Engaging Immigrants in Preventive Parenting Interventions

让移民参与预防性育儿干预措施

• 批准号: 8581794
• 负责人: Joyce Rivera Javier
• 金额: $ 13.36万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-20 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8581794
• 关键词: Address; Adolescent; Affect; Applications Grants; Asian Americans; Attention; Attitude; Behavior; Behavior Disorders; Behavioral; Behavioral Symptoms; Belief; Caring; Child; Child Mental Health; Communities; Consultations; Data; Development; Development Plans; Discipline; Discrimination; Educational Background; Emotional disorder; Enrollment; Evaluation; Evidence based program; Exhibits; Feedback; Filipino; Filipino American; Fostering; Future; Goals; Health Personnel; Health Services; Health Status; Immigrant; Immigration; Intention; Intervention; Interview; K-Series Research Career Programs; Knowledge; Lead; Mental Health; Mental disorders; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methods; Minority; Modeling; National Institute of Child Health and Human Development; Outcome; Parenting Education; Parenting behavior; Parents; Participant; Pathway interactions; Philippines; Planning Theory; Population; Positioning Attribute; Preparation; Prevention Research; Preventive; Problem behavior; Provider; Public Health; Randomized Controlled Trials; Research; Research Design; Research Methodology; Research Personnel; Risk; Social status; Solutions; Statistical Methods; Stress; Structure; Surveys; Technical Expertise; Testing; Training; Training Programs; Underserved Population; Youth; arm; base; behavioral health; career development; demographics; design; dissemination research; early childhood; effective intervention; evidence base; health belief; health disparity; high risk; implementation research; improved; innovation; patient oriented research; post intervention; prevent; programs; prospective; public health relevance; self esteem; skills; successful intervention; theories; uptake

DESCRIPTION (provided by applicant): The overall goal of this patient-oriented research career development award is for the candidate, Dr. Joyce Javier to become an independent investigator, with a specific focus on developing and evaluating theory-based strategies to improve participation of Filipino immigrants in evidence-based preventive parenting interventions. A detailed career development plan consisting of coursework and mentorship will promote the candidate's development of expertise in 1) the design and evaluation of theory-based strategies to increase parent participation in evidence-based parenting programs, 2) the use of mixed methods in implementation and dissemination research, 3) the design, implementation, and evaluation of prospective community-based interventional trials, and 4) advanced statistical methods for conducting prevention research. Evidence-based parenting programs provided in early childhood have proven to be effective in preventing the onset and escalation of child mental health disorders. However, participation rates in efficacious parenting programs are low, especially among high-risk, hard-to-reach populations, such as Filipino Americans. The overall objective of the proposed research is to design and pilot test a theory-based parent engagement intervention to increase participation among Filipino parents in the Incredible Years, an evidence-based preventive parenting program demonstrated to improve parenting skills and diminish child behavioral symptoms. The central hypothesis, formulated based on the Health Belief Model and Theory of Planned Behavior is that a culturally-tailored parent engagement intervention consisting of educational strategies to improve knowledge, attitudes, and beliefs will lead to increased participation in evidence-based parenting programs. In preparation for submitting a R01 grant application to test this hypothesis, the following specific aims are proposed: Aim 1: Investigate the barriers and facilitators that affect participation in an evidence-based parenting program among Filipino parents of young children; Aim 2: Design and pilot test a theory-based, parent engagement intervention to increase participation among Filipino parents in an evidence-based preventive parenting program. In Aim 1, interviews will be conducted with Filipino parents to explore factors that influence participatin in parenting programs. In Aim 2, community partner feedback and findings from Aim 1 will be used to design and pilot the parent engagement intervention in faith and community-based settings in order to test its efficacy for increasing parent participation. At the end of this awar, Dr. Javier will be well positioned to develop and evaluate innovative solutions to decreasing mental health disparities among Filipinos, an understudied group that is also the second largest immigrant population in the U.S. If the approach and intervention format succeed with Filipinos, comparable strategies can be used to effectively reach other Asian-American minorities, many of whom are reluctant to seek behavioral health services and similarly organized into accessible community-based groups.

描述（由申请人提供）：这一面向患者的研究职业发展奖的总体目标是候选人乔伊斯·贾维尔（Joyce Javier）博士成为一名独立研究者，特别着眼于制定和评估基于理论的策略，以改善菲律宾移民参与循证预防育儿干预措施。由课程和指导组成的详细职业发展计划将促进候选人在1）基于理论的策略中的专业知识的发展，以增加父母参与基于证据的育儿计划的策略，2）在实施和传播研究中使用混合方法，3）3）设计，设计，实施和评估前瞻性社区的基于基于社区的干预试验，以及4）对高级统计方法进行高级统计学研究。事实证明，幼儿期提供的循证育儿计划有效地防止儿童心理健康疾病的发作和升级。但是，有效育儿计划的参与率很低，尤其是在菲律宾裔美国人等高风险，难以触及的人群中。拟议研究的总体目标是设计和试点测试基于理论的父母参与干预措施，以增加令人难以置信的年份菲律宾父母的参与，这是一项基于证据的预防育儿计划，该计划证明旨在提高育儿技能并减少儿童行为症状。基于健康信念模型和计划行为理论提出的中心假设是，由文化限制的父母参与干预措施由教育策略组成，以改善知识，态度和信念，将导致参与基于证据的育儿计划。为了提交R01赠款申请以检验这一假设，提出了以下具体目的：目标1：调查影响幼儿菲律宾父母中参与基于证据的育儿计划的障碍和促进者；目标2：设计和试点测试基于理论的父母参与干预措施，以增加菲律宾父母在基于证据的预防育儿计划中的参与。在AIM 1中，将对菲律宾父母进行访谈，以探索影响育儿计划参与的因素。在AIM 2中，社区合作伙伴的反馈和AIM 1的调查结果将用于设计和试行对信仰和社区设置的父母参与干预，以测试其增加父母参与的功效。在此AWAR结束时，Javier博士将有能力开发和评估创新的解决方案，以减少菲律宾人的心理健康差异，这也是美国第二大移民人口，如果方法和干预格式成功地与菲律宾人相提并论，可以使用可比较的策略来实现其他机构的疾病，以实现许多疾病，以实现其他机构，以实现许多疾病，以融入许多人的疾病，这些策略既可以融合了许多人，这些策略都可以融入许多人，这些策略既可以融合了，又可以实现许多疾病的疾病。基于社区的团体。