Health Behavior, Parenting, Social Acceptance
Conditions
Keywords
Filipino
Brief summary
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.
Detailed description
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.
Interventions
OTHERVideo Documentary entitled, Para Sa Kinabukasan ng Mga Anak (For Our Children's Future)
OTHERUsual Care Video that is publicly available
Sponsors
Children's Hospital Los Angeles
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* The sample will consist of Filipino parents and grandparents of children/grandchildren between ages 6-12 years old. Inclusion criteria include: 1. the parent or grandparent has at least one child between 6 to 12 years of age 2. the participating parent/grandparent is Filipino 3. At least one parent/grandparent is willing to complete pre and post surveys and watch a brief video 4. the parent/grandparent is age 18 or older 5. English fluency
Exclusion criteria
1. Younger than 18 years of age 2. Does not speak English 3. Target child has a developmental disability such as Trisomy 21 or autism 4. Parent or grandparent plans to move out of the area within the next nine months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment in Evidence-Based Parenting Program | Up to two years after completing the survey | 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. |
Participant flow
Recruitment details
595 participants were assessed for eligibility. Of these participants, 378 were excluded (221 did not meet inclusion criteria, 157 were not interested).
Pre-assignment details
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.
Participants by arm
| Arm | Count |
|---|---|
| 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) | 110 |
| Control Arm Usual care video publicly available describing the evidence-based parenting intervention
Usual Care Video that is publicly available | 105 |
| Total | 215 |
Baseline characteristics
| Characteristic | Total | Intervention Arm | Control Arm |
|---|---|---|---|
| Age, Continuous | 45.80 years STANDARD_DEVIATION 11.73 | 45.93 years STANDARD_DEVIATION 12.32 | 45.66 years STANDARD_DEVIATION 11.12 |
| Child's Age | 8.79 years STANDARD_DEVIATION 1.995 | 8.73 years STANDARD_DEVIATION 1.95 | 8.85 years STANDARD_DEVIATION 2.05 |
| Child's Birthplace Other | 3 Participants | 3 Participants | 0 Participants |
| Child's Birthplace Philippines | 42 Participants | 22 Participants | 20 Participants |
| Child's Birthplace United States | 170 Participants | 85 Participants | 85 Participants |
| Child's Gender Female | 114 Participants | 59 Participants | 55 Participants |
| Child's Gender Male | 101 Participants | 51 Participants | 50 Participants |
| Education College Graduate | 133 Participants | 74 Participants | 59 Participants |
| Education Grades 0-8 | 1 Participants | 1 Participants | 0 Participants |
| Education Grades 9-11 | 1 Participants | 0 Participants | 1 Participants |
| Education High School or GED | 14 Participants | 6 Participants | 8 Participants |
| Education Post-College Graduate | 25 Participants | 7 Participants | 18 Participants |
| Education Some College | 41 Participants | 22 Participants | 19 Participants |
| Income >100,00 | 27 Participants | 11 Participants | 16 Participants |
| Income <20,00 | 49 Participants | 29 Participants | 20 Participants |
| Income 20,000-49,999 | 73 Participants | 42 Participants | 31 Participants |
| Income 50,000-99,999 | 64 Participants | 28 Participants | 36 Participants |
| Knowledge of Filipino behavioral health disparities: drug use | 2.8 units on a scale | 2.75 units on a scale | 2.86 units on a scale |
| Knowledge of Filipino mental health disparities: Suicide | 2.42 units on a scale | 2.39 units on a scale | 2.45 units on a scale |
| Marital Status Divorced | 15 Participants | 7 Participants | 8 Participants |
| Marital Status Living Together | 3 Participants | 2 Participants | 1 Participants |
| Marital Status Married | 165 Participants | 79 Participants | 86 Participants |
| Marital Status Never Married | 17 Participants | 11 Participants | 6 Participants |
| Marital Status Separated | 6 Participants | 6 Participants | 0 Participants |
| Marital Status Widowed | 9 Participants | 5 Participants | 4 Participants |
| Parent's Birthplace Other | 2 Participants | 1 Participants | 1 Participants |
| Parent's Birthplace Philippines | 189 Participants | 99 Participants | 90 Participants |
| Parent's Birthplace United States | 24 Participants | 10 Participants | 14 Participants |
| Perceived Susceptibility to risky sexual activity | 6.91 Units on a scale | 6.68 Units on a scale | 7.17 Units on a scale |
| Perceived Susceptibility to thoughts of suicide | 4.6351 units on a scale | 4.4091 units on a scale | 4.8812 units on a scale |
| Perceived Susceptibility to using illegal drugs | 4.8104 units on a scale | 4.2455 units on a scale | 5.4257 units on a scale |
| Primary Home Language Bisaya | 7 Participants | 6 Participants | 1 Participants |
| Primary Home Language English | 91 Participants | 44 Participants | 47 Participants |
| Primary Home Language Ilocano | 7 Participants | 2 Participants | 5 Participants |
| Primary Home Language Other | 35 Participants | 18 Participants | 17 Participants |
| Primary Home Language Tagalog | 75 Participants | 40 Participants | 35 Participants |
| Relationship to Child Adpotive Father | 1 Participants | 1 Participants | 0 Participants |
| Relationship to Child Biological Father | 39 Participants | 26 Participants | 13 Participants |
| Relationship to Child Biological Mother | 129 Participants | 59 Participants | 70 Participants |
| Relationship to Child Other | 30 Participants | 16 Participants | 14 Participants |
| Relationship to Child Other Adult Relative | 6 Participants | 2 Participants | 4 Participants |
| Relationship to Child Parent's Partner | 8 Participants | 5 Participants | 3 Participants |
| Relationship to Child Stepparent | 2 Participants | 1 Participants | 1 Participants |
| Sex: Female, Male Female | 164 Participants | 78 Participants | 86 Participants |
| Sex: Female, Male Male | 51 Participants | 32 Participants | 19 Participants |
| Work Status Full Time | 126 Participants | 65 Participants | 61 Participants |
| Work Status Looking for a Job | 20 Participants | 6 Participants | 14 Participants |
| Work Status Not working by choice | 28 Participants | 16 Participants | 12 Participants |
| Work Status Part Time | 34 Participants | 21 Participants | 13 Participants |
| Work Status Working at Home | 7 Participants | 2 Participants | 5 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 110 | 0 / 105 |
| serious Total, serious adverse events | 0 / 110 | 0 / 105 |
Outcome results
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.
Time frame: Up to two years after completing the survey
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention Arm | Enrollment in Evidence-Based Parenting Program | 27 Participants |
| Control Arm | Enrollment in Evidence-Based Parenting Program | 12 Participants |
p-value: 0.00695% CI: [1.33, 5.35]Regression, Logistic