Participation Patterns Among Mexican–American Parents Enrolled in a Universal Intervention and Their Association with Child Externalizing Outcomes

Abstract

This study used growth mixture modeling to examine attendance trajectories among 292Mexican American primary female caregivers enrolled in a universal preventive intervention and the effects of health beliefs, participation intentions, cultural influences, and intervention group cohesion on trajectory group membership as well as trajectory group differences on a distal higher externalizing children with lower GPAs. Caregivers in the two persistent attender groups reported strong group cohesion and providers rated these caregivers as having strong participation intentions. Children of caregivers in the LRPA group had the lowest T2 child externalizing. Children of caregivers in the MPT group had lower T2 externalizing than did those of the ET group, suggesting partial intervention dosage can benefit families. Despite high levels of attendance, children of caregivers in the HRPA had the highest T2 externalizing, suggesting this high-risk group needed either more intensive services or a longer period for parents to implement program skills to evidence change in child externalizing.

Preventive Parenting Interventions: Advancing Conceptualizations of Participation and Enhancing Reach

“…Their results suggested that some of the same variables (i.e., family stress, parenting, and acculturation) are relevant to participation in both in-person and ehealth interventions. Consistent with prior research (e.g., Mauricio et al 2014b;Mauricio et al 2018), Perrino et al's findings also suggest that correlates of participation may be associated with attendance differently depending on how attendance is modeled. Specifically, whereas high levels of family stress predicted less initial engagement, parenting and acculturation predicted attendance across all intervention sessions and components, such that parents were more likely to attend if they were less acculturated and if they perceived themselves as ineffective parents.…”

“…Conceptualizing participation as a dynamic construct acknowledges that within-session experiences, such as interactions with program content, facilitators, and other participants, as well as life circumstances, such as stressful events, parent well-being, and changes in economic status, can influence participation across time. Emerging methodologies that model patterns or trajectories of participation have enabled the study of participation as a dynamic construct that can change throughout the duration of an intervention (e.g., Mauricio et al 2014b;Mauricio et al 2018). Modeling participation as a dynamic construct and exploring pre-intervention variables associated with changes in participation across time may help identify which parents might be likely to disengage and when this is most likely to occur, potentially leading to the development of more personalized approaches to proactively incentivize participation.…”

Una revisión sistemática de la participación en los programas de prevención familiar

“…• Streghtening Families Program, SFP (Kumpfer & Johnson, 2007) • Programa de Competencia Familiar: Versión Española del SFP (Orte et al, 2018(Orte et al, , 2016(Orte et al, , 2014 • Strengthening Families Program: For Parents and Youth 10-14 (Aalborg et al, 2010;Byrnes et al, 2012; 2018) • Mindfulness-Enhanced Strengthening Families Program 10-14 (MSFP 10-14) (Coatsworth et al, 2018) • Family Matters (FM) (Aalborg et al, 2010;Byrnes et al, 2012) • Incredible Years (Axford et al, 2012;Baker et al, 2011) • Early Risers Conduct Problems Prevention Program (Bloomquist et al, 2012) • Behavioral Parent Training Program (Chacko et al, 2009(Chacko et al, , 2012(Chacko et al, , 2016 • Strategies to Enhance Positive Parenting [STEPP] program (Chacko et al, 2009(Chacko et al, , 2012(Chacko et al, , 2016 • Adolescent Transitions Program (ATP) eb The Family Check-Up (Connell et al, 2007) • Triple P (Eisner y Meidert, 2011;Heinrichs et al, 2005) • Preventive Parent (PT) Training (Garvey et al, 2006) • Bridges to High School Program (Mauricio et al, 2014) • Healthy Families America (HFA) (McCurdy et al, 2006) • Women, Infants and Children (WIC) (Mian et al, 2015) • eHealth Familias Unidas (Perrino et al, 2018) • Early Alliance (Prinz et al, 2001) • Families Program of the Multisite Violence Prevention Project (MVPP) (Quinn et al, 2010) • FRAME-Fatherhood Relationship And Marriage Education (Rienks et al, 2011) • Strong Families program (Ross & DeVoe, 2014) • Coping Power Program (Ryan et al, 2009) Fuente: Elaboración propia.…”

“…Los resultados indicaron una fuerte relación entre las percepciones de los padres sobre la gravedad del riesgo infantil y la participación en los programas de prevención (Negreiros, 2013). En este sentido, se verificó que los padres con altos niveles de participación tienen más probabilidades de percibir a sus hijos como más vulnerables, con conductas problemáticas más graves (Garvey, Julion, Fogg, Kratovil, & Gross, 2006;Winslow, Bonds, Wolchik, Sandler, & Braver, 2009), y con mayor nivel de psicopatología infantil (Mauricio et al, 2014).…”

Group-Centered Prevention in Mental Health

“…You must reverse any negative perceptions and help your group members develop positive self-images. You can change negative perceptions by creating a warm cohesive structure where everyone is accepted (Berking et al 2008;Mauricio et al 2014). Use interventions that help your group members show acceptance of other people's ideas and feelings, which encourage members to share kindness and think of the needs of others, and that help members control angry or depressive feelings.…”