Methods:
- Phase 1 (2008-10): participant-observation, focus groups, key informant interviews, and surveys to develop a broad knowledge-base about parenting in our geographic context.
- Phase 2 (2011-12): Phase 1 findings used to identify and theater-test specific barrier-busting and engagement practices, evidenced-based curricular elements (i.e. parenting strategies), facilitation style and other model features to build our CBB model (N=94).
- Phase 3 (2013): effectiveness and validation study, random control trial design in a community context (in process, N=37).
Results/Discussion: Phase 1 participatory qualitative results analysis revealed that while parents want the best for their kids, they were generally not engaging in behaviors proven to promote language and literacy and they predominantly used harsh and coercive parenting strategies. They felt constrained and wanted more parenting strategies and options. In Phase 2, we used this knowledge to develop our model where our “gold-standard” includes the elements necessary for implementation in a community context. Early results from phase 3 show that CBB changes parents' knowledge, skills and repertoire of parenting practices; AND that parents use these new skills in their everyday lives.
Conclusion: Using CBPR methods, we gained a deep understanding of the unique challenges faced in early childhood and parenting in NAZ. Thus, we developed the CBB model within its’ specific community context, eliminating the “translation gap” in moving from a laboratory (i.e. researcher controlled) setting to a community-based implementation.