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Journal article
Adaptation and implementation outcomes of a parenting program for low-income, ethnically diverse families delivered virtually versus in-person
Translational behavioral medicine
01 Nov 2022
PMID: 36318233
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Driven by the COVID-19 pandemic, many in-person health behavior interventions were compelled to quickly pivot to a virtual format with little time or capacity to reflect on or examine possible equity-related implications of a format that required digital access and remote learning skills. Using a parenting program for low-income families as a case study, this paper (a) outlines the process of adapting the program from an in-person to a virtual format and (b) examines the equity-related implications of this adaptation. Parents Connect for Healthy Living (PConnect) is a 10-session empowerment-focused parenting intervention designed to promote family health for Head Start families. In 2020, PConnect was adapted over a 6-month period from an in-person to a virtual format due to the advent of the COVID-19 pandemic. Three core elements were retained in the adaptation; session content, provision of coaching support for facilitators, and the co-facilitation model. Key modifications include session length, group composition, and language of program delivery. Head Start and PConnect records provided data to compare reach, acceptability, and appropriateness of virtual and in-person PConnect. Seventy-eight parents enrolled in the in-person program and 58 in the virtual program. Participant demographics and satisfaction were similar across formats, and demographics similar to the general Head Start population. Participation was higher in the virtual format. Parents participated in the virtual program primarily via smart phones (68%). This case study supports the acceptability and appropriateness of virtual parenting programs in ethnically diverse, low-resource settings.
Lay Summary The purpose of this study was to examine the process of adapting an in-person health and empowerment parenting program, Parents Connect for Healthy Living (PConnect), to a virtual format, and examine if this adaptation and implementation of the virtual format led to inequities. Modifications to in-person PConnect to accommodate a virtual format included session length, group composition, and language of program delivery. Participant demographics and satisfaction were similar across the in-person and virtual formats. Attendance was slightly higher in the virtual format, and differences in attendance rates by race/ethnicity in the virtual program were less apparent. Findings from this case study indicate future programs for parents in low-resource settings should consider a virtual or hybrid approach.
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Details
- Title
- Adaptation and implementation outcomes of a parenting program for low-income, ethnically diverse families delivered virtually versus in-person
- Creators
- Natalie Grafft - Boston CollegeAlyssa Aftosmes-Tobio - Boston CollegeCristina Gago - Harvard UniversityKindra Lansburg - Action for Boston Community DevelopmentJacob Beckerman-Hsu - Boston CollegeBrooke Trefry - Boston CollegeShiriki Kumanyika - Drexel UniversityKirsten Davison - Boston College
- Publication Details
- Translational behavioral medicine
- Publisher
- Oxford Univ Press
- Number of pages
- 11
- Grant note
- R01DK108200 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000877179500001
- Scopus ID
- 2-s2.0-85142403518
- Other Identifier
- 991019312334404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health