258806 Empowering mothers: Parent education and support groups to promote infant/toddler health and development

Tuesday, October 30, 2012

Gerelmaa Bataa , Asian Health Services/Frank Kiang Medical Center, Oakland, CA
Kwee Say, BS , Asian Health Services/Frank Kiang Medical Center, Oakland, CA
Joan Jeung, MD, MS , Asian Health Services/Frank Kiang Medical Center, Oakland, CA
A community health center serving Asian immigrants and refugees has established parent education and support groups designed to empower parents to promote the health and development of their infants and toddlers. Funded by a HRSA/MCHB Healthy Tomorrows Partnership for Children grant, the Empowering Mothers Initiative seeks to improve parenting capacity and support networks, and to connect families to the health-related resources, including pediatric and prenatal health care services. This program targets Burmese refugees, Mongolian immigrants, and adolescent parents who are either pregnant or parenting children ages 0-3 years. This program approaches pediatric anticipatory guidance/health education in several novel ways. One is cultural/linguistic adaptation: The curriculum for the parent groups, based on American Academy of Pediatrics Bright Futures guidelines and the Nurturing Parenting Program (an evidence-based parenting curriculum), has been adapted to the target populations. Another is the group visit format: rather than relying exclusively on one-on-one clinical encounters, regular group meetings develop mutual peer support, draw upon parents' own knowledge and experience, and also encourage parents to apply lessons in preventing illness and injury and promoting child development. Finally, community health workers/navigators drawn from the community help to provide health education, interpretation, and improved access to both primary health care and other health-related social services (e.g., WIC). This model may be further developed to provide routine well child care through group visits, and to improve care coordination for emerging refugee and immigrant groups within a family-centered medical home.

Learning Areas:
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public

Learning Objectives:
1. Describe parent education and support groups designed to educate, support, and empower parents from select immigrant/refugee communities with children ages 0-3 years. 2. Describe how such groups complement routine anticipatory guidance given during pediatric well child checks. 3. Discuss the relative advantages and disadvantages of using group and community-based parent education compared to clinic-based, individual guidance. 4. Describe how American Academy of Pediatrics Bright Futures guidelines and Nurturing Parenting Program principles were adapted to the particular needs of Asian immigrants and refugee parents. 5. Describe how trained community health workers/patient navigators can help provide culturally relevant, community-based health education, and help improve access to health care services.

Keywords: Child Health Promotion, Immigrants

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a patient navigator working for a community health center serving mainly Asian immigrants and refugees. I am co-facilitating the parent education/support groups described in this presentation, and am also helping patients to enroll in public health insurance programs, where eligible. I also interpret for clinical providers and help patients to navigate the health care system, and also engage in patient education and advocacy.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.