# Lay Health Worker Mobilization to Address Disparities in Parent Training Services

> **NIH NIH K01** · UNIVERSITY OF CALIFORNIA SANTA BARBARA · 2020 · $149,718

## Abstract

Project Summary/ Abstract
The proposed K01 Mentored Research Scientist Development Award will provide the applicant with advanced
training and skills to launch an independent research program focused on developing and evaluating
implementation interventions that reduce mental health (MH) disparities for ethnically diverse families. This
K01 proposal seeks to develop an evidence base for leveraging Lay Health Workers (LHW), community
members without formalized MH training, to address determinants of MH disparities related to client demand
for and the supply of behavioral parent training (BPT) programs in underserved communities. The community-
partnered development and pilot evaluation of the LHW Enhancing Engagement for Parents (LEEP)
implementation intervention will train LHW to conduct outreach and promote treatment engagement and skill
acquisition for Latino families in Parent-Child Interaction Therapy (PCIT). Aim 1 of the study will assess the
current context of LHW mobilization in children's evidence-based service delivery in community MH agencies
through qualitative interviews with agency leaders and LHW, and quantitative surveys of LHW. Mixed-method
analyses of these data will inform the development of LEEP. In Aim 2, the applicant will partner with community
stakeholders to develop an implementation plan, structure, and process materials (e.g., fidelity measures) for
LEEP. Aim 3 will pilot LEEP within an effectiveness/implementation hybrid design. Qualitative and quantitative
data will inform the evaluation of LEEP including its feasibility, acceptability, and effects on client engagement,
clinical outcomes, and implementation outcomes. The proposed study is well suited to the community setting
and expertise the applicant brings to the project. Los Angeles County Department of MH (LACDMH) has
invested considerable efforts in the implementation of evidence-based practices, including PCIT. The
applicant's postdoctoral fellowship focused a MH policy reform within LACDMH, providing her insight into this
large system of care. To meet her career objectives and the aims of this research project, the applicant
requires additional training in: (1) implementation and health services research methodology to measure and
reduce MH disparities; (2) application of implementation strategies and theories to inform the development of
interventions to address supply and demand determinants of disparities; (3) approaches to improve parental
entry into and engagement in treatment. Mentorship and consultation from primary sponsor, Dr. Jeanne
Miranda (MH disparity reduction), co-sponsor, Dr. Anna Lau (MH disparities, implementation science), Dr. John
Landsverk (implementation science), Dr. Lisa Saldana (economic evaluations of implementation efforts), Dr.
Maryam Kia-Keating (community-partnered research, LHW models), Dr. Camille Nebeker (LHW training,
responsible conduct of research), Dr. Emily Winslow (parent engagement), Dr. Karen Nylund-Gibson
(multilevel st...

## Key facts

- **NIH application ID:** 9914373
- **Project number:** 5K01MH110608-04
- **Recipient organization:** UNIVERSITY OF CALIFORNIA SANTA BARBARA
- **Principal Investigator:** Miya Barnett
- **Activity code:** K01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $149,718
- **Award type:** 5
- **Project period:** 2017-04-01 → 2022-09-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9914373

## Citation

> US National Institutes of Health, RePORTER application 9914373, Lay Health Worker Mobilization to Address Disparities in Parent Training Services (5K01MH110608-04). Retrieved via AI Analytics 2026-06-01 from https://api.ai-analytics.org/grant/nih/9914373. Licensed CC0.

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