Engaging Low-Income Parents in Prevention Programs

描述（由申请人提供）：我们请求继续支持一项由nnr资助的研究，该研究是关于与家长咨询委员会合作开发的创新家长培训计划（芝加哥家长计划；CPP）的有效性，该计划用于为低收入有色人种家庭服务的托儿中心。目前的研究受到预防试验中常见问题的影响：低入组率和出勤率以及不能包括说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国家的拉丁美洲人，制定昂贵且不切实际的受试者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对医疗保健政策的转化。拟议研究的主要目标是在现有拨款的基础上，通过测试两种策略的有效性，以提高拉丁美洲人的参与率，并使用可以推广到研究范围之外的方法，最大限度地提高对低收入有色人种家庭的预防性父母培训的效果。采用随机实验设计（n=450），我们将测试(1)西班牙语版本的CPP和(2)根据出勤情况对父母的托儿共同支付费用进行折扣的有效性。8个日托中心将被匹配并随机分配到控制和实验条件中：(1)一个为期12周的干预条件，在这个条件下，出勤的障碍减少了，但没有提供出勤的经济激励（标准）；(2)一个折扣共同支付激励条件，在这个条件下，参与的障碍减少了，父母每周的托儿共同支付账单根据出勤情况而有折扣（折扣共同支付）；(3)一个无干预控制条件。参与将由入学率、出勤率和家长参与干预来定义。CPP的有效性将在干预后1年内使用多重家长和儿童结果进行评估。还将审查与标准条件相比，使用折扣共同支付战略的成本效益。相关性：本研究的目的是利用现实世界的方法来提高预防干预的参与率，旨在促进2-4岁儿童的低收入少数民族家庭的积极育儿和心理健康。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.