Adaptation of Parent-Child Interaction Therapy for Puerto Rican Families: A Preliminary Study

University of Puerto Rico.
Family Process (Impact Factor: 1.73). 07/2006; 45(2):205-22. DOI: 10.1111/j.1545-5300.2006.00091.x
Source: PubMed


This study examines how parent-child interaction therapy (PCIT) was adapted for Puerto Rican parents of children aged 4-6 with hyperactivity and other significant behavior problems. Four steps were followed: (1) translation and preliminary adaptation of the treatment manual, (2) application of the treatment to 9 families as part of an exploratory study using repeated measures, (3) treatment revision and refinement, and (4) in-depth interviews with parents (n=15) and clinical psychologists (n=5) from Puerto Rico who provided feedback on treatment process and components. Throughout this process, cultural elements and modifications were recommended to be incorporated into the treatment protocol. Both quantitative and qualitative results suggest that PCIT seems to be an acceptable intervention for this population, with some minor changes. Parents reported a high level of satisfaction, a significant reduction in children's externalizing behavior problems, and reduction of parenting stress and improvement in their parenting practices. Psychologists also evaluated positively the treatment protocol and recommended its use. Results from this study may inform clinicians and researchers who work with Latino families about relevant issues to be considered to promote their participation in behavioral family interventions and to enhance their acceptability and effectiveness.

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    • "The EVM consists of eight dimensions of interventions with culturally sensitive elements that researchers or practitioners have to consider when developing behavioral interventions (language, persons, metaphors, content, concepts, goals, methods, and context). The EVM has been reported effective as a guide for developing culturally sensitive behavioral interventions to specific minority groups (Domenech Rodríguez et al., 2011; Matos et al., 2006; Nicolas et al., 2009; Rosselí o & Bernal, 1999). Given the health risks for functional decline of older Hispanic adults who live alone, and the importance of culturally competent interventions to better address existing health disparities, the purpose of this study was to develop a culturally sensitive occupation-based health promotion intervention for older Latinos who live alone in Puerto Rico by using the Ecological Validity Framework. "
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    ABSTRACT: Aim: To develop a culturally sensitive occupation-based health promotion intervention for older Hispanic adults who live alone. Methods: We used a mixed method design for the content validation of the intervention and the Ecological Validity Model (EVM) to culturally center the intervention. In the quantitative phase, aging experts as well as community members from two activity centers for the elderly in Puerto Rico completed a content validity ratio exercise. In the qualitative phase, we conducted three focus groups with these participants. Data analysis included content validity ratio and a directed content analysis. Results: This resulted in a working version of the intervention protocol addressing the eight dimensions of the EVM. Conclusions: The EVM can be used to culturally center preventive interventions to other ethnic minority groups to augment the external validity and cultural competence of interventions. Future research must test the feasibility of this new intervention.
    Physical & Occupational Therapy in Geriatrics 09/2014; 32(4). DOI:10.3109/02703181.2014.955623
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    • "PCIT is well-researched within university lab settings, and has recently begun to be tested in applied settings with ethnically diverse populations (Fernandez et al., 2011). Matos et al. (2006) reported positive outcomes for an adapted version of PCIT with a sample of Puerto Rican families, where efforts were made to translate relevant treatment materials, seek feedback on the treatment process from parents and psychologists, and make necessary revisions to the treatment program after examining a pilot study with a group of nine families. Treatment revisions included an increased amount of time to work through possible interferences with treatment such as transportation, socioeconomic status, family and work stressors, translating necessary materials, and modifying reading material to fit parents' reading ability. "
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    ABSTRACT: This study examined parent and child treatment outcomes for a home-based Parent-Child Therapy (PCT) program for 66 children from families living in poverty. African American, Caucasian, and Latino families were examined to determine if an evidence-based program would produce similar results across different ethnic groups. The results showed that caregivers across the three ethnic groups reported improved child challenging behavior, increased positive parent-child interactions, improved parental expectations, higher levels of nurturing, and less reliance on verbal and corporal punishment as a form of discipline. Practical implications for these results are discussed.
    Child & Family Behavior Therapy 03/2014; 36(1):33-50. DOI:10.1080/07317107.2014.878193 · 0.67 Impact Factor
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    • "This goal is attained through live-action coaching to caregivers in service of three main goals: 1) providing specific , behaviorally-anchored expectations to children; 2) devoting positive attention to children during play; and 3) providing concrete, specific praise for positive behavior (Eyberg et al. 1995). Used widely with maltreated children, PCIT has demonstrated efficacy across settings (Borrego et al. 2008; Matos et al. 2006; Niec et al. 2005). The efficacy of PCIT with young children shows promise for an upward extension of this treatment with parents and adolescents. "
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    ABSTRACT: Adolescents in residential treatment settings have symptoms that prevent them from participation in normal youth activities, which in turn prevent development of social skills and competencies. A sports-based intervention called "Do the Good" (DtG) was designed for this population using trauma-informed treatment principles. This paper describes the intervention model and presents outcome data. A total of 88 female residential students aged 12 to 21 participated, including 62 students voluntarily enrolled in the sports league and 26 treatment-as-usual (TAU) comparisons. Positive be-haviors (e.g., helping peers, perseverance) during games were observed and coded for sports league participants and their coaches. Mental health charts of DtG and TAU participants were reviewed for behavior and symptoms prior to program participation, and again post-program. Girls in the sports league exhibited reductions in restraints and time-outs, as well as internalizing and externalizing symptoms. These data pro-vide evidence that sports-based interventions present a prom-ising adjunctive approach for traumatized youth.
    Journal of Family Violence 12/2013; 7(28):739-749. DOI:10.1007/s10896-013-9533-x · 1.17 Impact Factor
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