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A Balancing Act: Integrating Evidence-Based Knowledge and Cultural Relevance in a Program of Prevention Parenting Research with Latino/a Immigrants
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This project was supported by Award Number R34MH087678 from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health. Supplementary funding was provided by the MSU Office of the Vice-President for Research and Graduate Studies (OVPRGS), the MSU College of Social Science, and the MSU Department of Health and Human Development. We would like to express our deep gratitude to Marion Forgatch, ISII Executive Director, and Laura Rains, ISII Director of Implementation and Training, for their resolved and continuous support as we have engaged in dissemination efforts with underserved populations in the United States. We deeply appreciate the support from Co-Investigators in this study: Deborah Bybee, PhD, & Lisa Tams, MSW. The support from our community partner, Southwest Solutions, has been essential for the success of this project. Brian Dates, PhD, Director of Evaluation and Research at Southwest Solutions, has led this collaboration and consistently supported our efforts. Michael Whitehead is now at Sageview Youth Psychology, Richland, WA.
Abstract
Family therapists have a unique opportunity to contribute toward the reduction of widespread mental health disparities impacting diverse populations by developing applied lines of research focused on cultural adaptation. For example, although evidence-based prevention parent training (PT) interventions have been found to be efficacious with various Euro-American populations, there is a pressing need to understand which specific components of PT interventions are perceived by ethnic minority parents as having the highest impact on their parenting practices. Equally important is to examine the perceived cultural relevance of adapted PT interventions. This qualitative investigation had the primary objective of comparing and contrasting the perceived relevance of two culturally adapted versions of the efficacious parenting intervention known as Parent Management Training, the Oregon Model (PMTO). According to feasibility indicators provided by 112 Latino/a immigrant parents, as well as findings from a qualitative thematic analysis, the core parenting components across both adapted interventions were identified by the majority of research participants as relevant to their parenting practices. Participants exposed to the culturally enhanced intervention, which included culture-specific sessions, also reported high satisfaction with components exclusively focused on cultural issues that directly impact their parenting practices (e.g., immigration challenges, biculturalism). This investigation illustrates the relevant contributions that family therapy scholars can offer toward addressing mental health disparities, particularly as it refers to developing community-based prevention interventions that achieve a balance between evidence-based knowledge and cultural relevance.
Abstract
Los terapeutas familiares tienen una oportunidad única de contribuir a la reducción de disparidades generalizadas de la salud mental que repercuten en poblaciones diversas mediante el desarrollo de líneas aplicadas de investigación centradas en la adaptación cultural. Por ejemplo, aunque las intervenciones preventivas y empíricas de capacitación para padres han resultado ser eficaces con diferentes poblaciones euroamericanas, hay una necesidad urgente de comprender qué componentes específicos de las intervenciones de capacitación para padres son percibidos por los padres de minorías étnicas como los más influyentes en sus prácticas de crianza. Igualmente importante es analizar la relevancia cultural percibida de las intervenciones adaptadas de capacitación para padres. Esta investigación cualitativa tuvo el objetivo principal de comparar y contrastar la relevancia percibida de dos versiones culturalmente adaptadas de la eficaz intervención en la crianza conocida como “Curso de orientación para el manejo de los padres, el modelo de Oregon” (Parent Management Training-Oregon Model, PMTO). De acuerdo con los indicadores de viabilidad suministrados por 112 padres inmigrantes latinos, así como con los resultados de un análisis temático cualitativo, la mayoría de los participantes del estudio científico identificaron los principales componentes de la crianza en ambas intervenciones adaptadas como relevantes para sus prácticas de crianza. Los participantes expuestos a la intervención adaptada culturalmente, que incluyó sesiones relativas a su propia cultura, también informaron un alto nivel de satisfacción con los componentes centrados exclusivamente en cuestiones culturales que repercuten directamente en sus prácticas de crianza (p. ej.: las dificultades relacionadas con la inmigración, el biculturalismo). Esta investigación ilustra los aportes relevantes que los investigadores en terapia familiar pueden ofrecer con el fin de abordar las disparidades de la salud mental, particularmente en lo referente al desarrollo de intervenciones preventivas en la comunidad que logran un equilibrio entre el conocimiento empírico y la relevancia cultural.
Abstract
通过发展针对文化适应的应用研究,家庭心理治疗师有独特的机会为降低对不同人群有影响的普遍精神健康差距做出贡献。例如,虽然基于证据的亲职培训(PT) 干预项目对不同欧美人群有效,我们急需了解少数族裔家长认为PT干预中的那些特定因素对其亲职实践影响最大。而考察调整后PT干预项目的文化相关性有同样的重要性。该定性调查的主要目的在于比较和对照一个有效的亲职干预项目Parent Management Training, the Oregon Model (PMTO) 在经过调整后的两个版本的文化相关性。根究由112未拉丁裔家长提供的可行性指标,以及一项定性主题分析的发现,大部分研究参与者认为经过调整后的两个干预版本中的核心亲职组成部分对其亲职实践有相关性。接受经过文化提升后干预项目的参与者,还表示对于专门针对对其亲职实践有直接影响的文化问题(例如, 移民挑战,双文化主义)的组成部分有很高的满意度。该调查阐释了家庭心理治疗学者可以为精神健康差异做出的相关贡献,特别是在发展社区为基础的,可实现基于证据的知识和文化相关性之间平衡的预防干预措施方面。