Cady Berkel

Cady Berkel
Arizona State University | ASU · College of Health Solutions

Ph.D. in Child and Family Development

About

59
Publications
22,204
Reads
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1,802
Citations
Citations since 2016
33 Research Items
1319 Citations
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2016201720182019202020212022050100150200
2016201720182019202020212022050100150200

Publications

Publications (59)
Article
Racism continues to be a major source of stress for African Americans and can impair psychological functioning. Adolescents experiencing discrimination may engage in self-soothing, but risky behaviors, which leave them at risk for negative life trajectories. Black pride has been identified as a key factor in explaining the heterogeneity in response...
Article
Full-text available
Translation of developmental science discoveries is impeded by numerous barriers at different stages of the research-to-practice pipeline. Actualization of the vast potential of the developmental sciences to improve children's health and development in the real world is imperative but has not yet been fully realized. In this commentary, we argue th...
Article
Objective: To determine whether families would make use of a pediatric-specific inpatient hospice facility for end-of-life care for children. Background: Location of end-of-life care and death are important considerations when treating children with life-limiting conditions. There is very limited research on utilization of an inpatient hospice faci...
Article
Mobile health (mHealth) interventions have proliferated rapidly in part because of their advantages in reducing consumer and provider burden, but less attention has been paid to participant responsiveness to mHealth programs and how this may affect outcomes. This study adds to that literature by examining whether participant responsiveness to a tex...
Article
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Objectives To describe the process of developing and implementing experiential learning through translational research teams that engage diverse undergraduate and graduate students. Methods After a college redesign, translational research teams were developed to foster multidisciplinary research and better integrate students with faculty research,...
Article
Not all participants will benefit equally from even well-established, evidence-based prevention programs. For this reason, the field of prevention science is beginning to embrace individual tailoring of interventions. The Family Check-Up was among the first prevention programs to tailor at the family level as opposed to the more prevalent focus on...
Article
Background Paediatric obesity is a multifaceted public health problem. Family based behavioural interventions are the recommended approach for the prevention of excess weight gain in children and adolescents, yet few have been tested under “real‐world” conditions. Objectives To evaluate the effectiveness of a family based intervention, delivered i...
Article
The Family Check-Up 4 Health (FCU4Health) is an adaptation of the Family Check-Up (FCU) for delivery in primary care settings. While maintaining the original FCU’s focus on parenting and child behavioral health, we added content targeting health behaviors. This study evaluated whether the adapted FCU maintained positive effects on parenting (positi...
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Objective: For implementation of an evidence-based program to be effective, efficient, and equitable across diverse populations, we propose that researchers adopt a systems approach that is often absent in efficacy studies. To this end, we describe how a computer-based monitoring system can support the delivery of the New Beginnings Program (NBP),...
Article
Background Paediatric obesity poses dangers to children's short and long‐term health. Multi‐level ecological models posit how children's health behaviours are influenced by interpersonal relationships. Objectives To identify profiles of individual and interpersonal health behaviours and parenting skills among caregivers and their children with ele...
Article
Background Parenting interventions like the Family Check-Up have demonstrated effects on child physical and behavioral health outcomes. However, access to these programs is limited, particularly for populations experiencing health disparities. Primary care settings have become recognized as a potential delivery system in which these programs may be...
Article
Motivational interviewing (MI) is a therapeutic style in which a provider elicits client motivation and helps strengthen commitment to change (Miller and Rollnick 2002). The original Family Check-Up (FCU; Dishion and Stormshak 2007)—and the adapted version for improving health behaviors in primary care, the Family Check-Up 4 Health (FCU4Health; Smi...
Article
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Aims: To translate evidence-based programs (EBP) for a new setting, attention must be given to the characteristics of the intervention and the local setting, as well as evidence that is compelling to decision-makers. This paper describes the history of a partnership and stakeholder recommendations to inform the adaptation of an EBP for primary car...
Article
Objective We will test the effectiveness of the Family Check-Up 4 Health (FCU4Health) intervention in a type I hybrid trial to simultaneously evaluate clinical effectiveness and the implementation process. Description FCU4Health is an adaptation of the Family Check-Up (FCU), an evidence-based family-centered intervention. The program targets paren...
Article
Background Childhood obesity is a growing health concern in the US, affecting about 13.7 million children in 2016. Latino children have the highest incidence of obesity. According to the “immigrant paradox” immigrant families face higher levels of health risks with each subsequent generation in the US. Disparities may be due to lifestyle or buildup...
Article
Objective: The objective of this study was to test the effectiveness of a technology-based program to avert risky behaviors among rural African American youth. We hypothesized that the technology-based and group-based formats of the Pathways for African Americans Success (PAAS) program would lead to improvements in primary outcomes, and that the t...
Article
Purpose: Technology provides new possibilities for disseminating effective prevention programming to underserved families, such as those residing in rural communities. The present study is an evaluation of a technology-delivered HIV risk prevention program designed for rural African-American families, Pathways for African American Success (PAAS),...
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The field of prevention has established the potential to promote child adjustment across a wide array of outcomes. However, when evidence-based prevention programs have been delivered at scale in community settings, declines in implementation and outcomes have resulted. Maintaining high quality implementation is a critical challenge for the field....
Article
This study presents findings from a randomized effectiveness trial of the New Beginnings Program (NBP), which has demonstrated efficacy in 2 prior randomized efficacy trials. Family courts in 4 counties facilitated recruitment of divorcing and separating parents, and providers in community agencies delivered the program. Participants were 830 paren...
Article
The costs associated with implementing evidence-based programs for pediatric obesity contribute to a lack of widespread adoption. This study examined the costs of preparing to implement the Family Check-Up 4 Health (FCU4Health), a family-centered behavioral program for the prevention of pediatric obesity and excess weight gain in primary care. Budg...
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Implementation experts have recently argued for a process of “scaling out” evidence-based interventions, programs, and practices (EBPs) to improve reach to new populations and new service delivery systems. A process of planned adaptation is typically required to integrate EBPs into new service delivery systems and address the needs of targeted popu...
Article
The original version of this article contained a mistake: The affiliations 1, 4 for author Thomas J. Dishion are incorrect and should be corrected to 2, 4.
Article
Although family-focused, evidence-based programs (EBPs) have the potential to reduce disparities in health and behavioral outcomes for youth, access to such programs is severely limited in the most affected areas, including African American communities in the rural South. As expanding the reach of EBPs is the primary goal of translational research,...
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Full-text available
Background Pediatric obesity is a multi-faceted public health concern that can lead to cardiovascular diseases, cancers, and early mortality. Small changes in diet, physical activity, or BMI can significantly reduce the possibility of developing cardiometabolic risk factors. Family-based behavioral interventions are an underutilized, evidence-based...
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This study tests a theoretical cascade model in which multiple dimensions of facilitator delivery predict indicators of participant responsiveness, which in turn lead to improvements in targeted program outcomes. An effectiveness trial of the 10-session New Beginnings Program for divorcing families was implemented in partnership with four county-le...
Article
This paper reports on the effects on parenting and on children's mental health problems and competencies from a randomized trial of a parenting program for divorced and separated fathers. The program, New Beginnings Program-Dads (NBP-Dads), includes ten group sessions (plus two phone sessions) which promote parenting skills to increase positive int...
Article
We examined attendance trajectories among mothers and fathers in the effectiveness trial of the New Beginnings Program, a parenting-focused prevention program for divorced and separated parents. We also investigated attendance trajectory class differences on two sets of pretest covariates: one set previously linked to participation in programs not...
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An examination of the content and processes of evidence-based programs is critical for empirically evaluating theories about how programs work, the “action theory” of the program (West et al. in American Journal of Community Psychology, 21, 571–605, 1993). The New Beginnings Program (NBP; Wolchik et al., 2007), a parenting-after-divorce preventive...
Article
To advance the implementation and dissemination of culturally adapted interventions to diverse populations, greater attention should be devoted to three underdeveloped topics: (a) local adaptations of interventions when they are implemented in community settings, (b) participant engagement, and (c) the sustainability of adapted interventions. Sever...
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A key challenge of community-based prevention programs is engaging families in the context of services settings involving children and families. The Family Check-Up (FCU) program is designed to engage families in parenting support appropriate to their level of need by use of assessment-enhanced motivational interviewing. This study involved familie...
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This study used growth mixture modeling to examine attendance trajectories among 292 Mexican-American primary female caregivers enrolled in a universal preventive intervention and the effects of health beliefs, participation intentions, cultural influences, and intervention group cohesion on trajectory group membership as well as trajectory group d...
Article
The positive youth development model was explored on a sample of 378 rural African American males to determine its usefulness in predicting HIV-related risk behaviors. Confidence in ability to self-regulate and sense of competence to be successful in the future were associated with having caring, involved, vigilant parents. Confident, competent mal...
Conference Paper
Designers of Evidence-Based Programs emphasize maintaining fidelity or adherence to program curricula. Studies on the impact of fidelity have begun to accumulate; most have found a link between fidelity and outcomes. The issue of measurement has been given little attention. Many studies create a global fidelity score based on a limited sample of pr...
Conference Paper
Introduction: Preventive interventions improve parenting and decrease the prevalence of youth disorders, but dissemination of these interventions has proved challenging. Retaining participation levels that translate to adequate dosage is one significant barrier. Although both parent and program characteristics predict retention, research has dispro...
Conference Paper
Success of evidence-based programs depends on multiple dimensions of implementation. Measurement of these dimensions has typically been limited to dosage counts or fidelity checklists. One dimension of primary importance, but that has rarely been assessed is quality, or the teaching and clinical skill with which a facilitator delivers a program. Ou...
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The current study examined how parental ethnic socialization informed adolescents' ethnic identity development and, in turn, youths' psychosocial functioning (i.e., mental health, social competence, academic efficacy, externalizing behaviors) among 749 Mexican-origin families. In addition, school ethnic composition was examined as a moderator of th...
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Purpose: The purpose of this paper is to demonstrate the importance of considering both fidelity and adaptation in assessing the implementation of evidence-based programs. Design/methodology/approach: The current study employs a multi-method strategy to understand two dimensions of implementation (fidelity and adaptation) in the Strong African A...
Conference Paper
Multiple dimensions of implementation (e.g., quality, adaptation, and participant responsiveness) determine program effectiveness. While most studies rely on direct effects analyses, new research suggests these dimensions interrelate to produce outcomes. Providers’ implementation behaviors may influence participant responsiveness, the most proximal...
Conference Paper
Introduction: Despite the efficacy of evidence-based programs (EBP), adoption of EBPs face many challenges. One significant challenge is provider resistance to adoption of EBPs (Nelson, Steele, & Mize, 2006). One concern voiced by providers is that adherence to program manuals is incompatible with positive therapeutic process, which is critical to...
Article
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This study's purpose was to learn why some youth who participated in the Strong African American Families (SAAF) program increased alcohol use after 2 years whereas other youth did not. Using a sample of 28 African American caregiver-youth dyads, the authors collected qualitative data to explore these issues. Findings underscore the importance of c...
Article
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The study developed a multidimensional measure to assess participant responsiveness to a preventive intervention and applied this measure to study how participant baseline characteristics predict responsiveness and how responsiveness predicts program outcomes. The study was conducted with caregivers who participated in the parenting-focused compone...
Chapter
Full-text available
This chapter presents a review of the empirical and theoretical works published from 1999 to 2009 to determine how family scholars have conceptualized and implemented studies of gender in family relations. Three questions guided our review: (1) to what extent have family scholars continued to conceptualize gender as roles that women and men enact t...
Chapter
This chapter provides an overview of the HIV literature on African American and Hispanic adolescents in three areas: prevalence, etiology, and family-based preventive interventions. An extant research indicates that African American and Hispanic adolescents are at particularly high risk of engaging in HIV risky sexual behaviors. Culture and family...
Article
Research has documented a relation between parents' ethnic socialization and youth's ethnic identity, yet there has been little research examining the transmission of cultural values from parents to their children through ethnic socialization and ethnic identity. This study examines a prospective model in which mothers' and fathers' Mexican America...
Article
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AIDS is the leading killer of African Americans between the ages of 25 and 44, many of whom became infected when they were teenagers or young adults. The disparity in HIV infection rate among African Americans youth residing in rural Southern regions of the United States suggests that there is an urgent need to identify ways to promote early preven...
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This article provides a comprehensive review of studies conducted over the past decade on the effects of neighborhood and poverty on adolescent normative and nonnormative development. Our review includes a summary of studies examining the associations between neighborhood poverty and adolescent identity development followed by a review of studies a...
Article
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Mexican American adolescents have higher rates of externalizing problems than their peers from other ethnic and racial groups. To begin the process of understanding factors related to externalizing problems in this population, this study used the social development model (SDM) and prospective data across the transition to junior high school from 75...
Conference Paper
Significance: HIV/AIDS continue to disproportionately affect African Americans. Purpose: This study examines salient cultural and societal beliefs towards gender and sex among African American young adults and the interplay by gender. Methods: A comprehensive literature review and inputs from HIV experts were sought to identify salient cultural bel...
Article
Mexican American adolescents face disparities in mental health and academic achievement, perhaps in part because of discrimination experiences. However, culturally-related values, fostered by ethnic pride and socialization, may serve to mitigate the negative impact of discrimination. Guided by the Stress Process Model, the current study examined ri...
Article
Full-text available
Considerable evidence indicates that variability in implementation of prevention programs is related to the outcomes achieved by these programs. However, while implementation has been conceptualized as a multidimensional construct, few studies examine more than a single dimension, and no theoretical framework exists to guide research on the effects...
Article
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Prior research demonstrates negative consequences of racism, however, little is known about community, parenting, and intrapersonal mechanisms that protect youth. Using a mixed-methods approach, this study illuminated linkages between positive and negative contextual influences on rural African American adolescent outcomes. Quantitative results pro...
Article
Full-text available
Data obtained from 2 waves of a longitudinal study of 671 rural African American families with an 11-year-old preadolescent were used to examine pathways through which racial and ethnic socialization influence youth self-presentation, academic expectations, and academic anticipation. Structural equation modeling analyses indicated that racial and e...
Article
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African Americans carry the largest disease burden for bacterial sexually transmitted diseases (STDs) in the United States. These infections can have a devastating impact on sexual and reproductive health if they are not diagnosed and treated. Traditionally, public health efforts to prevent and control bacterial STDs have been through surveillance,...
Conference Paper
Background: In 2005, CDC launched a National HPV Awareness/Education effort for the public (Caucasian, African American, Latino adults). It is now being expanded to include special populations. Objective: To adapt and test culturally appropriate HPV materials for sexually active American Indian and Alaska Native (AI/AN) audiences in rural and urba...
Article
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To identify the mechanisms by which intervention-induced increases in adaptive parenting were associated with a reduction in sexual risk behavior among rural African American adolescents across a 29-month period. African American families (N = 284) with 11-year-old children in nine rural Georgian counties participated in the 7-week Strong African A...
Article
The relative prevalence of substance use among African-American high school students living in rural, urban, and suburban areas was examined. Students in rural areas reported equivalent or higher rates of substance use than did students in urban or suburban areas. Attention to substance use prevention among rural African-American students is warran...

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Projects

Projects (3)
Project
Testing mediational, moderational, and longitudinal effects of multiple dimensions of implementation in the effectiveness trial of the New Beginnings Program.
Project
An RCT to evaluate Family Check-Up 4 Health in primary care. Funded by CDC"s CORD 2.0 http://www.cdc.gov/nccdphp/dnpao/division-information/programs/researchproject.html