Rojas Lourdes M, Bahamon Monica, Lebron Cynthia, Montero-Zamora Pablo, Pardo Maria, Wakefield Mandeville, Tapia Maria, Estrada Yannine, Schwartz Seth J, Pantin Hilda
Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, Miami, FL, 33136, USA.
Emergency Department, Jackson Memorial Hospital, 1611 NW 12th Ave, Miami, FL, 33136, USA.
J Prim Prev. 2021 Apr;42(2):97-124. doi: 10.1007/s10935-020-00620-1. Epub 2021 Feb 3.
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.
我们试点了预防性干预措施“电子家庭联盟”，该措施仅通过互联网提供，以最大限度地扩大覆盖面和可持续性。该项目改编自一项以家庭为中心的循证干预措施，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性行为。这项可行性试验的目的是：（1）探索利用脸书和一位受信任的社区倡导者在线招募西班牙裔青少年的父母，（2）测试仅在线进行的评估和随机分组方案，（3）通过e-familiasunidas.com试点干预措施的实施，以及（4）评估家庭功能的前后变化。我们通过脸书分析和REDCap跟踪参与者的招募和登记情况。干预措施的完成情况通过我们的网站进行跟踪。我们进行了协方差分析，以测试干预后组间（电子家庭联盟组与对照组）的差异。招募工作共持续了10周，分为三个阶段，每个阶段系统地评估哪种策略能最大限度地提高招募和登记人数。总体而言，93名西班牙裔父母参与了该研究。在随机分配到干预组的人中（n = 46），70%的人参与了，并且在12个在线视频中平均观看了5.4个。我们发现，通过社区倡导者而不是脸书广告招募的参与者，其登记率和干预措施完成率更高。与对照组（n = 47）的父母相比，接受“电子家庭联盟”的父母在亲子沟通方面有显著改善。这项试点试验表明，通过仅在线的平台向西班牙裔父母招募、评估和提供“电子家庭联盟”是可行的。我们的研究结果凸显了在线平台在优化针对服务不足人群的预防性干预措施的覆盖面、更有效地定位参与者以及传播可持续的循证干预措施方面的前景。我们讨论了经验教训以及对未来研究的建议。
