Cervantes Richard, Goldbach Jeremy, Santos Susana M
Behavioral Assessment, Inc., 291 S. La Cienega Blvd., Suite #308, Beverly Hills, CA 90211, USA.
J Prim Prev. 2011 Aug;32(3-4):225-34. doi: 10.1007/s10935-011-0251-y.
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 (α > .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.
一种为青少年提供行为健康服务的综合方法正日益受到重视。拉丁裔青少年在药物滥用、心理健康问题、不安全的性行为和感染艾滋病毒方面面临的风险增加，而且这些结果已通过实证研究与个人、家庭和社区层面的压力联系起来。尽管了解这些情况，但仍缺乏以文化相关方式减轻拉丁裔家庭压力从而针对这些负面结果的循证方法。当前的研究考察了在一个以墨西哥裔美国人为主的家庭样本中使用基于研究的策略来减少多种风险行为的情况。通过一种模块化方法，参与者参与了一个心理教育课程，以加强沟通和心理社会应对能力，增加药物滥用和艾滋病毒方面的知识以及对危害的认知，并改善学校行为。在12节课程中，该课程旨在通过关注文化适应压力来全面减轻家庭和社区层面的压力，从而实现这些目标。研究结果表明，沟通和对药物使用危害的认知得到显著提高，而关于性行为的社会规范、艾滋病毒焦虑以及过去使用大麻和其他非法药物的情况则显著减少。虽然许多测量方法具有可靠性（α >.80），但仍需要进一步改进以提高未来研究的准确性。尽管存在这些局限性，Familia Adelante改善了参与者家庭生活的许多方面，并表明了减少多种风险的行为健康预防方法的可行性。
