Educational Values of Latino Families Participating in a School Readiness Intervention: Hopes and Implications for Pediatrics

Author:

Peterson Jaime W.1,Robles Alejandro2,Underwood Carrasco Veronica Ilene2,Zavala Julia3,Almanzar Nicole4,Zuckerman Katharine E.2,Bruce Janine5

Affiliation:

1. Department of Pediatrics, Oregon Health and Science University, OHSU-Portland State School of Public Health, Portland, OR;

2. Department of Pediatrics, Oregon Health and Science University, Portland, OR;

3. Center for Dermatology and Laser Surgery, Portland, OR;

4. Harvard School of Public Health, Boston, MA;

5. Division of General Pediatrics, Department of Pediatrics, Stanford School of Medicine, Stanford, CA.

Abstract

ABSTRACT: Objective: To explore Latino parents' educational values and hopes for their preschool-aged children after a clinic school readiness (SR) intervention. Methods: Qualitative analysis of semi-structured interviews of Latino parents regarding their perceptions of a novel SR coaching intervention (2016–2017). Parents who received the intervention were approached for interview (n = 74); 59 postintervention interviews were completed in English or Spanish, audio recorded, transcribed, and translated into English. Iterative team-based coding and inductive thematic analysis of 47 interviews were conducted by 3 team members using Dedoose. Results: Children were on average 4.5 years old, with the majority speaking Spanish at home (57%), and having preschool experience (81%). Mothers mostly had no paid employment (53%) and limited formal education. Four domains emerged: 1) education is valued and seen as a pathway to a successful life for children, and 2) while structural and cultural barriers exist, 3) Latino families are motivated and 4) trust providers to offer SR support. Parents suggested pediatricians could provide more SR knowledge to families and offer programs within primary care. Integration of findings are summarized in a framework for clinical practice. Conclusion: Latino parents' trust in their pediatric providers, combined with their strong educational aspirations for their children, offers the pediatric clinic an opportunity to partner with families to reduce systemic SR barriers. Pediatric providers can support Latino parents in preparing their children for school through culturally responsive, strengths-based approaches that build on their educational aspirations, value existing SR efforts, offer SR knowledge around early literacy and math, and build connections to early childhood programs.

Funder

Agency for Healthcare Research and Quality

Publisher

Ovid Technologies (Wolters Kluwer Health)

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