Context adaptations
SAID
Context adaptations addressed changes to the delivery of FN in terms of Recommendations also emphasized the need for increased integration of FN into existing healthcare and service systems. For example, parents and navigators suggested that FN should be integrated and/or co-located into primary care, which was beyond the scope of the original FN intervention design. A parent said, “[Families] trust their doctor better than anybody. So when the doctor refers them to somebody, they will take it seriously – more serious than if it was anybody else” (1). Another parent suggested that FN should exist across healthcare systems and hospitals.The remaining recommendations for changes to context reflect existing components of the intervention. Parents and navigators suggested that navigators be bilingual/bicultural and come from the same community and local culture as the families they serve. One navigator said, “I’ve had some moms say to me…point out to me my whiteness…my master’s degrees …and I totally understand and I… I think I was able to get past that, (…) but I think that ideally it would be someone more in the community” (2). Parents and navigators also suggested that navigators should quickly connect with families following referral to FN and navigator home visits should be offered.