title: Implementing an evidence-based preventive intervention in neighborhood family centers: examination of perceived barriers to program participation.
abstract: : This study examined parents' perceived barriers to participation in a multicomponent prevention program implemented by a community agency serving culturally diverse urban neighborhoods. The Early Risers Participation Interview (ER-PI), modeled after Kadzin et al.'s (1997) Barriers to Treatment Participation Scale, was administered to parents (N = 138) of children who were screened for disruptive behavior and were randomized into a two-year intervention condition. Results showed that the perceived barriers score provided significant information in differentiating low and high participators after controlling for child, parent, and family characteristics. Early identification and resolution of parents' perceived barriers to participation may be key to implementing multifaceted preventive programs successfully in inner-city neighborhoods. EDITOR'S STRATEGIC IMPLICATIONS: The authors present promising practices for client engagement and retention. The experimental, longitudinal design is notable, especially in the evaluation of a community-run prevention program.
authors.affiliation: Division of Child and Adolescent Psychiatry, University of Minnesota, Minnesota, USA.
authors.forename: Susanne S
authors.initials: SS
authors.lastname: Lee
authors.forename: Gerald J
authors.initials: GJ
authors.lastname: August
authors.forename: Michael L
authors.initials: ML
authors.lastname: Bloomquist
authors.forename: Robin
authors.initials: R
authors.lastname: Mathy
authors.forename: George M
authors.initials: GM
authors.lastname: Realmuto
mesh_terms: D000328:Adult; D002648:Child; D003151:Community Health Centers; D019317:Evidence-Based Medicine; D005190:Family; D005260:Female; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010290:Parents / Q000523:psychology*; D010358:Patient Participation / Q000523:psychology*; D011314:Preventive Health Services