Steve Hicks School of Social Work, The University of Texas at Austin, Austin, Texas, USA.
Fundación San Carlos de Maipo, Providencia, Chile.
Fam Process. 2023 Jun;62(2):515-533. doi: 10.1111/famp.12855. Epub 2023 Feb 6.
Child exposure to maltreatment and neglect constitutes a significant public health problem throughout Latin American and Caribbean (LAC) countries. Although evidence-based parent training (PT) interventions constitute an empirically demonstrated alternative to prevent child maltreatment and neglect, multiple implementation barriers have prevented the large-scale dissemination of evidence-based PT interventions across LAC countries. This selective prevention study consisted of an exploratory quasi-experimental design implemented in Chile, aimed at examining the initial impact of a culturally adapted version of the evidence-based PT intervention known as GenerationPMTO©. The parenting intervention was adapted in a previous pilot study, according to a rigorous model of cultural adaptation. Based on self-reports completed by 281 caregivers, when compared to baseline measurements, significant improvements at intervention completion were observed in the majority of caregivers' parenting practices, as well as child internalizing and externalizing problematic behaviors. This study provides promising initial empirical evidence that efficacious PT interventions developed in the US can be transported to Latin American contexts, as long as they are thoroughly adapted to achieve high contextual and cultural relevance. The rates of child maltreatment across LAC countries constitute an urgent and permanent call for strongly promoting this line of prevention research.
儿童受虐待和忽视的现象在整个拉丁美洲和加勒比地区(LAC)国家都是一个严重的公共卫生问题。尽管基于证据的家长培训(PT)干预措施是预防儿童虐待和忽视的一种经过实证证明的替代方法,但由于多种实施障碍,基于证据的 PT 干预措施无法在 LAC 国家大规模推广。这项选择性预防研究采用了探索性准实验设计,在智利实施,旨在检验一种名为 GenerationPMTO©的基于证据的 PT 干预措施的文化适应性版本的初步影响。该育儿干预措施在之前的一项试点研究中根据严格的文化适应模型进行了调整。基于 281 名照顾者完成的自我报告,与基线测量相比,在干预结束时,大多数照顾者的育儿实践以及儿童的内化和外化问题行为都观察到了显著的改善。这项研究提供了有希望的初步经验证据,表明在美国开发的有效 PT 干预措施可以被转移到拉丁美洲的背景下,只要它们经过彻底的调整以实现高的情境和文化相关性。整个 LAC 国家的儿童虐待率构成了强烈推动这一预防研究的紧急和永久呼吁。