Faith-Based Partnership Promoting Korean Parenting and Child Mental Health

描述（由申请人提供）：我们的长期研究目标是在韩裔美国人（KA）教会中建立一个自我可持续的基于信仰的文化和语言相关的儿童心理健康促进干预。作为实现这一目标的第一步，根据韩国家长和教会的要求，制定了韩国家长培训（KPT）草案，以解决文化和信仰问题（即，健康的社会决定因素），作为促进积极育儿做法的手段（即，健康的行为决定因素）和减少儿童（6-8岁）心理健康差异。然而，KPT还没有在基于信仰的情况下与KA家庭进行测试。对于这个R21，KA教会要求家长培训，作为一种合作教育KA家长和研究人员如何最好地提供家长培训的方式（即，独特的信仰元素）。这一拟议的R21项目是出于两个目的而合作设计的：1）与KA教会共同努力，以增加KPT与韩国文化和信仰信仰的相关性，以及2）评估修订后的KPT计划的可接受性和可行性。社区咨询委员会（CAB）由来自4个KA教会的12名育儿部志愿者组成（每个教会3名：6- 8岁儿童的父母，一名将被培训为共同KPT小组领导人的成年人和一名对育儿感兴趣的自然领导人）。CAB还包括一名社区研究助理和一名研究协调员，他们将从一个合作教会聘请。CAB将在CBPR研究的所有阶段分享决策权，并共同拥有项目成果。鉴于CBPR的性质，本研究中使用的确切方法将在实施前相互商定。为此，CAB合作制定了以下具体目标：目标1：加强学术和KA教会之间的伙伴关系，通过CAB组织结构和使命声明的联合发展来衡量。 目标二：与CAB合作，修订KPT的现有草案，以提高其对韩国文化和信仰的敏感性，并增加被父母收养的可接受性和可能性。 目标3.与CAB合作，生成试点数据，以开始使用分组随机对照实验研究设计评估KPT对父母养育和儿童心理健康的有效性。 目标4。确定拟议干预设计的可接受性和可行性（例如，招募和保留方法、干预内容、交付格式、方案长度、参与者负担）。这一合作设计的R21，使用基于信仰的CBPR方法测试减少儿童健康差异的干预措施，将是第一批开发基于证据的韩国父母培训计划的项目之一，该计划具有文化，语言和信仰相关性。如果成功实施，该研究将提供干预设计，用于更大样本的CBPR RO 1应用。 公共卫生相关性：这个基于信仰的R21项目是与韩国教会合作设计的，以确定如何设计和测试韩国家长培训方案的可接受性和可行性。该计划旨在通过家长培训促进韩裔美国儿童的心理健康。该方案将通过与韩国教会合作提供，这是该人群健康的一个关键社会决定因素。

DESCRIPTION (provided by applicant): Our long-term research goal is to establish a self-sustainable faith-based culturally and linguistically relevant child mental health promotion intervention in Korean American (KA) churches. As the first step to achieving this goal, a draft of the Korean Parent Training (KPT) was developed, per Korean parents and churches requests, to address culture and faith (i.e., social determinant of health), as means to promote positive parenting practices (i.e., behavioral determinant of health) and to decrease child (ages 6-8) mental health disparities. However, KPT has not been tested with KA families in a faith-based context. For this R21, KA churches requested a parent training as a way to collaboratively educate KA parents and researchers about how best to offer parent training (i.e., unique faith elements). This proposed R21 project was collaboratively designed for two purposes: 1) to work jointly with KA churches to increase the relevance of the KPT to Korean cultural and faith beliefs regarding parenting practices and 2) to evaluate the acceptability and feasibility of the revised KPT program. A Community Advisory Board (CAB) consists of 12 Parenting Ministry Volunteers from 4 KA churches (3 from each church: a parent of child age 6- 8, an adult who will be trained as a co-KPT group leader and one natural leader who is interested in parenting). CAB also includes a community research associate and a research coordinator who will be hired from a partner church. The CAB will share decision- making power in all phases of this CBPR research and mutually own the project outcomes. Given the nature of CBPR, the exact methods used in this study will be mutually agreed upon before implementation. For this application, the CAB collaboratively developed the following specific aims: Aim 1: Strengthen the partnership between academic and KA churches as measured by the joint development of the CAB organizational structure and mission statement. Aim 2: Collaborate with CAB to revise the current draft of KPT to improve its sensitivity to Korean culture and faith, and increase acceptability and likelihood of being adopted by parents. Aim 3. Collaborate with CAB to generate pilot data to begin assessing effectiveness of the KPT on parenting and child mental health using a group randomized controlled experimental study design. Aim 4. Determine the acceptability and feasibility of the proposed intervention design (e.g., recruitment and retention methods, intervention content, delivery format, length of the program, participant burden). This collaboratively designed R21, which tests an intervention for child health disparity reduction using a faith- based CBPR approach, will be among the first to develop an evidence-based Korean parent training program with cultural, linguistic, and faith relevance. If successfully carried out, the research would provide the intervention design that will be used in a CBPR RO1 application with a larger sample. PUBLIC HEALTH RELEVANCE: This faith-based R21 project is collaboratively designed to work jointly with Korean churches to determine how to design and test the acceptability and feasibility of the Korean Parent Training Program. This program is developed to promote Korean American child mental health through parent training. This program will be offered by partnering with Korean churches, a critical social determinant of health for this population.