Examining the impact of differential cultural adaptation with Latina/o immigrants exposed to adapted parent training interventions.

Examining the impact of differential cultural adaptation with Latina/o immigrants exposed to adapted parent training interventions.
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DOI:
10.1037/ccp0000160
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发表时间:
2017-01
影响因子:
5.9
通讯作者:
Bernal, Guillermo
Bernal, Guillermo
中科院分区:
心理学1区
文献类型:
--
作者:
Parra-Cardona, J. Ruben;Bybee, Deborah;Sullivan, Cris M.;Rodriguez, Melanie M. Domenech;Dates, Brian;Tams, Lisa;Bernal, Guillermo

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有一个缺乏实证研究的目的是检查差异的文化适应循证临床和预防干预措施的影响。这项预防研究包括一项随机对照试验,旨在比较两种不同文化适应版本的循证育儿干预措施的影响,即俄勒冈州模式(PMTOR)。样本包括103拉丁美洲/O移民家庭(190个单独的父母)。每个家庭被分配到三个条件之一:(a)文化适应的PMTO(CA),(B)文化适应和增强的PMTO(CE),和(c)等待名单控制。在基线(T1)、治疗完成(T2)和6个月随访(T3)时进行测量。多层次的增长模型分析表明,在6个月的随访中,与对照组相比,两种适应性干预措施在父亲和母亲的育儿技能(主效应)方面均有统计学显著改善。关于父母报告的儿童行为,在CE干预(主效应)中,与6个月随访时的对照组相比,父母双方的儿童内化行为显著降低。没有发现儿童外化行为的主效应。然而,父母x条件的影响,发现CE父亲相比,CA和对照组的父亲在后测和6个月的随访表明,显着减少儿童外化行为。目前的研究结果表明,差异文化适应研究设计的价值和重要性,检查效果的母亲和父亲,特别是当文化为重点的和性别变量被认为是干预设计和实施。
There is a dearth of empirical studies aimed at examining the impact of differential cultural adaptation of evidence-based clinical and prevention interventions. This prevention study consisted of a randomized controlled trial aimed at comparing the impact of two differentially culturally adapted versions of the evidence-based parenting intervention known as Parent Management Training, the Oregon Model (PMTOR). The sample consisted of 103 Latina/o immigrant families (190 individual parents). Each family was allocated to one of three conditions: (a) a culturally adapted PMTO (CA), (b) culturally adapted and enhanced PMTO (CE), and (c) a wait-list control. Measurements were implemented at baseline (T1), treatment completion (T2) and 6-month follow up (T3). Multi-level growth modeling analyses indicated statistically significant improvements on parenting skills for fathers and mothers (main effect) at 6-month follow-up in both adapted interventions, when compared to the control condition. With regards to parent-reported child behaviors, child internalizing behaviors were significantly lower for both parents in the CE intervention (main effect), compared with control at 6-month follow-up. No main effect was found for child externalizing behaviors. However, a Parent x Condition effect was found indicating a significant reduction of child externalizing behaviors for CE fathers compared to CA and control fathers at posttest and 6-month follow-up. Present findings indicate the value of differential cultural adaptation research designs and the importance of examining effects for both mothers and fathers, particularly when culturally-focused and gender variables are considered for intervention design and implementation.
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