Engaging Low-Income Parents in Prevention Programs

描述（由申请人提供）：我们要求继续支持NINR资助的一项关于创新父母培训计划（芝加哥父母计划; CPP）有效性的研究，该计划是与父母咨询理事会合作开发的，并用于为低收入有色人种家庭服务的托儿中心。目前的研究受到了预防试验中常见问题的影响：低入学率和出勤率以及无法包括讲西班牙语的拉丁裔父母。从历史上看，科学家们通过排除非英语拉丁美洲人和制定昂贵和不切实际的主题激励措施来应对这些挑战，这些策略阻碍了有色人种预防科学的发展及其转化为医疗保健政策。拟议的研究的主要目标是建立在目前的补助金，通过测试两种策略的有效性，以提高拉丁美洲人的参与率，并最大限度地提高预防性父母培训的影响，为低收入有色人种家庭使用的方法，可以推广到研究范围之外。使用随机实验设计（n=450），我们将测试（1）西班牙语版本的CPP和（2）折扣父母的儿童保育共同支付费用视出勤情况而定的有效性。八个日托中心将被匹配并随机分配到对照和实验条件：（1）为期12周的干预条件，减少了入学障碍，但不提供入学的经济激励（标准），（2）折扣共同支付激励条件，减少参与障碍，父母根据出勤情况在每周托儿共同支付账单上获得折扣（折扣共付），和（3）无干预控制条件。参与将通过入组率、出勤率和家长参与干预来定义。CPP有效性将使用多个父母和孩子的结果进行检查，直到干预后1年。还将研究与标准条件相比，使用折扣共付战略的成本效益。相关性：本研究的目标是使用一个真实的世界的方法，以提高参与率的预防干预，旨在促进积极的父母和心理健康的低收入少数民族家庭的2-4岁的孩子。这项研究的数据将改善父母和孩子在生命最初5年的结果。

DESCRIPTION (provided by applicant): We request continued support for a NINR-funded study on the effectiveness of an innovative parent training program (The Chicago Parent Program; CPP) developed in collaboration with a parent advisory council and used in childcare centers serving low-income families of color. The current study has been affected by issues common in prevention trials: low enrollment and attendance rates and the inability to include Spanish- speaking Latino parents. Historically, scientists have addressed these challenges by excluding non-English- speaking Latinos and instituting costly and unrealistic subject incentives, strategies that hinder the growth of prevention science for people of color and its translation to health care policy. The primary goal of the proposed study is to build upon the current grant by testing the effectiveness of two strategies for increasing participation rates among Latinos and maximizing the effects of preventive parent training for low-income families of color using methods that can be generalized beyond the research context. Using a randomized experimental design (n=450), we will test the effectiveness of (1) a Spanish-language version of the CPP and (2) discounting parents' childcare co-pay costs contingent upon attendance. Eight day care centers will be matched and randomly assigned to control and experimental conditions: (1) a 12-week intervention condition in which barriers to attendance are reduced but no financial incentives for attendance are offered (Standard), (2) a discount co-pay incentive condition in which barriers to participation are reduced and parents receive a discount on their weekly childcare co-pay bill contingent upon attendance (Discount Co- pay), and (3) a no-intervention control condition. Participation will be defined by enrollment rate, attendance, and parent engagement in the intervention. CPP effectiveness will be examined using multiple parent and child outcomes assessed up to 1 year post-intervention. The cost-effectiveness of using a discount co-pay strategy compared to the standard condition will also be examined. Relevance: The goals of this study are to use a real world approach to increase participation rates in a prevention intervention designed to promote positive parenting and mental health among low-income ethnic minority families of 2-4 year old children. Data from this study would lead to improved outcomes for parents and children during the first 5 years of life.