A Feasibility Trial of an Online-Only, Family-Centered Preventive Intervention for Hispanics: e-Familias Unidas
A Feasibility Trial of an Online-Only, Family-Centered Preventive Intervention for Hispanics: e-Familias Unidas
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DOI：
10.1007/s10935-020-00620-1
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发表时间：
2021-02-03
影响因子：
1.7
通讯作者：
Pantin, Hilda
中科院分区：
文献类型：
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作者：
Rojas, Lourdes M.;Bahamon, Monica;Pantin, Hilda
我们试点了预防性干预措施e-Familias Unidas，完全通过互联网提供，以最大限度地扩大覆盖面和可持续性。该项目是一项基于证据的、以家庭为中心的干预措施的改编，旨在通过改善家庭功能来预防西班牙裔青少年吸毒和危险的性行为。本可行性试验的目的是：(1)探索使用Facebook和值得信赖的社区支持者在线招募西班牙裔青少年父母，(2)测试仅在线评估和随机化协议，(3)通过e-familiasunidas.com试点干预提供，(4)评估家庭功能的pre-post变化。我们通过Facebook分析和REDCap追踪参与者的招募和注册情况。干预完成情况通过我们的网站进行跟踪。我们进行了ANCOVA来检验干预后各组（e-Familias Unidas vs. control）之间的差异。招募共持续10周，分为三个阶段，每个阶段系统评估哪种策略能最大限度地招募和招募。总共有93名西班牙裔父母参加了这项研究。在被随机分配到干预组（n = 46）的参与者中，70%的人参与其中，平均观看了12个在线视频中的5.4个。我们发现，与Facebook广告相比，通过社区冠军招募的参与者有更高的注册率和干预完成率。与对照组（n = 47）相比，接受e-Familias unida的父母在亲子沟通方面有显著改善。这一试点试验表明，通过仅在线平台招募、评估和向西班牙裔家长提供e-Familias unida是可行的。我们的研究结果强调了在线平台的前景，可以优化服务不足人群的预防性干预措施，更有效地针对参与者，并传播可持续的循证干预措施。我们讨论了经验教训和对未来研究的建议。
We piloted the preventive intervention e-Familias Unidas, delivered exclusively through the Internet to maximize reach and sustainability. This program is an adaptation of an evidence-based, family-centered intervention that aims to prevent Hispanic adolescent drug use and risky sexual behavior through improving family functioning. The purpose of this feasibility trial was to: (1) explore the use of Facebook and a trusted community champion in the online recruitment of Hispanic parents of adolescents, (2) test an online-only assessment and randomization protocol, (3) pilot intervention delivery via e-familiasunidas.com, and (4) assess pre-post changes in family functioning. We tracked participant recruitment and enrollment via Facebook analytics and REDCap. Intervention completion was tracked via our website. We conducted an ANCOVA to test for between group (e-Familias Unidas vs. control) differences post-intervention. Recruitment lasted for a total of 10 weeks and was divided into three phases, with each phase systematically assessing which strategies maximized recruitment and enrollment. Overall, 93 Hispanic parents enrolled in the study. Of those randomized to the intervention group (n = 46), 70% were engaged and watched an average of 5.4 out of the 12 online videos. We found that participants recruited through a community champion, versus Facebook advertisements, had higher rates of enrollment and intervention completion. There was a significant improvement in parent-adolescent communication for parents who received e-Familias Unidas compared to those in the control group (n = 47). This pilot trial demonstrated it is feasible to recruit, assess, and deliver e-Familias Unidas to Hispanic parents through an online-only platform. Our findings highlight the promise of an online platform to optimize the reach of preventive interventions for underserved populations, to more effectively target participants, and to disseminate sustainable evidence-based interventions. We discuss lessons learned and recommendations for future research.