Coatsworth J Douglas, Duncan Larissa G, Pantin Hilda, Szapocznik José
The Pennsylvania State University, 110 South Henderson Building, University Park, PA, 16802, USA.
J Prim Prev. 2006 Jul;27(4):367-89. doi: 10.1007/s10935-006-0043-y.
This study examined relations between group process variables and retention of ethnic minority (African American and Hispanic) caregivers in a family-focused preventive intervention. Data from the Familias Unidas/SEPI project (Coatsworth, Pantin, & Szapocznik, 2002), a randomized, controlled intervention trial, were used to cluster participants according to their patterns of retention over 30 intervention sessions. These person-centered analyses identified three broad patterns: (a) dropouts; (b) variable-attenders; and (c) consistent-high-attenders. Two subgroups of the variable-attender group were also identified: (a) intermittent-attenders, and (b) continual-attenders. Discriminant Function Analysis (DFA) with follow-up Analysis of Variance tested for differences among the three main retention groups on facilitator ratings of participants' general level of participation, leadership, positive alliance with the group, and negative alliance with the group during the first half of the intervention. Leadership and positive alliance significantly discriminated the broad retention patterns. Mean level of participation was not significantly different across retention groups. Results of DFA and ANOVA analyses using leadership, alliance, and participation variables from the first and second halves of the intervention indicated only leadership and positive alliance during the second half of the intervention discriminated continual-attenders from intermittent-attenders. EDITORS' STRATEGIC IMPLICATIONS: The authors describe a promising approach to studying facilitators' assessments of client involvement in a family-focused preventive intervention. The quality of the participants' behavior during sessions, rather than their absolute levels of participation, predicted their pattern of retention in the program. Future comparisons of facilitator and parent views may prove helpful.
本研究考察了以家庭为中心的预防性干预中，群体过程变量与少数族裔（非裔美国人和西班牙裔）照顾者留存率之间的关系。来自“联合家庭/SEPI项目”（Coatsworth、Pantin和Szapocznik，2002年）的数据，该项目是一项随机对照干预试验，用于根据参与者在30次干预课程中的留存模式对他们进行聚类。这些以人为主的分析确定了三种主要模式：（a）退出者；（b）可变参与者；（c）持续高参与者。还确定了可变参与者组的两个子组：（a）间歇性参与者，和（b）持续性参与者。在干预前半段，使用判别函数分析（DFA）并辅以方差分析，测试了三个主要留存组在促进者对参与者总体参与水平、领导力、与群体的积极联盟以及与群体的消极联盟的评分上的差异。领导力和积极联盟显著区分了主要的留存模式。各留存组的平均参与水平没有显著差异。使用干预前半段和后半段的领导力、联盟和参与变量进行的DFA和方差分析结果表明，只有干预后半段的领导力和积极联盟能够区分持续性参与者和间歇性参与者。编辑的战略启示：作者描述了一种很有前景的方法，用于研究促进者对以家庭为中心的预防性干预中客户参与情况的评估。会议期间参与者行为的质量，而非他们的绝对参与水平，预测了他们在项目中的留存模式。未来对促进者和家长观点的比较可能会有所帮助。
