Efficacy of Promoting First Relationships® for English and Spanish Speakers: a Randomized Controlled Trial.

This study interpreted and translated a home visiting parenting program, Promoting First Relationships® (PFR), from English into Spanish and assessed if participants' preferred language for PFR (Spanish, English) moderated its effect. This was a randomized controlled trial (PFR v. control) among 252...

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Publicado en:Journal of Child & Family Studies Vol. 34; no. 5; pp. 1135 - 1151
Autores principales: Hash, Jonika B., Oxford, Monica L., Nelson, Dana C., Lohr, Mary Jane, Fleming, Charles B., de Castro, A. B., Spieker, Susan J.
Formato: Artículo
Publicado: Springer Nature May2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2025
      vid: 34
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      pub: Springer Nature
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        atl: Efficacy of Promoting First Relationships® for English and Spanish Speakers: a Randomized Controlled Trial.
      aug:
        au:
          Hash, Jonika B.
          Oxford, Monica L.
          Nelson, Dana C.
          Lohr, Mary Jane
          Fleming, Charles B.
          de Castro, A. B.
          Spieker, Susan J.
        affil:
          https://ror.org/00cvxb145 University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, WA, USA
          https://ror.org/00cvxb145 University of Washington, Department of Psychology, Seattle, WA, USA
          https://ror.org/00cvxb145 University of Washington, Department of Psychiatry and Behavioral Sciences, Seattle, WA, USA
          https://ror.org/02jqc0m91 Seattle University, College of Nursing, Seattle, WA, USA
      su:
        Home care services
        Mental health
        Parenting education
        Evaluation of human services programs
        Culture
        Poverty
        Education of mothers
        Research funding
        Descriptive statistics
        Spanish language
        Mathematical models
        English language
        Theory
        Data analysis software
        Regression analysis
      sug:
        subj:
          Home care services
          Mental health
          Parenting education
          Evaluation of human services programs
          Culture
          Poverty
          Offices of all other health practitioners
          Offices of All Other Miscellaneous Health Practitioners
          Home Health Care Services
          Services for the Elderly and Persons with Disabilities
          Offices of Mental Health Practitioners (except Physicians)
          Education of mothers
          Research funding
          Descriptive statistics
          Spanish language
          Mathematical models
          English language
          Theory
          Data analysis software
          Regression analysis
      keyword:
        cultural adaptations
        health equity
        Home visiting
        infants
        Medical and Health Sciences Public Health and Health Services
        parenting interventions
        cultural adaptations
        health equity
        Home visiting
        infants
        Medical and Health Sciences Public Health and Health Services
        parenting interventions
      ab: This study interpreted and translated a home visiting parenting program, Promoting First Relationships® (PFR), from English into Spanish and assessed if participants' preferred language for PFR (Spanish, English) moderated its effect. This was a randomized controlled trial (PFR v. control) among 252 Spanish- and English-speaking mother-infant dyads (infant aged 6–12 weeks at enrollment) with low income who had previously received a mental health referral during their pregnancy. Outcomes were assessed at baseline, immediately post-intervention, and 6 months post-intervention. Outcomes included parenting sensitivity, dyadic synchrony, caregiver understanding of infant/toddler social-emotional needs ("caregiver understanding," for brevity), maternal confidence, infant difficulty, and infant social-emotional development. Results showed that differences in outcomes by condition were similar across the preferred language groups, with the exception of caregiver understanding measured at 6 months post-intervention (b = 1.52, SE = 0.52). On this outcome, PFR demonstrated a greater effect among mothers who preferred Spanish (d = 0.69) than English (d = 0.40). Follow-up analyses of self-identified ethnicity (Hispanic or non-Hispanic) and nativity (non-US-born or US-born) as moderators showed similar results. There was no evidence that PFR worked differently across language, self-identified ethnicity, and nativity groups, with the exception of stronger PFR-related gains on caregiver understanding among mothers who preferred Spanish, self-identified as Hispanic, and were born outside the US. Trial registration: ClinicalTrials.gov, NCT02724774, registered 3/31/2016 Highlights: This study adapted a strengths-based, reflective parenting program, Promoting First Relationships (PFR), for Spanish-speaking families. Among mothers who preferred Spanish (v. English), PFR demonstrated a greater effect on caregiver understanding at 6 months post-intervention. The effects of PFR were similar across the language groups for the other study outcomes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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