Matching Items (2)
Description
Attendance and engagement in available parenting interventions in both research and community settings is often inconsistent. Recent research suggests that varying the delivery modality of the intervention (i.e., in-person, telehealth, or online) has the potential to increase engagement with evidence-based parenting programs. However, while it is known that both facilitator and parent characteristics also influence engagement, no study has evaluated whether those characteristics moderate the influence that modality has on engagement. Utilizing data from the randomized controlled comparative effectiveness trial of the After Deployment, Adaptive Parenting Tools intervention, this study aimed to assess whether facilitators’ gender, military background, and competence moderated the effect of modality on parents’ engagement. Results suggested that parents were significantly more likely to have attended when they were randomized to the telehealth condition. Additionally, while there were no moderating relationships, female facilitators and facilitators who were more competent had overall higher attendance. Additionally, in the group format, facilitators with military backgrounds had higher engagement than those who did not. Understanding the effects that delivery modality and facilitators have on parental engagement is critical to continue and amplify implementation efforts in community settings.
ContributorsBasha, Sydni A. J. (Author) / Gewirtz, Abigail H (Thesis advisor) / Berkel, Cady (Committee member) / McNeish, Daniel (Committee member) / Arizona State University (Publisher)
Created2022
Description
Introduction: The incidence of type 2 diabetes (T2D) in youth is projected to increase through 2060, especially in minority youth. Every Little Step Counts (ELSC) has demonstrated efficacy in reducing T2D risk factors in Latino youth. Documenting the adaptation of ELSC to a family diabetes prevention program (FDPP) could support future adaptation and scaling of FDPPs.Purpose: To describe the process that guided the adaptation of a culturally grounded evidenced-based DPP tailored to Latino families, with the aim of using the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) to classify adaptations.
Methods/Design: The approach that guided the adaptation involved community-based participatory research (CBPR) and phases commonly used to adapt health interventions. Inductive and deductive content analysis guided by the FRAME was conducted on data collected throughout the phases to identify and classify adaptations. Data was then triangulated with the entities involved in the adaptation, analyzed to determine the frequency and proportion of adaptations across the FRAME categories and levels, and cross tabulated.
Results: A total of N=66 adaptations were identified. Adaptations occurred with the highest frequency during the grant preparation and after the pilot study. Most adaptations were led by both the academic institution and community partners. Content modifications were most common. Prominent reasons for adaptation included organization/setting time constraints and integrating community partners’ and interventionists’ feedback.
Discussion: Study results align with the CBPR approach that guided the adaptation and the ELSC core tenet of integrating community partnerships throughout all aspects of the intervention. To efficiently track adaptations, consensus as to what constitutes varying levels of adaptation granularity (i.e., macro, meso, micro) is needed. While tracking adaptations can be time and resource intensive, tracking adaptations may support the development of strategies to tie adaptations to outcomes.
Conclusion: It is critical to determine when adaptations are needed to avoid a “culture of adaptation hyperactivity”. There is an opportunity to analyze past and future ELSC adaptations to better understand the intervention’s core tenets and the relationship between adaptations and outcomes. Future ELSC adaptations would benefit from considering how to incorporate feedback from diverse stakeholders and populations in preparation for scaling.
ContributorsDiaz, Monica (Author) / Shaibi, Gabriel Q (Thesis advisor) / Bruening, Meg (Committee member) / Shepard, Christina (Committee member) / Arizona State University (Publisher)
Created2024