Steve Hicks School of Social Work and the Latino Research Institute, The University of Texas at Austin, TX, 78712-0358, Austin, USA.
Department of Epidemiology & Biostatistics, College of Human Medicine, Michigan State University, Grand Rapids, MI, USA.
Prev Sci. 2022 Feb;23(2):271-282. doi: 10.1007/s11121-021-01317-5. Epub 2021 Oct 31.
Low-income Latina/o immigrants are very likely to experience intense contextual challenges in the USA, such as limited exposure to culturally relevant parent training (PT) prevention interventions. This prevention study consisted of an exploratory randomized controlled trial, aimed at empirically testing the implementation feasibility and initial efficacy of a culturally adapted version of the evidence-based PT intervention known as GenerationPMTO. The parenting intervention was adapted to overtly address immigration-related stressors, discrimination, and challenges associated with biculturalism. Seventy-one Mexican-origin immigrant mothers participated in this study and were allocated to one of two conditions: (a) culturally adapted GenerationPMTO (i.e., CAPAS-Youth) or (b) wait-list control. Measurements were completed at baseline (T1) and intervention completion (T2). When compared to mothers in the control condition at T2, CAPAS-Youth participants reported significant improvements on four of the core parenting practices delivered in the CAPAS-Youth intervention. As hypothesized, no significant differences in limit-setting skills were identified at T2. With regards to adolescents' outcomes, mothers exposed to CAPAS-Youth reported significant improvements in youth internalizing and externalizing behaviors at T2 when compared to a wait-list control condition. Mothers in both conditions also reported significant reductions in levels of immigration-related stress. Current findings indicate the feasibility of implementing CAPAS-Youth within a context of considerable adversity, as well as the beneficial impacts of the parent-based intervention on salient parenting and youth outcomes.
低收入拉丁裔移民很可能在美国经历强烈的环境挑战,例如接触到与文化相关的父母培训 (PT) 预防干预的机会有限。这项预防研究包括一项探索性随机对照试验,旨在实证检验经过文化调整的基于证据的 PT 干预措施——即“代际 PMTO”的实施可行性和初步效果。该养育干预措施经过调整,以明确解决与移民相关的压力、歧视和双语挑战等问题。71 名墨西哥裔移民母亲参与了这项研究,并被分配到两种条件之一:(a) 经过文化调整的代际 PMTO(即 CAPAS-Youth)或 (b) 候补名单对照组。在基线 (T1) 和干预完成 (T2) 时完成测量。与对照组的母亲相比,CAPAS-Youth 组的母亲在四项核心养育实践中报告了显著的改善,这些实践是在 CAPAS-Youth 干预中提供的。正如假设的那样,在 T2 时,限制技能没有显著差异。关于青少年的结果,与候补名单对照组相比,接受 CAPAS-Youth 干预的母亲报告说,青少年的内化和外化行为在 T2 时显著改善。两种情况下的母亲也报告说,与移民相关的压力水平显著降低。目前的研究结果表明,在面临相当多逆境的情况下,实施 CAPAS-Youth 是可行的,并且基于父母的干预对重要的养育和青少年结果具有有益的影响。