of the most important enterprises prevention scientists can undertake to increase the public health benefits of parenting interventions. To attain my career goals, I will need to develop skills in four areas: 1) developing and evaluating theory-based strategies for increasing parent participation; 2) knowledge of theory and research that inform the study of participation; 3) culturally-competent measurement and intervention development; and 4) advanced statistical methods for prevention research. Two studies will be conducted as part of the research plan. The objectives of the first study are to obtain feedback from 40 parents on the acceptability and perceived effectiveness of an engagement intervention designed to increase participation in preventive parenting programs. In Study 2, the engagement intervention will be piloted with 228 parents to test its efficacy for increasing parent participation. Study 2 will also expand on previous research to include consideration of how participation is influenced by motivational factors, parenting cognitions, parental adjustment, program preferences, and sociocultural factors. Increasing participation in evidence-based parenting interventions will improve the public health impact of these interventions by increasing the number of families who receive services, thereby decreasing population-level rates of child mental health and substance abuse disorders.