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| Name | Class |
|---|---|
| Universidad Iberoamericana | OTHER |
| PILA Global | UNKNOWN |
| Fulbright | OTHER |
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The goal of this study is to better understand and support parenting practices and family mental health among migrant parents in Tijuana, Mexico. the main questions it aims to answer are:
Participants will
Researchers will compare parents randomly assigned to parenting sessions group with waitlist control group (starting learning sessions 1 month later) to see if the group learning benefits parent-child interactions, parental stress, and parental confidence in parenting.
Month 1:
The researchers will use a participatory research model to convene focus groups engaging community stakeholders in two large shelters in Tijuana to prioritize 3-5 parenting skills.
Month 2:
The researchers will recruit participating parents until reaching a sample size of 120, divided into 8 groups of 15. All participants will vote for 1-2 interventions from a list of 5 to revise and adapt to the local context through small group discussions and consensus building.
Month 3:
Participants will complete baseline questionnaires anonymously. Half of the participants (Group 1, N=60) will be randomized to receive the adapted learning curriculum in groups of 15, twice a week for 4 weeks. At the conclusion of month 3, all participants will complete the same questionnaires as pre-intervention. These data will serve as post-intervention data for Group 1 and a second baseline for the remaining participants (Group 2). During month 3, Group 2 will receive a two-page handout on childhood nutrition in Spanish. They will serve as the "control group" for the first wave of intervention.
Month 4:
Group 2 will receive the same intervention as group 1 in month 3. At the conclusion of month 4, participants will complete the same questionnaires as pre-intervention. They will also complete open-ended feedback interviews.
Month 5:
Researchers will analyze all anonymous data and share preliminary results with the community through peer leaders.
Month 6-7:
Researchers will conduct a phone follow-up for all available participants (2 months post intervention) and collect data anonymously.
Month 8:
Researchers will again analyze the aggregate data and share results with the community.
Month 9:
Researchers will draft a manuscript, share final results with the community and nonprofit/academic partners.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| parenting sessions group | Experimental | This arm will receive a culturally adapted parenting curriculum twice a week for 4 weeks during month 3 of the study |
|
| waitlist control group | Active Comparator | This arm will receive a handout about parenting techniques in Spanish during month 3. They then receive the same parenting curriculum during month 4. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Refugee parenting education in a participatory community | Behavioral | Parents will vote for one of the 5 previously studied refugee parenting curriculums: 1) Creating Opportunities Through Mentoring Parenting Involvement and Safe Space (COMPASS); 2) GenerationPMTO; 3) Happy Families; 4) Family Strengthening Intervention for Refugees (FSI-R). Researchers will use a model of Learning by Observing and Pitching In (LOPI), to empower community members in the learning process. LOPI is a multicomponent way of organizing group learning that improves collaboration, alertness, and executive functions such as perspective-taking and self-regulation in addition to specific skills learning and has been used in many indigenous and indigenous-heritage communities of the Americas. |
| Measure | Description | Time Frame |
|---|---|---|
| parenting knowledge | 20 multiple choice questions (scores 0-20) | immediately before intervention and after 4-week intervention period |
| Child behavior and parental efficacy | Child Adjustment and Parent Efficacy Scale (total scores 0-81, parental efficacy scores 19-190) | immediately before intervention and after 4-week intervention period |
| Measure | Description | Time Frame |
|---|---|---|
| Observed parent-child interactions | Parenting Interactions with Children: Checklist of Observations Linked to Outcomes | immediately before intervention, after 4-week intervention period, and 2-month post-intervenion follow-up |
| parental stress |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Xinshu She, MD, MPH | Stanford University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Canyon Nest | Tijuana | Estado de Baja California | 22526 | Mexico |
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| Label | URL |
|---|---|
| Stanford link to study description and contact | View source |
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There will be no individual data after completion of the data collection. All data will be anonymous and analyzed as collective data.
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| ID | Term |
|---|---|
| D002652 | Child Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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|
Parent Stress Index-Short Form21
| immediately before intervention, after 4-week intervention period, and 2-month post-intervenion follow-up |
| Qualitative feedback | semi-structure interviews on program feedback and future suggestions | after 4-week intervention period and at 2-month post-intervenion follow-up |
| parenting knowledge | 20 multiple choice questions (scores 0-20) | post intervention and at 2-month post-intervenion follow-up |
| Child behavior and parental efficacy | Child Adjustment and Parent Efficacy Scale (total scores 0-81, parental efficacy scores 19-190) | post interventionand and at 2-month post-intervenion follow-up |