A conceptual model for co-developing a culturally tailored intervention for Latina immigrant caregivers of children with disabilities.

Abstract

The growing diversity of the U.S. population, partly due to immigration, has called attention to scholars and practitioners to attend to immigrants' cultural beliefs, values, and ways of doing when designing interventions to promote health and wellbeing. In this paper, we propose a contextual and dynamic model for co-developing a culturally tailored intervention with the community to advance equity and empowerment of Latinx immigrant caregivers of children with intellectual and developmental disabilities (IDD). Grounded in the literature and voices of the community, the proposed model includes six interactive dimensions (LARREDS) that guided the development of the PODER Familiar intervention described here. These include language and linguistic preferences; accessibility factors; reflecting the group's values, ways of thinking and doing; reflecting generational differences; dimensions of delivery and learning style; and the social, ecological, and cultural environment. Informed by principles of family engagement, the model also includes eight strategies for engaging caregivers throughout the intervention. The conceptual model was co-developed with promotoras who also provided input on the PODER Familiar intervention. While describing the model in action, we highlight the voices of the promotoras. The implications of culturally tailored interventions and the application of the model to designing interventions for other migrant populations are discussed.