Community-Led Adaptations of a Promotora-Delivered Intervention for Latino Families of Youth with Developmental Disabilities.
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...
| Publicado en: | Journal of Child & Family Studies Vol. 33; no. 4; pp. 1238 - 1251 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=176805133&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 176805133 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10621024 JFM jtl: Journal of Child & Family Studies issn: 10621024 maglogo: N pubinfo: dt: Apr2024 vid: 33 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 176805133 10.1007/s10826-024-02816-z ppf: 1238 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P size: 750KB tig: atl: Community-Led Adaptations of a Promotora-Delivered Intervention for Latino Families of Youth with Developmental Disabilities. aug: au: Rangel, Elizabeth Rieth, Sarah Mejia, Yesenia Cervantes, Laura Bello Vazquez, Brenda Brookman-Frazee, Lauren affil: San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA Child and Adolescent Services Research Center, San Diego, CA, USA https://ror.org/0264fdx42 San Diego State University, Department of Child and Family Development, San Diego, CA, USA University of California, San Diego, Department of Psychiatry, San Diego, CA, USA https://ror.org/0264fdx42 San Diego State University, San Diego, CA, USA San Diego Regional Center, San Diego, CA, USA su: Families & psychology Hispanic Americans Evaluation of human services programs Interviewing Autism Psychological adaptation Communities Developmental disabilities Intellectual disabilities Health equity Medical care use Descriptive statistics Research methodology Conceptual structures sug: subj: Families & psychology Hispanic Americans Evaluation of human services programs Interviewing Autism Psychological adaptation Communities Developmental disabilities Intellectual disabilities Health equity Medical care use Descriptive statistics Research methodology Conceptual structures keyword: Community implementation Health services use disparities Latino families Community implementation Health services use disparities Latino families ab: 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. Highlights: To meet the needs of Latino youth with developmental disabilities and their families, research programs need to center community input. This project utilized a mixed-methods approach to identify community adaptation recommendations to an evidence-based parent intervention. Community-partnered research is required to deliver culturally appropriate care. Community-led adaptations can address the disparities in service use among Latino families of children with developmental disabilities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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