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Developing and evaluating a lay health worker delivered implementation intervention to decrease engagement

Miya Barnett1, Jeanne Miranda2,3, Maryam Kia-Keating1

  • 1Counseling, Clinical, and School Psychology, University of California Santa Barbara, Santa Barbara, California, USA.

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|July 21, 2019
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Summary
This summary is machine-generated.

Lay health workers can improve access to behavioral parent training for Latinx families. This study explores using lay health workers to boost engagement in these crucial programs.

Keywords:
behavioural parent trainingimplementation strategieslay health workersmental health disparities

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Area of Science:

  • Implementation science
  • Community-based participatory research
  • Mental health services research

Background:

  • Behavioral parent training (BPT) effectively addresses early conduct problems and child maltreatment.
  • Mental health service disparities limit access to and engagement in BPT, particularly for low-income, ethnic minority families.
  • Lay health workers (LHWs) can bridge engagement gaps due to their community ties.

Purpose of the Study:

  • To tailor and implement an LHW-delivered intervention to enhance Latinx parent engagement in BPT programs.
  • To assess the feasibility, acceptability, and preliminary effectiveness of LHW-delivered implementation strategies.

Main Methods:

  • Utilizing the Quality Implementation Framework (QIF) for a community-partnered approach.
  • Conducting a mixed-methods needs assessment to contextualize the intervention.
  • Adapting LHW strategies for Parent-Child Interaction Therapy engagement.
  • Performing a hybrid effectiveness-implementation pilot trial.

Main Results:

  • The study aims to examine the feasibility and acceptability of the LHW implementation intervention.
  • Preliminary effectiveness will be assessed in increasing parent engagement in BPT.
  • The intervention is designed to improve both clinical and implementation outcomes.

Conclusions:

  • LHW-delivered implementation interventions show promise for improving engagement in BPT for Latinx parents.
  • This approach has the potential to reduce mental health service disparities.
  • Community-partnered methods and frameworks like QIF are crucial for effective implementation.