Effects of culturally adapted parent management training on Latino youth behavioral health outcomes.
ABSTRACT A randomized experimental test of the implementation feasibility and the efficacy of a culturally adapted Parent Management Training intervention was conducted with a sample of 73 Spanish-speaking Latino parents with middle-school-aged youth at risk for problem behaviors. Intervention feasibility was evaluated through weekly parent satisfaction ratings, intervention participation and attendance, and overall program satisfaction. Intervention effects were evaluated by examining changes in parenting and youth adjustment for the intervention and control groups between baseline and intervention termination approximately 5 months later. Findings provided strong evidence for the feasibility of delivering the intervention in a larger community context. The intervention produced benefits in both parenting outcomes (i.e., general parenting, skill encouragement, overall effective parenting) and youth outcomes (i.e., aggression, externalizing, likelihood of smoking and use of alcohol, marijuana, and other drugs). Differential effects of the intervention were based on youth nativity status.
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ABSTRACT: Latinos have less access to culturally relevant and appropriate mental health services based in empirical research. For ethnic minority populations, culturally adapting empirically supported interventions has been identified as a successful method for motivating community interest, and increasing engagement and acceptability. The current article presents two studies: In Study 1, we describe the development of a research-based family strengthening intervention for low-income Latino families (FUERTE), following established methods of cultural adaptation. In Study 2, we present results from a pilot study designed to assess the feasibility and acceptability of implementing and evaluating FUERTE with nine low-income Spanish-speaking cou-ples in a community Head Start setting, the acceptability of the program, and prelim-inary intervention effects. Participants completed 4 weeks of workshops and a pre-intervention and post-intervention assessment. Results provide evidence in support of the feasibility and acceptability of implementing FUERTE in a community setting. Preliminary pre-to post-improvements were noted across numerous domains; however, efficacy results are cautiously interpreted because of the small sample size. Future directions and implications of the current study results are discussed. Latinos have less access to and receive fewer mental health services than do European Amer-icans even though they have comparable rates of mental health problems, and Latino youth have higher rates compared with non-Latino youth (U.S. Department of Health & Human Services, 2001). The combined effects of low socioeconomic and minority status contribute to reduced access to mental health prevention and treatment. Furthermore, when Latinos do re-ceive mental health services they often receive poorer quality care (Alegría et al., 2002) and have less access to culturally relevant services based in empirical research (Flores, Olson, & Tomany-Korman, 2005). Several obstacles contribute to disparities in service access for Latinos including language barriers, a lack of services in Latino neighbor-hoods, and mistrust based on discrimination and immigration status (Alegría et al., 2002). Prac-tical barriers of time, childcare, and transporta-tion can also impede the access of services for low-income minority individuals (Miranda, Azocar, Organista, Muñoz, & Lieberman, 1996). These well-documented barriers are par-ticularly concerning as unmet mental health needs contribute additional stress to already burdened low-income ethnic minority families (U.S. Dept. of Health & Human Services, 2001).01/2014; 2(1):21-36. DOI:10.1037/lat0000010
- 12/2013; 7(1):5-23. DOI:10.1080/1754730X.2013.851980
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ABSTRACT: Multicultural responsiveness and adaptation have been a recent area of emphasis in prevention and intervention science. The changing demographics of the United States demand the development of intervention strategies that are acceptable and effective for diverse cultural and ethnic groups. The Family Check-Up (FCU) was developed to be an intervention framework that is flexible and adaptive to diverse cultural groups (Dishion & Stormshak, 2007 ). We empirically evaluated the extent to which the intervention is effective for improving youth adjustment and parent-child interactions for diverse cultural groups. A sample of 1,193 families was drawn from 2 large-scale randomized prevention trials conducted in diverse urban middle schools. We formulated 3 groups on the basis of youth self-identification of ethnicity (European American, African American, Hispanic) and examined group differences in the hypothesized mediating effect of family conflict (FC) on later antisocial behavior (ASB). Path analysis revealed that youths in the intervention condition reported significantly less ASB over a 2-year period (Grades 6-8). Moreover, youth-reported reductions in FC at 12 months were an intervening effect. Ethnicity did not moderate this relationship. Consistent with one of the primary tenets of coercion theory, participation in the FCU acts on ASB through FC across diverse ethnic groups, lending support to the multicultural competence of the model. Limitations of this study are discussed, along with areas for future research.Journal of Clinical Child & Adolescent Psychology 04/2014; DOI:10.1080/15374416.2014.888670 · 1.92 Impact Factor