Evidence-Based Psychosocial Treatments for Ethnic Minority Youth

University of Southern California, Los Angeles, CA 90089-1061, USA.
Journal of Clinical Child & Adolescent Psychology (Impact Factor: 1.92). 02/2008; 37(1):262-301. DOI: 10.1080/15374410701820174
Source: PubMed


This article reviews research on evidence-based treatments (EBTs) for ethnic minority youth using criteria from Chambless et al. (1998), Chambless et al. (1996), and Chambless and Hollon (1998). Although no well-established treatments were identified, probably efficacious or possibly efficacious treatments were found for ethnic minority youth with anxiety-related problems, attention-deficit/hyperactivity disorder, depression, conduct problems, substance use problems, trauma-related syndromes, and other clinical problems. In addition, all studies met either Nathan and Gorman's (2002) Type 1 or Type 2 methodological criteria. A brief meta-analysis showed overall treatment effects of medium magnitude (d = .44). Effects were larger when EBTs were compared to no treatment (d = .58) or psychological placebos (d = .51) versus treatment as usual (d = .22). Youth ethnicity (African American, Latino, mixed/other minority), problem type, clinical severity, diagnostic status, and culture-responsive treatment status did not moderate treatment outcome. Most studies had low statistical power and poor representation of less acculturated youth. Few tests of cultural adaptation effects have been conducted in the literature and culturally validated outcome measures are mostly lacking. Recommendations for clinical practice and future research directions are provided.

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    • "). Perceived discrimination has been found to be positively associated with poor mental health outcomes in Black Americans (Pieterse et al., 2012), Asian Americans (Lee & Sue, 2011), and lesbian, gay, and bisexual adults (Bostwick et al., 2014), making efficacious treatment provision to individuals who experience marginalization particularly important. There is growing evidence to suggest that EBTs, particularly CBT, with and without cultural adaptations, are efficacious in treating a range of disorders with individuals from marginalized groups, including racial and ethnic minority groups (Griner & Smith, 2006; Hinton et al., 2004; Huey & Polo, 2008; Kohn & Oden, 2002), LGBT individuals (Martell, Safren, & Prince, 2004), older adults (Hendriks et al., 2008; Laidlaw, et al., 2008), and individuals with intellectual disabilities (Lew, Matta, &Tripp-Tebo, 2006). While EBTs have shown efficacy with individuals from marginalized groups, research on treatment engagement and acceptability has been less promising. "
    Cognitive and Behavioral Practice 10/2015; DOI:10.1016/j.cbpra.2015.09.004 · 1.33 Impact Factor
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    • "Cultural adaptation is an important part of the implementation process (Cabassa & Baumann, 2013), and considering the current diversity of the U.S. population, attention to how cultural factors affect the implementation of parent trainings in usual care is crucial. Meta-analyses in the cultural adaptation field have indicated that adapting interventions to clients' cultural backgrounds by explicitly integrating cultural factors such as language, cultural beliefs, and explanatory models into the intervention improves the relevance, acceptability , effectiveness, and sustainability of the intervention by the providers and target populations (e.g., Benish, Quintana, & Wampold, 2011; Griner & Smith, 2006; Huey & Polo, 2008; Smith, Domenech Rodríguez, & Bernal, 2011). Care should be taken, however, as these meta-analyses reflect great variability in effect sizes, study designs, populations, and interventions sampled (Cabassa & Baumann, 2013). "
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    ABSTRACT: With advances in knowledge regarding efficacious evidence-based interventions, there have been significant attempts to culturally adapt, implement, and disseminate parent training interventions broadly, especially across ethnic and cultural groups. We sought to examine the extent to which researchers and developers of evidence-based parent training programs have used cultural adaptation models, tested implementation strategies, and evaluated implementation outcomes when integrating the interventions into routine care by conducting a systematic review of the literature for four evidence-based parent training interventions: Parent-Child Interaction Therapy (PCIT), The Incredible Years (IY), Parent Management Training-Oregon Model (PMTOTM), and the Positive Parenting Program (Triple P). A total of 610 articles across the four programs were identified. Of those, only eight documented a rigorous cultural adaptation process, and only two sought to test the effectiveness of implementation strategies by using rigorous research designs. Our findings suggest that there is much work to be done to move parent-training intervention research towards a more rigorous examination of cultural adaptation and implementation practices.
    Children and Youth Services Review 03/2015; 53. DOI:10.1016/j.childyouth.2015.03.025 · 1.27 Impact Factor
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    • "Barrera, Castro, Strycker, and Toobert (2013) argue that confidence in the validity and utility of cultural adaptation models comes not only from the agreement and consistency across independently derived models, but also from the effectiveness of culturally adapted interventions. Two meta-analyses of culturally adapted interventions have concluded that they are effective with the intended cultural group (Griner & Smith, 2006; Huey & Polo,2008), and numerous other studies have documented the effectiveness of culturally adapted interventions (see Barrera et al., 2013 for review). However, several researchers have called for additional documentation of, and rigorous testing of, culturally adapted interventions to build the evidence base for both the process and outcomes of these efforts (Bernal et al., 2009; Gonzalez Castro et al., 2010; Domenech Rodriguez, Baumann, & Schwartz, 2011). "
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    ABSTRACT: Teen childbearing is associated with a range of adverse outcomes for both mothers and children, and perpetuates an intergenerational cycle of socioeconomic disadvantage. Fathers may be an underappreciated source of support to teen mothers and their children. The strongest and most consistent predictor of positive father involvement is a positive coparenting relationship between the mother and father. Thus, strengthening the coparenting relationship of teen parents may be protective for both parents and children. This paper describes the rationale, the intervention model, and the cultural adaptation of Strong Foundations, an intervention designed to facilitate and enhance positive coparenting in teen parents. Adapted from an evidence-based coparenting program for adult, cohabiting parents, this intervention was modified to be developmentally and culturally appropriate, acceptable, and feasible for use with urban, low-income, minority expectant teen mothers and their male partners. The authors present lessons learned from the cultural adaptation of this innovative intervention. Pilot testing has shown that this model is both acceptable and feasible in this traditionally hard to reach population. Although recruitment and engagement in this population present specific challenges, young, urban minority parents are deeply interested in being effective coparents, and were open to learning skills to support this goal.
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