Joyce R Javier1, Dean M Coffey2, Lawrence A Palinkas3, Michele D Kipke2, Jeanne Miranda4, Sheree M Schrager3,5. 1. Department of Pediatrics, Children's Hospital Los Angeles and Keck School of Medicine, Los Angeles, California; jojavier@chla.usc.edu. 2. Department of Pediatrics, Children's Hospital Los Angeles and Keck School of Medicine, Los Angeles, California. 3. Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California. 4. Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, California; and. 5. Research and Sponsored Program, California State University, Northridge, Northridge, California.
Abstract
BACKGROUND AND OBJECTIVES:Evidence-based parenting programs prevent the onset and escalation of youth conduct problems. However, participation rates in such programs are low among hard-to-reach populations, including Filipino individuals. Compared with other ethnic groups, Filipino adolescents have significant mental health disparities. We evaluated the effectiveness of a theory-based, culturally tailored video versus a usual-care mainstream video on enrollment in an evidence-based parenting program among Filipino caregivers of children ages 6 to 12 years and tested theoretical mediators of intervention effect. METHODS: We randomly assigned 215 Filipino participants toview either a theory-based, culturally tailored video based on the Health Belief Model and Theory of Planned Behavior or a control video. The primary outcome was actual enrollment in an evidence-based parenting intervention. Mediators (knowledge and perceived susceptibility) were modeled as latent variables in a structural equation model. RESULTS: After the intervention, participants in the intervention group had significantly higher knowledge of Filipino adolescent behavioral health disparities and higher perceived susceptibility to adolescent risky sexual activity and illegal drug use. Controlling for child sex, parents in the intervention group had significantly greater odds of actual enrollment in the Incredible Years program (odds ratio = 2.667; 95% confidence interval: 1.328-5.354; P = .006). The intervention effects were mediated by increased knowledge and perceived susceptibility. CONCLUSIONS: Results demonstrated the effectiveness of a theory-based, culturally tailored intervention aimed at increasing participation of a hard-to-engage population in parenting interventions. Videos that include parents and health professionals with whom audiences can identify can be used to produce shifts in knowledge and behavior.
RCT Entities:
BACKGROUND AND OBJECTIVES: Evidence-based parenting programs prevent the onset and escalation of youth conduct problems. However, participation rates in such programs are low among hard-to-reach populations, including Filipino individuals. Compared with other ethnic groups, Filipino adolescents have significant mental health disparities. We evaluated the effectiveness of a theory-based, culturally tailored video versus a usual-care mainstream video on enrollment in an evidence-based parenting program among Filipino caregivers of children ages 6 to 12 years and tested theoretical mediators of intervention effect. METHODS: We randomly assigned 215 Filipino participants to view either a theory-based, culturally tailored video based on the Health Belief Model and Theory of Planned Behavior or a control video. The primary outcome was actual enrollment in an evidence-based parenting intervention. Mediators (knowledge and perceived susceptibility) were modeled as latent variables in a structural equation model. RESULTS: After the intervention, participants in the intervention group had significantly higher knowledge of Filipino adolescent behavioral health disparities and higher perceived susceptibility to adolescent risky sexual activity and illegal drug use. Controlling for child sex, parents in the intervention group had significantly greater odds of actual enrollment in the Incredible Years program (odds ratio = 2.667; 95% confidence interval: 1.328-5.354; P = .006). The intervention effects were mediated by increased knowledge and perceived susceptibility. CONCLUSIONS: Results demonstrated the effectiveness of a theory-based, culturally tailored intervention aimed at increasing participation of a hard-to-engage population in parenting interventions. Videos that include parents and health professionals with whom audiences can identify can be used to produce shifts in knowledge and behavior.
Authors: Joyce R Javier; Lisa J Chamberlain; Kahealani K Rivera; Sarah E Gonzalez; Fernando S Mendoza; Lynne C Huffman Journal: Prog Community Health Partnersh Date: 2010
Authors: Joyce R Javier; Dean M Coffey; Sheree M Schrager; Lawrence A Palinkas; Jeanne Miranda Journal: J Dev Behav Pediatr Date: 2016 Nov/Dec Impact factor: 2.225
Authors: Roy C Baron; Barbara K Rimer; Rosalind A Breslow; Ralph J Coates; Jon Kerner; Stephanie Melillo; Nancy Habarta; Geetika P Kalra; Sajal Chattopadhyay; Katherine M Wilson; Nancy C Lee; Patricia Dolan Mullen; Steven S Coughlin; Peter A Briss Journal: Am J Prev Med Date: 2008-07 Impact factor: 5.043
Authors: Adriana Weisleder; Carolyn Brockmeyer Cates; Benard P Dreyer; Samantha Berkule Johnson; Harris S Huberman; Anne M Seery; Caitlin F Canfield; Alan L Mendelsohn Journal: Pediatrics Date: 2016-01-27 Impact factor: 7.124
Authors: Nicole Flores; Jocelyn Supan; Cary B Kreutzer; Allan Samson; Dean M Coffey; Joyce R Javier Journal: Prev Chronic Dis Date: 2015-10-22 Impact factor: 2.830
Authors: Joyce R Javier; Alexis Deavenport-Saman; Ellynore Florendo; Kamil Evy A Bantol; Lawrence A Palinkas Journal: Evid Based Pract Child Adolesc Ment Health Date: 2021-12-22