Using stakeholder perspectives to guide systematic adaptation of an autism mental health intervention for Latinx families: A qualitative study
Using stakeholder perspectives to guide systematic adaptation of an autism mental health intervention for Latinx families: A qualitative study
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利用利益相关者的观点来指导拉丁裔家庭系统地调整自闭症心理健康干预措施：一项定性研究
DOI：
10.1002/jcop.22296
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发表时间：
2019-12-09
影响因子：
2.3
通讯作者：
Brookman-Frazee, Lauren
中科院分区：
文献类型：
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作者：
Chlebowski, Colby;Hurwich-Reiss, Eliana;Brookman-Frazee, Lauren
在一项公共资助精神卫生服务的混合1型随机有效性实施试验中，当前的研究确定了利益相关者的建议，以告知拉丁裔和西班牙语家庭对自闭症谱系障碍的个性化心理健康干预（AIM HI）的文化适应。通过治疗师焦点小组（n = 17）和拉丁裔父母半结构化访谈（n = 29）收集建议。通过快速评估分析过程和访谈主题编码确定了相关主题。根据报告适应和修改增强框架（FRAME）对适应进行分类，以促进AIM HI的适合性、可接受性和持续实施，并对适应的内容、性质和目标进行分类。FRAME将建议的适应措施分为剪裁训练和干预材料、改变包装或材料、延长干预节奏和整合补充训练策略。适应的目标包括改善对利益相关者的适应，增加家长的参与，并提高干预的有效性。目前的研究说明了在混合有效性-实施试验中嵌入干预适应迭代过程的过程。本研究的下一步是将研究结果与母试验的实施过程数据相结合，以开发对AIM HI的文化增强，并在混合类型3的实施有效性试验中测试增强效果。
Embedded within a Hybrid Type 1 randomized effectiveness-implementation trial in publicly funded mental health services, the current study identified stakeholder recommendations to inform cultural adaptations to An Individualized Mental Health Intervention for Autism Spectrum Disorder (AIM HI) for Latinx and Spanish-speaking families. Recommendations were collected through focus groups with therapists (n = 17) and semi-structured interviews with Latinx parents (n = 29). Relevant themes were identified through a rapid assessment analysis process and thematic coding of interviews. Adaptations were classified according to the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) to facilitate fit, acceptability, and sustained implementation of AIM HI and classify the content, nature, and goals of the adaptations. Recommended adaptations were classified through FRAME as tailoring training and intervention materials, changing packaging or materials, extending intervention pacing, and integrating supplemental training strategies. Goals for adaptations included improving fit for stakeholders, increasing parent engagement, and enhancing intervention effectiveness. The current study illustrates the process of embedding an iterative process of intervention adaptation within a hybrid effectiveness-implementation trial. The next steps in this study are to integrate findings with implementation process data from the parent trial to develop a cultural enhancement to AIM HI and test the enhancement in a Hybrid Type 3 implementation-effectiveness trial.