Familia Adelante: A Multi-Risk Prevention Intervention for Latino Families
Familia Adelante: A Multi-Risk Prevention Intervention for Latino Families
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DOI：
10.1007/s10935-011-0251-y
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发表时间：
2011-08-01
影响因子：
1.7
通讯作者：
Santos, Susana M.
中科院分区：
文献类型：
--
作者：
Cervantes, Richard;Goldbach, Jeremy;Santos, Susana M.
为青年提供行为健康服务的综合方法越来越受到重视。拉丁美洲青年滥用药物、精神健康问题、不安全的性行为和艾滋病毒的风险增加，这些结果与个人、家庭和社区的压力有经验联系。尽管有这样的知识，有一个缺乏证据为基础的方法，通过减少压力，在拉丁美洲家庭在文化上相关的方式，针对这些负面结果。目前的研究探讨了使用研究为基础的战略，以减少多种风险行为，在一个主要是墨西哥裔美国人的家庭样本。通过模块化方法，参与者参与了心理教育课程，以加强沟通和心理社会应对，增加药物滥用和艾滋病毒的知识和伤害的感知，并改善学校行为。在12次课程中，课程旨在通过全面减少家庭和社区压力来实现这些成果，重点是文化适应压力。研究结果表明，对物质使用危害的沟通和感知显着增强，而有关性行为，艾滋病毒焦虑和过去使用大麻和其他非法药物的社会规范显着减少。虽然许多指标是可靠的（α> .80），但需要进一步改变以提高未来研究的准确性。尽管有这些限制，家庭Adelante改善了参与者的家庭生活的许多领域，并指出了多风险降低行为健康预防方法的可行性。
A comprehensive approach for providing behavioral health services to youth is becoming increasingly emphasized. Latino youth are at increased risk for substance abuse, mental health concerns, unsafe sexual practices and HIV, and these outcomes have been empirically connected to individual, family and community-based stress. Despite this knowledge, there is a lack of evidence-based approaches that target these negative outcomes by reducing stress in Latino families in a culturally relevant manner. The current study examined the use of research-based strategies for reducing multiple risk behaviors in a predominantly Mexican-American sample of families. Through a modular approach, participants engaged in a psycho-educational curriculum to enhance communication and psychosocial coping, increase substance abuse and HIV knowledge and perception of harm, and improve school behavior. Over 12 sessions, the curriculum aimed to achieve these outcomes through an overall decrease in family and community-based stress by focusing on acculturative stress. Findings indicate that communication and perception of substance use harm were significantly enhanced, while social norms regarding sexual behavior, HIV anxiety and past use of marijuana and other illegal drugs were significantly reduced. While many of measures were reliable (alpha > .80), further changes are necessary to improve the accuracy of future studies. Despite these limitations, Familia Adelante improves many areas of participant's family life, and points toward the feasibility of multi-risk reduction behavioral health prevention approaches.