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从理论到实践:少数民族家庭参与儿童福利系统的养育干预的实地文化适应

From Theory to Practice: On the Ground Cultural Adaption of a Parenting Intervention for Ethnic Minority Families Involved in the Child Welfare System.

机构信息

Michigan State University, East Lansing, MI, USA.

University of Texas at Austin, Austin, TX, USA.

出版信息

Fam Process. 2021 Dec;60(4):1185-1201. doi: 10.1111/famp.12627. Epub 2020 Dec 31.

Abstract

Child maltreatment is a major public health issue in the United States. In the federal fiscal year 2017, approximately 7.5 million children were referred to child welfare services (CSW) in the nation. Developmental, emotional, behavioral, and cognitive problems are prevalent among children referred to CWS. For those in foster care, temporary or permanent placement frequently introduces additional instability into a child's already chaotic life, increasing their risk for deleterious physical and mental health outcomes. Limited research exists documenting the impact of efficacious culturally adapted parent training (PT) interventions aimed at serving low-income ethnic minority families involved in CWS. The objective of this study was twofold: to explicate how a culturally adapted PT intervention for diverse families involved in CWS was perceived by participants and to better understand how interventionists adapted to families' needs. In this study, we conducted in-depth interviews with 14 parents who had completed the adapted intervention, as well as all of the interventionists providing the intervention. A thematic analysis approach was used to analyze and interpret the data. Parents indicated the positive impact that the intervention had on enhancing their parenting skills, as well as their ability to cope with the challenges associated with having a child removed by CWS. Interventionists described the gradual adaptations they implemented, in an effort to increase its cultural and contextual relevance. Research findings are relevant to the family therapy field as they increase understanding about culturally adapted PT interventions for ethnic minority families within CWS contexts.

摘要

儿童虐待是美国的一个主要公共卫生问题。在 2017 财年,全国约有 750 万名儿童被转介到儿童福利服务(CSW)。在被转介到 CWS 的儿童中,存在发育、情感、行为和认知问题。对于那些在寄养中,临时或永久安置经常会给孩子已经混乱的生活带来更多的不稳定,增加他们身体和心理健康不良结果的风险。现有的研究很少记录针对参与 CWS 的低收入少数民族家庭的有效文化适应父母培训(PT)干预措施的影响。本研究的目的有两个:阐明为参与 CWS 的不同家庭设计的文化适应 PT 干预措施是如何被参与者感知的,并更好地了解干预者如何适应家庭的需求。在这项研究中,我们对 14 名完成适应干预的父母以及所有提供干预的干预者进行了深入访谈。采用主题分析方法对数据进行分析和解释。父母表示,干预措施对提高他们的育儿技能以及应对与被 CWS 带走的孩子相关的挑战的能力产生了积极影响。干预者描述了他们为提高干预措施的文化和背景相关性而逐步实施的适应措施。研究结果与家庭治疗领域相关,因为它们增加了对 CWS 背景下少数民族家庭的文化适应 PT 干预措施的理解。

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