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首页> 外文期刊>Journal of health care for the poor and underserved >Parent and Provider Preferences for Parenting Intervention Delivery in Rural Appalachia: A Qualitative Analysis Guiding Adaptation
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Parent and Provider Preferences for Parenting Intervention Delivery in Rural Appalachia: A Qualitative Analysis Guiding Adaptation

机译：父母和提供者偏好用于农村阿巴拉契亚州的育儿干预：一个定性分析的指导适应

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摘要

The public health impact of behavioral parent training (BPT) is limited, especially in underserved communities such as rural central Appalachia. To improve access to BPT in this region, we completed the first two steps of the ADAPT-ITT framework for systematic adaptation of evidence-based interventions: (1) assessing community perspectives about BPT delivery, and (2) deciding upon a specific intervention and adaptations needed to increase its acceptability and accessibility in rural central Appalachian counties. Guided by a community advisory board, we conducted key informant interviews with parents (N = 21) and three focus groups with child service providers to elicit stakeholders' perspectives about child behavior problems in their communities; existing resources; and preferences regarding four characteristics of BPT delivery: interventionist, modality, dose, and location. Results of directed content analysis led to the selection of local, trusted community health workers to deliver a brief, tailored BPT with flexibility in modality and location.
机译：行为父母培训（BPT）的公共卫生影响是有限的，特别是在农村中央阿巴拉契亚如欠缺社区。为了改善该地区的访问权限，我们完成了适应ITT框架的前两个步骤，用于系统适应基于证据的干预措施：（1）评估关于BPT交付的社区的观点，以及决定具体干预的（2）需要增加阿巴拉契亚县中市中心的可接受性和可访问性所需的适应。由社区咨询委员会为指导，我们与父母（N = 21）和三个焦点小组进行了关键的线人访谈，并与儿童服务提供商共同集团，以引发有关其社区中儿童行为问题的利益相关者的观点;现有资源;关于BPT交付的四种特征的偏好：干预者，模态，剂量和位置。定向内容分析的结果导致了当地，可信共同体的卫生工作者的选择，以便在模态和位置的灵活性提供短暂的，量身定制的BPT。

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