TY - JOUR AU - D. N. Williford AU - E. Burstein AU - A. C. Modi AU - L. E. Crosby AU - L. J. Stark AU - T. M. Rybak A1 - AB - OBJECTIVES: Infancy is a critical period for preventing obesity and health disparities. This study reports on the acceptability of a responsive parenting obesity prevention intervention (THRIVE) delivered via integrated behavioral health in a pediatric primary care setting. Intervention participants were invited to participate in a focus group on the acceptability of THRIVE and suggestions for refinement with particular attention to cultural responsiveness and diversity, equity, inclusion, and accessibility (DEIA). METHODS: Eleven of 32 (34.4%) mothers participated in a 45-60 minute focus group (three groups, 3-5 participants each). Sessions utilized a semi-structured interview guide, were transcribed verbatim, and analyzed according to a thematic analytic approach. RESULTS: Four themes emerged: (1) Lived Experience (e.g., lived experience as a mother, navigating systemic and healthcare-related barriers, and context that shaped personal experiences with THRIVE); (2) Therapeutic Processes and Cultural Responsiveness (e.g., an appreciation of families' strengths and values by the THRIVE interventionist that facilitated engagement with THRIVE); (3) Tailored Strategy Implementation (e.g., implementation of THRIVE skills and strategies by families and how strategies were adapted or tailored to meet families' needs); (4) Future Improvements to THRIVE (e.g., proposed strategies for increased attention to DEIA and reducing participant burden). CONCLUSIONS: Conducting qualitative research prior to Phase 2-3 trials is vital to ensuring the interventions developed, implemented, and tested are not only empirically-based, but also culturally-responsive, attentive to DEIA, acceptable and relevant. Mothers provided valuable insights surrounding participation in THRIVE, highlighting important DEIA elements of THRIVE and suggested ways to decrease burden and increase access. AD - Cincinnati Children's Hospital Medical Center.; University of Cincinnati College of Medicine. AN - 40365449 BT - Clin Pract Pediatr Psychol C5 - Healthcare Disparities CP - 1 DA - Mar DO - 10.1037/cpp0000515 DP - NLM ET - 20250301 IS - 1 JF - Clin Pract Pediatr Psychol LA - eng N2 - OBJECTIVES: Infancy is a critical period for preventing obesity and health disparities. This study reports on the acceptability of a responsive parenting obesity prevention intervention (THRIVE) delivered via integrated behavioral health in a pediatric primary care setting. Intervention participants were invited to participate in a focus group on the acceptability of THRIVE and suggestions for refinement with particular attention to cultural responsiveness and diversity, equity, inclusion, and accessibility (DEIA). METHODS: Eleven of 32 (34.4%) mothers participated in a 45-60 minute focus group (three groups, 3-5 participants each). Sessions utilized a semi-structured interview guide, were transcribed verbatim, and analyzed according to a thematic analytic approach. RESULTS: Four themes emerged: (1) Lived Experience (e.g., lived experience as a mother, navigating systemic and healthcare-related barriers, and context that shaped personal experiences with THRIVE); (2) Therapeutic Processes and Cultural Responsiveness (e.g., an appreciation of families' strengths and values by the THRIVE interventionist that facilitated engagement with THRIVE); (3) Tailored Strategy Implementation (e.g., implementation of THRIVE skills and strategies by families and how strategies were adapted or tailored to meet families' needs); (4) Future Improvements to THRIVE (e.g., proposed strategies for increased attention to DEIA and reducing participant burden). CONCLUSIONS: Conducting qualitative research prior to Phase 2-3 trials is vital to ensuring the interventions developed, implemented, and tested are not only empirically-based, but also culturally-responsive, attentive to DEIA, acceptable and relevant. Mothers provided valuable insights surrounding participation in THRIVE, highlighting important DEIA elements of THRIVE and suggested ways to decrease burden and increase access. PY - 2025 SN - 2169-4826 (Print); 2169-4826 SP - 26 EP - 36+ ST - Harnessing Mother's Strengths to THRIVE in Obesity Prevention Efforts: A Qualitative Study T1 - Harnessing Mother's Strengths to THRIVE in Obesity Prevention Efforts: A Qualitative Study T2 - Clin Pract Pediatr Psychol TI - Harnessing Mother's Strengths to THRIVE in Obesity Prevention Efforts: A Qualitative Study U1 - Healthcare Disparities U3 - 10.1037/cpp0000515 VL - 13 VO - 2169-4826 (Print); 2169-4826 Y1 - 2025 ER -