A Culturally Adapted Parenting Intervention for Mexican-Origin Immigrant Families with Adolescents: Integrating Science, Culture, and a Focus on Immigration-Related Adversity

Parra‐Cardona, José Rubén; Fuentes‐Balderrama, Jaime; Vanderziel, Alyssa; López‐Zerón, Gabriela; Rodríguez, Melanie M. Domenech; DeGarmo, David S.; Anthony, James C.

doi:10.1007/s11121-021-01317-5

Cited by 14 publications

(21 citation statements)

References 41 publications

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“…Following the implementation of the pilot study described in this research report, the foundation coordinated a subsequent study, which consisted of the delivery of the adapted intervention to 281 families to evaluate its initial impact. Findings from this study indicated a positive impact of the adapted intervention on caregivers' parenting skills, as well as reduced child internalizing and externalizing problematic behaviors (Parra‐Cardona et al, 2022).…”

Section: Methodsmentioning

confidence: 75%

Culturally adapting an evidence‐based parenting intervention for the Chilean context: Balancing fidelity, context, and cultural relevance

et al. 2022

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The dissemination of evidence‐based parent training (PT) interventions remains extremely limited in Latin American countries. This is concerning when considering the high prevalence of child maltreatment associated with punitive parenting practices across countries in the region. Furthermore, efforts to disseminate PT interventions must be conducted by adhering to the core parenting components that have established effectiveness for such interventions, while ensuring contextual and cultural relevance for focus populations. In this manuscript, we describe the cultural adaptation of an evidence‐based PT intervention in the context of Chile. This initial phase of adaptation was informed by the theoretical tenets of the Ecological Validity Model of cultural adaptation (Bernal et al., J. Abnorm. Child Psychol., 23, 1995, 67). According to findings from a qualitative thematic analysis conducted with five interventionists in training, therapists perceived that the intervention's core components were relevant to Chilean caregivers who participated in the parenting program. Interventionists also provided specific suggestions to enhance the intervention's contextual and cultural relevance. This investigation illustrates the importance of culturally adapting evidence‐based interventions according to comprehensive cultural adaptation frameworks, prior to engaging in large‐scale dissemination of adapted interventions in Latin American contexts.

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Section: Methodsmentioning

confidence: 75%

Culturally adapting an evidence‐based parenting intervention for the Chilean context: Balancing fidelity, context, and cultural relevance

et al. 2022

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“…As previously reported (Parra-Cardona et al, 2022), the dimensions of the EVM model are clearly operationalized. First, language refers to ensuring the linguistic appropriateness of intervention materials and method of delivery.…”

Section: Adapting Generationpmto © For the Chilean Contextmentioning

confidence: 88%

“…Specifically, we sought to explore perceived caregiver satisfaction with various interventions components, as well as suggestions for improving the intervention. We have successfully implemented this approach for the implementation of qualitative studies embedded in randomized prevention trials with Latina/o immigrant parents in the United States, aimed at evaluating participant satisfaction with various culturally adapted versions of GenerationPMTO © (Parra-Cardona et al, 2022). A copy of the interview guide is available in the Online Supporting Information.…”

Section: Methodsmentioning

confidence: 99%

“…A total of 290 families were exposed to the intervention and completed pre-post measurements. 1 According to study findings, caregivers reported statistically significant improvements on all parenting practices compared to baseline selfreports as well as significant reductions of children's externalizing and internalizing behaviors (see Parra-Cardona et al, 2022).…”

Section: The Current Studymentioning

confidence: 97%

“…As previously reported (Parra-Cardona et al, 2022), the first cultural adaptation of GenerationPMTO © for Latino/as was conducted by Domenech Rodríguez et al (2011). This adapted intervention was titled "CAPAS: Criando con Amor, Promoviendo Armonía y Superación" (Raising Children with Love, Promoting Harmony and Self-Improvement).…”

Section: The Generationpmto © Interventionmentioning

confidence: 99%

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A culturally adapted parenting intervention for the Chilean context: Qualitative indicators of participant satisfaction and contextual and cultural relevance

Parra‐Cardona

Retamal

Fajuri

et al. 2022

J Marital Family Therapy

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Parent training (PT) interventions constitute an empirically demonstrated alternative to promote effective parenting practices and prevent child behavioral and mental health problems. However, the dissemination of evidence‐based PT interventions across Latin America remains scarce. This qualitative study had the primary objective of evaluating the level of acceptability of a culturally adapted version of the PT intervention known as GenerationPMTO©, adapted for the Chilean context. According to qualitative reports provided by 24 Chilean caregivers exposed to the culturally adapted parenting intervention, the intervention was perceived by caregivers as useful for their parenting practices, as well as contextually and culturally relevant. Current qualitative findings indicate that the culturally adapted PT intervention holds promise for larger dissemination in the Chilean context.

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US Immigration Policy Stressors and Latinx Youth Mental Health

Roche,

White,

Partovi

et al. 2024

JAMA Pediatr

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ImportanceThe youth mental health crisis is exacerbated for Latinx adolescents, a group whose families are targets of anti-immigrant rhetoric and policy.ObjectiveTo investigate how immigration-related stressors are associated with disruptions in parent-child relationships and, in turn, the mental health symptoms of Latinx adolescents.Design, Setting, and ParticipantsData for this prospective cohort study of adolescent-mother dyads were derived from surveys completed at 3 time points spanning 4 years (time 1 [T1] in 2018, time 2 [T2] in 2020, and time 3 [T3] in 2022). Mediation analyses estimated paths from immigration-related stressors to parent-child relationship qualities to mental health symptoms from early to late adolescence. Multivariable and multivariate linear models within a structural equation modeling framework regressed mediators and outcome variables on their own T1 values, offering a scientifically rigorous test of mediation. The setting was a school district in suburban Atlanta, Georgia, and included Latinx adolescents (ages 11-16 years) randomly selected from grade and gender strata. Data were analyzed from June 2023 to March 2024.ExposuresThe primary independent variables were T1 mother reports of anti-immigrant worry and behavioral modification and adolescent reports of family member detention or deportation. Mediating variables were the reports of parental support and parent-child conflict of T2 adolescents.Main Outcomes and MeasuresT3 adolescent reports of past 6-month internalizing and externalizing symptoms.ResultsA total of 547 Latinx adolescents (mean [SD] age, 13.3 [1.0] years; 303 female [55.4%]; 244 male [44.6%]) were included in this study. Response rates were 65.2% (547 of 839) among contacted parents and 95.3% (547 of 574) among contacted adolescents with parental permission. Four-year retention rates were 67% (366 of 547 adolescents) and 65% (177 of 271 mothers). Structural model results showed that T1 anti-immigrant worry and behavioral modification was associated with T3 increases in externalizing symptoms indirectly through T1 to T2 increases in parent-child conflict (β = 0.03; SE = 0.02; 95% CI, 0-0.08). For girls, T1 family member deportation or detention was associated with T1 to T3 increases in internalizing and externalizing symptoms indirectly through T1 to T2 declines in parental support (internalizing: β = 0.04; SE = 0.02; 95% CI, 0-0.08; externalizing: β = 0.03; SE = 0.02; 95% CI, 0-0.07). Sensitivity analyses supported structural model findings.Conclusion and RelevanceResults of this cohort study suggest that legislative bodies, the health care system, and educational institutions should implement safeguards to mitigate potential harm conferred by anti-immigrant environments for parent-child relationships and, in turn, Latinx adolescents’ mental health.

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A Culturally Adapted Parenting Intervention for Mexican-Origin Immigrant Families with Adolescents: Integrating Science, Culture, and a Focus on Immigration-Related Adversity

Cited by 14 publications

References 41 publications

Culturally adapting an evidence‐based parenting intervention for the Chilean context: Balancing fidelity, context, and cultural relevance

Culturally adapting an evidence‐based parenting intervention for the Chilean context: Balancing fidelity, context, and cultural relevance

A culturally adapted parenting intervention for the Chilean context: Qualitative indicators of participant satisfaction and contextual and cultural relevance

US Immigration Policy Stressors and Latinx Youth Mental Health

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