Cultural sensitivity and adaptation in family-based prevention interventions.

Cultural sensitivity and adaptation in family-based prevention interventions.
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DOI:
10.1023/a:1019902902119
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发表时间:
2002-09-01
期刊:
Prevention science : the official journal of the Society for Prevention Research
影响因子:
--
通讯作者:
Bellamy, Nikki
Bellamy, Nikki
中科院分区:
其他
文献类型:
--
作者:
Kumpfer, Karol L;Alvarado, Rose;Bellamy, Nikki

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由于家庭对儿童发展轨迹的重大影响,家庭干预应成为综合预防方案的关键组成部分。对家庭干预措施进行调整,使其对不同族裔群体具有文化敏感性的情况极少。本文探讨了研究文献是否文化适应家庭干预措施提高保留和结果的有效性。由于对这一问题的研究有限,预防研究领域也存在分歧。考虑因素的文化适应家庭为重点的预防。五项研究测试了加强家庭计划(SFP)通用版本与非裔美国人、西班牙裔、亚洲/太平洋岛民和美洲印第安人家庭的文化适应版本相比的有效性,表明从业者进行的文化适应可以减少剂量或消除关键核心内容可以将保留率提高高达40%,但会减少积极成果。建议包括需要对文化敏感的家庭干预措施进行更多的研究。
Because of the substantial impact of families on the developmental trajectories of children, family interventions should be a critical ingredient in comprehensive prevention programs. Very few family interventions have been adapted to be culturally sensitive for different ethnic groups. This paper examines the research literature on whether culturally adapting family interventions improves retention and outcome effectiveness. Because of limited research on the topic, the prevention research field is divided on the issue. Factors to consider for cultural adaptations of family-focused prevention are presented. Five research studies testing the effectiveness of the generic version of the Strengthening Families Program (SFP) compared to culturally-adapted versions for African Americans, Hispanic, Asian/Pacific Islander, and American Indian families suggest that cultural adaptations made by practitioners that reduce dosage or eliminate critical core content can increase retention by up to 40%, but reduce positive outcomes. Recommendations include the need for additional research on culturally-sensitive family interventions.