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Padres efectivos (parent activation): skills Latina mothers use to get health care for their children
Investigator (PI): Thomas, Kathleen
Performing Organization (PO): (Current): University of North Carolina at Chapel Hill, Cecil G. Sheps Center for Health Services Research / (919) 966-5011
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2013
Final Year: 2017
Record Source/Award ID: PCORI/AD-12-11-4900
Funding: Total Award Amount: $1,502,756
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Background: Latinos are the largest and fastest growing minority population in the United States; by 2050, two in five children will be Latino. Latino children are disproportionately affected by poverty and other factors associated with increased risk of psychiatric disorder. However, Latino children with mental health needs are half as likely to use services as children in white non-Latino families. Latino families are more likely to report problems getting services, lack of a usual source of care and a medical home, and dissatisfaction with the care they receive. Unmet mental health needs, in turn, are associated with poor outcomes over the lifespan, both economic and social. Assessing the comparative effectiveness of interventions to overcome these disparities is a major national health priority central to PCORI's mission and mandate. Activation is a promising focus of research to eliminate disparities because it reflects a set of attitudes and skills that people can use to reduce disparities. Our work provides evidence that activation in Latino adults is associated with better quality health care and outcomes and, in African American parents, with greater child mental health service use. There is need for further research on parent-focused interventions founded on culturally meaningful concepts to address these needs and disparities. Objectives: The long-term goal of this research is to improve the mental health care and outcomes of Latino children with mental health needs. The proposed study will examine the comparative effectiveness of an activation intervention for Latino families raising children with mental health needs by means of three aims: (aim 1) to identify parent-reported facilitators of Latino child mental health service use amenable to change through parental activation; (aim 2) to test the comparative effectiveness of an adapted psycho-educational intervention to teach activation skills adapted for Latino mothers of children with mental health needs compared to a parent support group control; and (aim 3) to enhance the intervention, based on parent input and lessons learned from the first trial, and test its comparative effectiveness with a parent support group control. Methods: Qualitative and quantitative data from Latino mothers who have a child with mental health needs (N=294) will be used in a modeling approach to address these aims. Projected patient outcomes: The proposed study will provide evidence of the comparative effectiveness of an enhanced, culturally sensitive, advocacy skills intervention to build activation among Latino families and improve service use of their children with mental health needs compared to a preliminary adaptation of an existing intervention and to a usual care discussion group. Activation skills are a promising strategy to improve child mental health service use and to bridge cultural differences.
MeSH Terms:
  • Child
  • Child Guidance /organization & administration
  • Comparative Effectiveness Research
  • Cultural Characteristics
  • Female
  • Healthcare Disparities
  • Hispanic Americans
  • Humans
  • * Mothers
  • * Parenting
  • Patient-Centered Care
  • Quality of Health Care
  • Self Efficacy
  • United States
Country: United States
State: North Carolina
Zip Code: 27599
UI: 20143276
CTgovId: NCT02329431
Project Status: Completed
Record History: ('2017: Project extended to 2017.',)