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The objective of this community-based randomized controlled trial is to evaluate the outcomes of a theory-based parent engagement intervention (i.e., culturally-tailored video) aimed at promoting the participation of Filipino parents and grandparents in an evidence-based preventive parenting intervention.
Data will be obtained using pre and post surveys with self-report instruments and enrollment logs. It is hypothesized that 1) Parents and grandparents in the Intervention Arm will demonstrate greater behavioral outcomes (intention to enroll, actual enrollment, and participation in parenting intervention sessions) than those in the Control Arm. 2) Parents and grandparents in the Intervention Arm will show greater improvements from baseline in parent determinants (knowledge, beliefs, attitudes, benefits, and barriers) compared to the Control Arm. 3) Parents' intention to enroll, and actual enrollment in IY will be predicted by the study arm and parent determinants. This study is expected to have an important impact on the uptake of evidence-based parenting interventions among hard-to-reach populations and holds the promise of eliminating disparities in behavioral health outcomes in this understudied and growing minority population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm | Experimental | Culturally-tailored video that includes parent testimonials, health and mental health clinicians, community-based providers, and church leaders |
|
| Control Arm | Other | Usual care video publicly available describing the evidence-based parenting intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video Documentary entitled, "Para Sa Kinabukasan ng Mga Anak (For Our Children's Future)" | Other |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Enrollment in Evidence-Based Parenting Program | The number of participants from each arm who enrolled in the Incredible Years Parenting Program after completing this study. Enrollment in the parenting program helped determine if the culturally-tailored video intervention effectively increases program participation among Filipino parents. | Up to two years after completing the survey |
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Inclusion Criteria:
The sample will consist of Filipino parents and grandparents of children/grandchildren between ages 6-12 years old. Inclusion criteria include:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joyce R. Javier, MD, MPH, MS | Children's Hospital Los Angeles, University of Southern California Keck School of Medicine | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30679379 | Derived | Javier JR, Coffey DM, Palinkas LA, Kipke MD, Miranda J, Schrager SM. Promoting Enrollment in Parenting Programs Among a Filipino Population: A Randomized Trial. Pediatrics. 2019 Feb;143(2):e20180553. doi: 10.1542/peds.2018-0553. |
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217 participants were initially enrolled (i.e. they were CONSENTED and ASSIGNED to a group). Two participants dropped out before data was collected, which explains the changes from 217 participants who started to 215 participants who completed the study.
595 participants were assessed for eligibility. Of these participants, 378 were excluded (221 did not meet inclusion criteria, 157 were not interested).
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| ID | Title | Description |
|---|---|---|
| FG000 | Intervention Arm | Culturally-tailored video that includes parent testimonials, health and mental health clinicians, community-based providers, and church leaders Video Documentary entitled, "Para Sa Kinabukasan ng Mga Anak (For Our Children's Future)" |
| FG001 | Control Arm | Usual care video publicly available describing the evidence-based parenting intervention Usual Care Video that is publicly available |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Intervention Arm | Culturally-tailored video that includes parent testimonials, health and mental health clinicians, community-based providers, and church leaders Video Documentary entitled, "Para Sa Kinabukasan ng Mga Anak (For Our Children's Future)" |
| BG001 | Control Arm |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Missing Values for Participant Age |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Enrollment in Evidence-Based Parenting Program | The number of participants from each arm who enrolled in the Incredible Years Parenting Program after completing this study. Enrollment in the parenting program helped determine if the culturally-tailored video intervention effectively increases program participation among Filipino parents. | Posted | Count of Participants | Participants | Up to two years after completing the survey |
|
Through study completion, for up to 6 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Intervention Arm | Culturally-tailored video that includes parent testimonials, health and mental health clinicians, community-based providers, and church leaders Video Documentary entitled, "Para Sa Kinabukasan ng Mga Anak (For Our Children's Future)" |
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This was conducted in urban populations of Filipinos in Southern California, so findings may not generalize to non-urban or other racial/ethnic populations. Knowledge and susceptibility were also self-reported and subject to social desirability bias.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Joyce R. Javier, MD, MPH, MS | Children's Hospital Los Angeles | (323)669-2113 | jojavier@chla.usc.edu |
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| ID | Term |
|---|---|
| D015438 | Health Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Usual Care Video that is publicly available | Other |
|
|
Usual care video publicly available describing the evidence-based parenting intervention Usual Care Video that is publicly available |
| BG002 | Total | Total of all reporting groups |
| Mean |
| Standard Deviation |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Relationship to Child | Count of Participants | Participants |
|
| Marital Status | Count of Participants | Participants |
|
| Child's Gender | Count of Participants | Participants |
|
| Income | Missing Values for Income | Count of Participants | Participants |
|
| Child's Birthplace | Count of Participants | Participants |
|
| Education | Count of Participants | Participants |
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| Work Status | Count of Participants | Participants |
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| Parent's Birthplace | Count of Participants | Participants |
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| Primary Home Language | Count of Participants | Participants |
|
| Child's Age | Missing Values for Child's Age | Mean | Standard Deviation | years |
|
| Perceived Susceptibility to risky sexual activity | "Participating in Risky Sexual Activity" This measure asks parents to rate their child's chances of experiencing these problems on a scale of 0 to 100. Zero means you are certain your child will not experience this problem and 100 means that you are certain that he/she will experience the problem when he/she is a teenager. | Missing Values Total Median is "0" because most participants answered "0" | Mean | Full Range | Units on a scale |
|
| Perceived Susceptibility to using illegal drugs | "Occasionally using illegal drugs" This measure asks parents to rate their child's chances of experiencing these problems on a scale of 0 to 100. Zero means you are certain your child will not experience this problem and 100 means that you are certain that he/she will experience the problem when he/she is a teenager. | Data missing for some participants | Mean | Full Range | units on a scale |
|
| Perceived Susceptibility to thoughts of suicide | "Having thoughts about suicide" This measure asks parents to rate their child's chances of experiencing these problems on a scale of 0 to 100. Zero means you are certain your child will not experience this problem and 100 means that you are certain that he/she will experience the problem when he/she is a teenager. | Data missing for some participants | Mean | Full Range | units on a scale |
|
| Knowledge of Filipino mental health disparities: Suicide | "Filipino teenagers in the US are at higher risk of having suicidal thoughts compared to other ethnic groups in the US" This measure asks about knowledge of Filipino mental health disparities, specifically suicide, using a 7-point likert scale where 1= strongly disagree, 2=disagree, 3=disagree a little, 4= neutral, 5=agree a little, 6=agree, 7=strongly agree. | Data missing for some participants | Mean | Full Range | units on a scale |
|
| Knowledge of Filipino behavioral health disparities: drug use | "Filipino teenagers in the US have higher rates of alcohol and drug use compared with other Asian subgroups" This measure asks about knowledge of Filipino behavioral health disparities, specifically alcohol and drug use, using a 7-point likert scale where 1= strongly disagree, 2=disagree, 3=disagree a little, 4= neutral, 5=agree a little, 6=agree, 7=strongly agree | Data missing for some participants | Mean | Full Range | units on a scale |
|
Usual care video publicly available describing the evidence-based parenting intervention
Usual Care Video that is publicly available
|
|
|
| 0 |
| 110 |
| 0 |
| 110 |
| EG001 | Control Arm | Usual care video publicly available describing the evidence-based parenting intervention Usual Care Video that is publicly available | 0 | 105 | 0 | 105 |
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