Digital messaging programs have the potential to be a powerful, low-cost, technological tool to support multiple facets of caregivers' knowledge, and implementation of developmentally appropriate caregiver-child activities among diverse immigrant populations. However, involving caregivers and community stakeholders in the cultural and linguistic tailoring of interventions to optimize utilization and engagement may be critical to ensuring messaging programs' usability and acceptability. The purpose of this mixed-method study was to use the dynamic adaptation process (DAP) within an Exploration, Preparation, Implementation, Sustainment (EPIS) framework to examine the implementation of a digital messaging program, developed at the beginning of the COVID-19 pandemic, aimed at providing Spanish-, English-, and Mandarin-speaking immigrant caregivers with caregiver-child activities that supported children's development and caregivers' knowledge. Building upon the EPIS framework, using DAP, we assessed the feasibility and acceptability of a messaging program via short message service or multimedia message service, WeChat, and Remind and webinar program during the COVID-19 pandemic. The study illustrated how a digital messaging program is a feasible mechanism for sharing developmentally and culturally appropriate information with immigrant caregivers. In addition, the use of the DAP and the EPIS framework allowed us to continuously track the process of cultural adaptation, identify barriers and facilitators of the outreach program, and examine how implementation unfolded across all three groups of caregivers.

中文翻译：

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在 COVID-19 大流行期间支持移民看护人：持续调整和实施幼儿数字参与计划

数字信息程序有可能成为一种强大的、低成本的技术工具，以支持看护者知识的多个方面，并在不同的移民人群中实施适合发展的看护者-儿童活动。然而，让护理人员和社区利益相关者参与干预措施的文化和语言调整以优化利用和参与对于确保消息传递程序的可用性和可接受性可能至关重要。这项混合方法研究的目的是在探索、准备、实施、维持 (EPIS) 框架内使用动态适应过程 (DAP) 来检查在 COVID-19 之初开发的数字消息程序的实施情况大流行病，旨在提供西班牙语、英语、讲普通话的移民看护者，开展看护者-儿童活动，支持儿童的发展和看护者的知识。在 EPIS 框架的基础上，我们使用 DAP 评估了在 COVID-19 大流行期间通过短信服务或彩信服务、微信、提醒和网络研讨会程序的消息传递程序的可行性和可接受性。该研究说明了数字消息传递程序如何成为与移民照顾者共享发展和文化上适当的信息的可行机制。此外，使用 DAP 和 EPIS 框架使我们能够持续跟踪文化适应过程，确定外展计划的障碍和促进因素，并检查所有三组护理人员的实施情况。