Examining the Impact of Differential Cultural Adaptation with Latina/o Immigrants Exposed to Adapted Parent Training Interventions

• NCJ Number: 306967
• Journal: Journal of Consulting and Clinical Psychology Volume: 85 Issue: 1 Dated: 2017a Pages: 58-71
• Author(s): J. Rubén Parra-Cardona; Deborah Bybee; Cris M. Sullivan; Melanie M. Domenech Rodríguez; Brian Dates; Lisa Tams; Guillermo Bernal
• Date Published: 2017
• Length: 14 pages

Annotation

This study demonstrates the relevance of promoting differential cultural adaptation research as an alternative to maximize the delivery of evidenced-based interventions to underserved Latina/o populations in the United States.

Abstract

This randomized controlled trial compared the impact of 2 adapted versions of the parenting intervention known as Parent Management Training, the Oregon Model (PMTOR). The study demonstrates the relevance of promoting differential cultural adaptation research as an alternative to maximize the delivery of evidenced-based interventions to underserved Latina/o populations in the United States. Findings indicate the value of differential cultural adaptation research designs and the importance of examining effects for both mothers and fathers, particularly when culturally focused and gender variables are considered for intervention design and implementation. The sample consisted of 103 Latina/o immigrant families (190 individual parents). Each family was allocated to 1 of 3 conditions: (a) a culturally adapted PMTO (CA), (b) culturally adapted and enhanced PMTO (CE), and (c) a wait-list control. Measurements were implemented at baseline (T1), treatment completion (T2) and 6-month follow up (T3). Multilevel growth modeling analyses indicated statistically significant improvements on parenting skills for fathers and mothers (main effect) at 6-month follow-up in both adapted interventions, when compared with the control condition. With regard to parent-reported child behaviors, child internalizing behaviors were significantly lower for both parents in the CE intervention (main effect), compared with control at 6-month follow-up. No main effect was found for child externalizing behaviors. However, a Parent × Condition effect was found indicating a significant reduction of child externalizing behaviors for CE fathers compared with CA and control fathers at posttest and 6-month follow-up.  (Published Abstract Provided)