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.

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