{"title":"Community-Led Adaptations of a Promotora-Delivered Intervention for Latino Families of Youth with Developmental Disabilities","authors":"","doi":"10.1007/s10826-024-02816-z","DOIUrl":null,"url":null,"abstract":"<h3>Abstract</h3> <p>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., <span>2017</span>) to promote service utilization among underserved Latino families of youth with developmental disabilities. This study applied two implementation adaptation frameworks (FRAME; Stirman et al., <span>2019;</span> FRAME-IS; Miller et al., <span>2021</span>) 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 (<em>n</em> = 5), caregivers (<em>n</em> = 11), and staff (<em>n</em> = 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 <em>Individualizing for Engagement</em>, 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.</p>","PeriodicalId":48362,"journal":{"name":"Journal of Child and Family Studies","volume":"116 1","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child and Family Studies","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s10826-024-02816-z","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0
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.
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.
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