Abstract
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.
Original language | English |
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Pages (from-to) | 1399-1426 |
Number of pages | 28 |
Journal | Journal of Health Care for the Poor and Underserved |
Volume | 31 |
Issue number | 3 |
State | Published - Aug 2020 |
Bibliographical note
Publisher Copyright:© Meharry Medical College Journal of Health Care for the Poor and Underserved.
Keywords
- Adaptation
- Appalachian region
- Child
- Community health workers
- Focus groups
- Implementation
- Key informant interviews
- Parents
- Problem behavior
- Public health
- Rural population
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health