Faith-Based Partnership Promoting Korean Parenting and Child Mental Health

描述(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、文化和语言相关的儿童心理健康促进干预措施。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(KPT)草案，以处理文化和信仰(即，健康的社会决定因素)，作为促进积极的育儿做法(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还没有在基于信仰的背景下与KA家庭进行测试。对于R21，KA教会请求家长培训，作为合作教育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)的一种方式。这个提议的R21项目是为了两个目的而合作设计的：1)与KA教会合作，增加KPT与韩国文化和信仰的相关性，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名育儿事工志愿者组成(每个教会3名：一名6-8岁儿童的父母，一名将接受联合KPT小组领导培训的成年人，以及一名对为人父母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，他们将从合作教会聘请。CAB将分享这项CBPR研究所有阶段的决策权，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之前相互商定。对于这一应用，CAB协作制定了以下具体目标：目标1：通过共同制定CAB组织结构和使命声明来衡量加强学术教会和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，并增加被父母收养的接受度和可能性。目的3.与CAB合作生成先导数据，以开始评估KPT在父母养育和儿童心理健康方面的有效性，使用一组随机对照实验研究设计。目的4.确定建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、交付形式、计划长度、参与者负担)。这一合作设计的R21使用基于信仰的CBPR方法来测试缩小儿童健康差距的干预措施，将是首批开发基于证据的韩国父母培训计划之一，该计划与文化、语言和信仰相关。如果成功开展，这项研究将为CBPR RO1应用中使用的干预设计提供更大的样本。 公共卫生相关性：这个基于信仰的R21项目旨在与韩国教会合作，以确定如何设计和测试韩国家长培训计划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。这项计划将通过与韩国教会的合作来提供，韩国教会是这些人口健康的关键社会决定因素。

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.