Adapting a Health Promotion Program for Family, Friend and Neighbor (FFN) Informal Caregivers in Refugee and Immigrant Communities.

Background: Immigrant informal (family, friend, and neighbor) caregivers play a critical role in the development of young children but face unique barriers that contribute to health disparities. Culturally adapted, community-based health education is needed to support this population. Purpose: To ex...

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Detalles Bibliográficos
Publicado en:American Journal of Health Education Vol. 56; no. 6; pp. 523 - 535
Autores principales: Pangalangan, Julia M. L., Tietze, Ethan, Fagbenro, Fatima, Puma, Jini E.
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov/Dec2025
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Background: Immigrant informal (family, friend, and neighbor) caregivers play a critical role in the development of young children but face unique barriers that contribute to health disparities. Culturally adapted, community-based health education is needed to support this population. Purpose: To examine the feasibility of implementing an adapted health promotion program, Culture of Wellness in Preschools (COWP), for immigrant informal caregivers. Method: A convergent parallel mixed methods feasibility study was conducted. Pre-/post-surveys were completed by 41 caregivers caring for 46 children, and 52 caregivers participated in focus groups. Quantitative analysis assessed changes in health behaviors, and focus groups were analyzed using a phenomenological approach guided by a dissemination and implementation (D&I) framework. Results: The program was deemed acceptable and appropriate, with high completion rates and statistically significant increases in caregivers' water consumption (B =.45; p <.01) and physical activity (B = 1.44; p =.01) and children's water consumption (B =.26; p =.02). Discussion: The adapted program was feasible and effective in improving health behaviors for immigrant informal caregivers and the children in their care. Translation to Practice: Future health education efforts should leverage implementation science to tailor programs and promote well-being among informal caregivers and children. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) .