The development and evaluation of a natural helpers' training program to increase the engagement of urban,Latina/o families in parent-child interaction therapy |
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| Institution: | 1. University of California, Los Angeles, 1285 Franz Hall, Los Angeles, CA 490095, USA;2. University of Miami, Miller School of Medicine, 1601 NW 12th Ave, Miami, FL 33136, USA;3. University of South Florida, 13301 Bruce B. Downs Blvd., MHC 2321, Tampa, FL 33612, USA;4. Central Michigan University Center for Children, Families and Communities, 2480 W Campus Dr b100, Mt Pleasant, MI, USA 48858;5. Michigan State University, 316 Physics Rd #262, East Lansing, MI 48824, USA;1. Department of Medicine, Division of Academic Internal Medicine, University of Illinois at Chicago, Chicago, IL, United States;2. Center for Clinical and Translational Sciences, University of Illinois at Chicago, Chicago, IL, United States;3. Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States;4. VA Information Resource Center, Edward Hines Jr. VA Hospital, Hines, IL, United States;5. Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, United States;6. Department of Medicine, Division of Nephrology, University of Illinois at Chicago, Chicago, IL, United States;7. Jesse Brown VA Medical Center, Chicago, IL, United States;8. Truven Health Analytics, Chicago, IL, United States;9. Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, United States;1. Child Health and Development Centre, College of Health Sciences, Makerere University, Kampala, Uganda;2. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;3. Department of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda;4. Infectious Diseases Institute, Makerere University, Kampala, Uganda;5. Medical Research Council/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda;1. Chapin Hall at the University of Chicago, 1313 East 60th Street, Chicago, IL 60637, United States;2. NY State Office of Youth and Family Services, 52 Washington Street, Rensselaer, NY 12144, United States;1. Department of Psychology, National Chung Cheng University, Taiwan;2. Centers for Disease Control and Prevention, Division of Violence Prevention, Atlanta, GA, USA |
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| Abstract: | Latina/o immigrant children are at increased risk for developing conduct disorders, and are simultaneously less likely to access services. Natural helpers are uniquely positioned to promote effective parent training programs to address service disparities in these communities. This study describes one effort to train natural helpers to increase engagement in parent-child interaction therapy (PCIT), an evidence-based parent training program. An academic-community partnership prompted the development and evaluation of this natural helpers training program. Five natural helpers were trained to recruit Latina/o families into PCIT, address barriers to treatment, and support parents' skill development. Over the course of training, natural helpers increased their knowledge of PCIT and their ability to use and model treatment targeted parenting skills. Additional consultation was necessary to improve the natural helpers' abilities to conduct behavioral observations of parent skill use and provide feedback on these skills. Natural helpers expressed overall satisfaction with PCIT and the training program. Suggestions for incorporating natural helpers into PCIT services are discussed based on the strengths and challenges identified from the evaluation of this training program. |
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