Adaptation and implementation of a parenting curriculum in a refugee/immigrant community using a task-shifting...

Area of Science:

• Implementation Science
• Public Health
• Cross-cultural Psychology

Background:

• Evidence-based interventions face challenges in refugee and immigrant communities due to language, cultural, access, and trust barriers.
• Adapting interventions and delivery systems is crucial for increasing uptake and effectiveness in these populations.
• This study adapts the SafeCare parenting model for refugee communities, exploring standard and task-shifted delivery methods.

Purpose of the Study:

• To adapt the SafeCare parenting model for specific refugee communities.
• To evaluate the effectiveness of standard versus task-shifted implementation of the adapted SafeCare model.
• To understand the adaptation process and inform future interventions for refugee health.

Main Methods:

• A structured adaptation process involving community members, community-based organizations (CBOs), and SafeCare experts.
• Implementation of the adapted SafeCare model through standard delivery by CBOs and task-shifted delivery by trained community members.
• Assessment of implementation metrics (fidelity, engagement, satisfaction) and family outcomes (parenting, parent-child relationship, stress, child behavior) at three time points.

Main Results:

• Ongoing data collection will document adaptations, team engagement, and satisfaction with the adaptation process.
• Implementation metrics and family outcomes will be compared between standard and task-shifted delivery groups.
• Family outcomes will be assessed pre-intervention, post-intervention, and at six months post-intervention.

Conclusions:

• Adapting evidence-based programs and delivery methods is essential for effectively serving diverse populations.
• Task-shifted implementation may offer a viable approach to increase intervention accessibility and effectiveness in refugee communities.
• This research aims to improve health interventions for refugee communities, ultimately enhancing refugee health outcomes.