Use of Promotoras de Salud in Interventions with Latino Families of Children with IDD
Use of Promotoras de Salud in Interventions with Latino Families of Children with IDD
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DOI：
10.1016/b978-0-12-800278-0.00002-6
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发表时间：
2014-01-01
期刊：
影响因子：
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通讯作者：
Miranda, Elizabeth
中科院分区：
文献类型：
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作者：
Magana, Sandra;Lopez, Kristina;Miranda, Elizabeth
有智力和发育障碍儿童的家庭在照顾他们的孩子方面经历了独特的回报和挑战。多年来制定了许多家庭干预措施，为这些家庭及其子女提供支助。然而，很少有干预措施包括种族和少数民族家庭，很少有研究人员专门为这些人群制定和测试文化上胜任的干预措施。由于拉丁美洲人是最大的种族/族裔人口，他们也是缺碘症儿童及其家庭的一大部分。我们提供背景上的父母和家庭干预措施，以及那些开发用于拉丁美洲家庭。然后，我们描述了使用的promotora de salud模型作为一种文化能力的干预模式，为拉丁美洲家庭的IDD儿童。我们描述了两个家长培训计划，使用这种模式，他们的评估研究的结果，并讨论了经验教训的背景下，使用以社区为基础的研究方法。最后，我们探讨的问题，为什么promotoras成功地促进碘缺乏病儿童的母亲之间的变化，通过分析焦点小组的数据在项目。我们的研究结果表明，在提供教育中使用的角色建模和协作风格促进了参与者之间的变化。总之，需要采取更多的干预措施，为拉丁美洲IDD儿童及其家庭提供服务。健康促进者模式有望成为向这些家庭提供干预的一种模式。
Families of children with intellectual and developmental disabilities (IDDs) experience unique rewards and challenges caring for their child. Many family interventions have been developed over the years to provide supports to these families and their children. However, few interventions have included racial and ethnic minority families and few researchers have developed and tested culturally competent interventions specifically for these populations. Because Latinos represent the largest racial/ethnic population, they also represent a large proportion of children with IDD and their families. We provide back-ground on parent and family interventions, and those developed for use with Latino families. We then describe the use of the promotora de salud model as a culturally competent intervention mode for Latino families of children with IDD. We describe two parent training programs that used this mode, the results of their evaluation studies, and discuss lessons learned in the context using of a community-based research approach. Lastly, we explore the question of why promotoras were successful in promoting change among mothers of children with IDD by analyzing focus-group data across projects. Our findings suggest that role modeling and the collaborative style promotoras used in providing education promoted change among participants. In conclusion, more interventions are needed to serve Latino children with IDD and their families. The promotora de salud model holds promise as a mode of intervention delivery for these families.