Lay Health Worker Mobilization to Address Disparities in Parent Training Services

项目摘要/摘要 拟议的K01指导研究科学家发展奖将为申请者提供先进的 开展以发展和评估为重点的独立研究计划的培训和技能 实施干预措施，减少不同种族家庭的心理健康差距。这 K01提案旨在为利用非专业卫生工作者(LHW)、社区建立一个证据基础 未经正规MH培训的成员，以解决与客户需求相关的MH差异的决定因素 在服务不足的社区提供和提供行为父母培训(BPT)计划。社区-- LHW增强家长参与度(LEEP)的合作开发和试点评估 实施干预将培训LHW进行外展，并促进治疗参与度和技能 拉美裔家庭在亲子互动疗法(PCIT)中的获得。研究的目标1将评估 社区卫生机构儿童循证服务提供中LHW动员的现状 通过对机构领导人和LHW的定性访谈，以及对LHW的定量调查。混合法 对这些数据的分析将为LEEP的发展提供信息。在目标2中，申请者将与社区合作 利益相关者为以下项目制定实施计划、结构和流程材料(例如，保真措施) 利普。AIM 3将在有效性/实施混合设计中试行LEEP。质的和量的 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度的影响， 临床结果和实施结果。建议的研究非常适合社区环境。 以及申请者为项目带来的专业知识。洛杉矶县卫生部(LACDMH) 在执行循证做法方面投入了相当大的努力，包括贸易和投资促进局。这个 申请者的博士后研究重点是LACDMH内的MH政策改革，提供了她对此的见解 庞大的护理系统。为了达到她的职业目标和本研究项目的目的，申请人 需要在以下方面进行额外培训：(1)实施和保健服务研究方法，以衡量和 缩小MH差距；(2)应用执行战略和理论，为发展 解决供需差距决定因素的干预措施；(3)改善父母的方法 参加治疗并参与治疗。主要赞助人珍妮博士的指导和咨询 米兰达(MH差距缩小)，共同赞助商，刘安娜博士(MH差距，实施科学)，John博士 Landsverk(执行科学)、Lisa Saldana博士(对执行工作的经济评价)、 Maryam Kia-Kating(社区合作研究，LHW模型)，Camille Nebeker博士(LHW培训， 负责任的研究)，艾米丽·温斯洛博士(父母参与)，凯伦·尼伦德-吉布森博士 (多水平统计模型)和Susan Ettner博士(卫生经济学)将促进这一培训。

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.