Community-Led Adaptations of a Promotora-Delivered Intervention for Latino Families of Youth with Developmental Disabilities

IF 1.6 3区心理学 Q2 FAMILY STUDIES Journal of Child and Family Studies Pub Date : 2024-03-11 DOI:10.1007/s10826-024-02816-z

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Abstract

There is a need to address the disparities in service use for Latino youth with developmental disabilities and their families. The PUENTE program is a multi-agency service model that utilized an 11-session Promotora-delivered curriculum (Parents Taking Action, Magaña et al., 2017) to promote service utilization among underserved Latino families of youth with developmental disabilities. This study applied two implementation adaptation frameworks (FRAME; Stirman et al., 2019; FRAME-IS; Miller et al., 2021) to elicit feedback from community partners and characterize adaptations for scale up and sustainment. Mixed qualitative and quantitative methods were used to characterize adaptations used and recommended for future use. Promotoras reported adaptations made during the delivery of the intervention via end-of-service surveys for 20 families. Respondents, including Promotoras (n = 5), caregivers (n = 11), and staff (n = 2), were interviewed using semi-structured interviews. Rapid analysis of qualitative data was conducted and integrated with quantitative data to generate and categorize adaptations. Using FRAME and FRAME-IS, adaptations were noted at multiple levels of the program (e.g., content, context, and training). The most common Promotora-reported adaptations were Covering One Topic Across Multiple Sessions (M = 1.65, SD = 1.35) and Adding Content (M = 1.00, SD = 0.86). Additional adaptation themes from the qualitative data, such as the context-level adaptation recommendation of Individualizing for Engagement, converged with the quantitative data. This study builds on a multi-phase, community partnered approach to reducing disparities in access to services for Latino youth with developmental disabilities. These adaptations will be incorporated as part of a large-scale implementation effort to ensure that the program successfully addresses community needs.

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以社区为主导，调整针对拉美裔发育障碍青少年家庭的促进干预措施

摘要有必要解决有发育障碍的拉丁裔青少年及其家庭在使用服务方面的差异。PUENTE 计划是一种多机构服务模式，它采用了由 Promotora 提供的 11 节课程（"父母行动起来"，Magaña 等人，2017 年），以促进服务不足的拉美裔发育障碍青少年家庭利用服务。本研究采用了两个实施适应框架（FRAME；Stirman 等人，2019 年；FRAME-IS；Miller 等人，2021 年）来征求社区合作伙伴的反馈意见，并确定扩大和维持规模的适应性特征。我们采用了定性和定量相结合的方法来描述所使用的适应性，并建议今后使用。Promotoras 通过对 20 个家庭进行服务结束调查，报告了在实施干预措施期间所做的调整。采用半结构化访谈法对受访者（包括促进者（5 人）、照料者（11 人）和工作人员（2 人））进行了访谈。对定性数据进行了快速分析，并将其与定量数据相结合，以生成适应情况并进行分类。通过使用 FRAME 和 FRAME-IS，我们注意到在项目的多个层面（如内容、环境和培训）都有调整。最常见的 Promotora 报告的调整是在多个课程中涵盖一个主题（中值 = 1.65，标度值 = 1.35）和增加内容（中值 = 1.00，标度值 = 0.86）。定性数据中的其他改编主题，如 "个性化参与 "的情境级改编建议，与定量数据趋于一致。本研究以多阶段、社区合作的方法为基础，旨在减少拉丁裔发育障碍青少年在获得服务方面的差异。这些调整将作为大规模实施工作的一部分，以确保该计划成功满足社区需求。

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来源期刊

Journal of Child and Family Studies Multiple-

CiteScore

3.60

自引率

4.80%

发文量

300

期刊介绍： Journal of Child and Family Studies (JCFS) international, peer-reviewed forum for topical issues pertaining to the behavioral health and well-being of children, adolescents, and their families. Interdisciplinary and ecological in approach, the journal focuses on individual, family, and community contexts that influence child, youth, and family well-being and translates research results into practical applications for providers, program implementers, and policymakers. Original papers address applied and translational research, program evaluation, service delivery, and policy matters that affect child, youth, and family well-being. Topic areas include but are not limited to: enhancing child, youth/young adult, parent, caregiver, and/or family functioning; prevention and intervention related to social, emotional, or behavioral functioning in children, youth, and families; cumulative effects of risk and protective factors on behavioral health, development, and well-being; the effects both of exposure to adverse childhood events and assets/protective factors; child abuse and neglect, housing instability and homelessness, and related ecological factors influencing child and family outcomes.