Department of Family Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4686, Macul, Santiago, Chile.
Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Prev Sci. 2019 Jan;20(1):56-67. doi: 10.1007/s11121-018-0898-1.
Parenting programs are an effective strategy to prevent multiple risky outcomes during adolescence. However, these programs usually enroll one caregiver and have low attendance. This study evaluated the preliminary results, cost, and satisfaction of adaptive recruitment and parenting interventions for immigrant Latino families. A mixed methods study was conducted integrating a pre-post design with embedded qualitative and process evaluations. Fifteen immigrant Latino families with an adolescent child aged 10-14 were recruited. Two-caregiver families received a home visit to increase enrollment of both caregivers. All families participated in an adaptive parenting program that included group sessions and a one-to-one component (online videos plus follow-up telephone calls) for those who did not attend the group sessions. The intervention addressed positive parenting practices using a strengths-based framework. Primary outcomes were the proportion of two-parent families recruited and intervention participation. Secondary outcomes were change in parenting self-efficacy, practices, fidelity, costs, and satisfaction. Participants completed questionnaires and interaction tasks before and after participating in the intervention. In addition, participants and program facilitators completed individual interviews to assess satisfaction with the program components. Overall, 23 parents participated in the intervention; 73% of two-parent families enrolled with both parents. Most participants completed 75% or more of the intervention. Fathers were more likely to use the one-to-one component of the intervention than mothers (p = .038). Participants were satisfied with program modifications. In sum, adaptive recruitment and parenting interventions achieved high father enrollment and high participation. These findings warrant further evaluation in randomized trials.
养育计划是预防青少年时期多种风险结果的有效策略。然而，这些计划通常只招收一名照顾者，且出勤率较低。本研究评估了针对移民拉丁裔家庭的适应性招募和养育干预措施的初步结果、成本和满意度。一项混合方法研究采用了前后设计，并嵌入了定性和过程评估。招募了 15 个有 10-14 岁青少年的移民拉丁裔家庭。对两个照顾者家庭进行家访，以增加两个照顾者的参与度。所有家庭都参加了适应性养育计划，该计划包括小组会议和一对一的部分（在线视频加后续电话），以满足那些无法参加小组会议的家庭的需求。该干预措施使用基于优势的框架来解决积极养育实践问题。主要结果是招募的双亲家庭比例和干预参与度。次要结果是养育自我效能感、实践、保真度、成本和满意度的变化。参与者在参与干预前后完成了问卷和互动任务。此外，参与者和项目协调员完成了个人访谈，以评估对项目组件的满意度。总的来说，有 23 名家长参与了干预；73%的双亲家庭同时让父母参与。大多数参与者完成了 75%或更多的干预内容。与母亲相比，父亲更有可能使用干预的一对一部分（p=0.038）。参与者对项目修改表示满意。总之，适应性招募和养育干预措施实现了较高的父亲参与率和较高的参与度。这些发现值得在随机试验中进一步评估。
