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，根据韩国父母和教会的要求，制定了《韩国父母培训》草案，以解决文化和信仰（即健康的社会决定因素）问题，作为促进积极的养育做法（即健康的行为决定因素）和减少儿童（6-8岁）心理健康差距的手段。然而，KPT尚未在基于信仰的KA家庭中进行测试。对于这个R21， KA教会要求家长培训，作为一种合作的方式来教育KA家长和研究人员如何最好地提供家长培训（即独特的信仰元素）。这个提议的R21项目是共同设计的，有两个目的：1)与KA教会合作，增加KPT与韩国文化和信仰信仰的相关性，以及关于养育子女的做法，2)评估修订后的KPT计划的可接受性和可行性。社区顾问委员会（CAB）由来自4个KA教会的12名亲子事工志愿者组成（每个教会3名：6- 8岁儿童的家长，一名将被培训为共同kpt小组组长的成年人和一名对育儿感兴趣的天然领导者）。CAB还包括一名社区研究助理和一名研究协调员，他们将从合作教会聘请。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双方商定。对于这个应用，CAB合作开发了以下具体目标：目标1：通过CAB组织结构和使命声明的联合开发，加强学术教会和KA教会之间的伙伴关系。目标2：与CAB合作修改目前的KPT草案，以提高其对韩国文化和信仰的敏感性，并增加被父母接受和收养的可能性。目标3。与CAB合作，利用一组随机对照实验研究设计，生成试点数据，开始评估亲子教育方案在养育子女和儿童心理健康方面的有效性。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，项目长度，参与者负担）。这个合作设计的R21，测试了使用基于信仰的CBPR方法减少儿童健康差距的干预措施，将是第一个开发与文化、语言和信仰相关的循证韩国父母培训计划的研究之一。如果成功实施，该研究将提供干预设计，将用于更大样本的CBPR RO1应用。

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.