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Breaking barriers: Enhancing access and outcomes in a community-based parenting intervention for at-risk families
Elana Mansoor1, Melissa Gonzalez1, Juliana Acosta1
1Department of Pediatrics, University of Miami Miller School of Medicine.
Insights
Community-based parenting programs effectively reduce parental stress and improve parenting attitudes in at-risk families. Strategies addressing participation barriers significantly boost engagement and retention in early childhood interventions.
Area of Science:
- Public Health
- Developmental Psychology
- Family Studies
Background:
- Early childhood behavioral and emotional problems require prevention to reduce long-term negative outcomes.
- Evidence-based parenting interventions like the Incredible Years Toddler Basic program show efficacy.
- Access barriers limit participation for at-risk and ethnically diverse families.
Purpose of the Study:
- To describe the implementation of the Incredible Years Toddler Basic program.
- To highlight strategies for recruiting, retaining, and engaging diverse, at-risk families.
- To assess the program's impact on parental stress and parenting attitudes.
Main Methods:
- Implementation of the Incredible Years Toddler Basic program.
- Recruitment and retention strategies targeting a predominantly Hispanic, at-risk population.
- Data collection using the Parental Stress Scale and Adult and Adolescent Parenting Inventory (AAPI-II).
Main Results:
- High retention rate (87%) significantly exceeding comparable programs.
- Significant reductions in parental stress reported by caregivers.
- Significant improvements in caregiver parenting attitudes observed.
Conclusions:
- Addressing structural, attitudinal, and interpersonal barriers enhances participation and outcomes.
- Community partnerships and tailored programming are key for diverse families.
- This model advances public health and support for at-risk families.
Abstract:
Prevention of behavioral and emotional problems in early childhood is essential to promote healthy development and reduce risky behaviors, academic failure, delinquency, and social difficulties. Evidence-based parenting interventions, such as the Incredible Years Toddler Basic program, are known to effectively address these challenges. However, access to such programs remains limited for many caregivers, especially those in ethnically diverse and at-risk families, due to structural, attitudinal, and interpersonal barriers. This study describes the implementation of the Incredible Years Toddler Basic parenting intervention, highlighting strategies to recruit, retain, and engage a predominantly Hispanic (68.3%), at-risk population while addressing participation barriers. Data from 301 families were collected using validated measures, including the Parental Stress Scale and the Adult and Adolescent Parenting Inventory, second edition. Of the participants, 262 (87%) met attendance requirements, significantly exceeding retention rates for comparable programs. Caregivers reported significant reductions in parental stress and improvements in parenting attitudes. Findings highlight the success of addressing structural, attitudinal, and interpersonal barriers to improve participation and outcomes in community-based parenting programs. This study serves as a model for leveraging community partnerships and tailoring programming to advance public health and support in ethnically diverse and at-risk families. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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