First We Have to Engage Them: A Mixed Methods Assessment of Low-Income Parents' Preferences for and Barriers to Receiving Child Health Promotion Information

Abstract Introduction The aim of this study is to understand low-income parents' preferences for and barriers to receiving child health promotion information. Methods A mixed-methods approach was used. Data were collected in an urban pediatric primary care setting serving predominantly low-income African American families. Parents ( n = 190) of 3- to 8-year-old children completed a survey; a randomly selected subset participated in focus groups. Results The quantitative and qualitative samples differed with regard to whether they would like to get parenting information from their doctors. The most commonly cited obstacles to attending parenting classes were time (50.6%), work schedule (40.6%), transportation (37.7%), and own health (22.4%). Discussion New and creative methods are needed to promote child health and development that do not increase the burden associated with raising children in the context of limited resources.