Predictors of Child and Caregiver Attendance in a Strengths-Focused, Culturally Grounded, Family-Based Program to Prevent Adverse Childhood Experiences.

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Katie M Edwards, Emily A Waterman, Lorey A Wheeler, Weiman Xu, Ramona Herrington, Preciouse Trujllo, Skyler Hopfauf
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Abstract

Little is known about factors that predict attendance in strengths-focused, culturally grounded, family-based programming to prevent adverse childhood experiences (ACEs) among Indigenous populations in the USA. An understanding of these factors may help to create initiatives to reduce barriers to attending programming that could reduce ACEs and other health inequities among structurally minoritized populations. The purpose of the current study was to explore this critical gap in the literature. Participants were 66 caregivers and their 107 children 10 to 14 (N = 66 families) randomly assigned to the treatment group. Baseline measures were used to predict program attendance (total number of sessions and any attendance). Results for caregivers showed that higher intimate partner violence victimization and perpetration and depression predicted program attendance (number of sessions and any attendance). For children, girls were more likely to attend at least one session than boys. Predictors of the total number of sessions for children included being a girl, lower depression, higher awareness (emotion regulation), higher parent-child communication, higher harsh parenting, higher caregiver positive reinforcement, and higher family cohesion. These findings have important implications for reducing potential barriers to program attendance as well as motivational interviewing approaches for specific subpopulations that may enhance attendance in a strengths-focused, culturally grounded, family-based programming to reduce ACEs.

以优势为中心,以文化为基础,以家庭为基础的预防不良童年经历的项目中儿童和看护者出勤率的预测因素。
在以优势为中心、以文化为基础、以家庭为基础的预防不良童年经历(ace)的项目中,美国土著居民的出勤率预测因素知之甚少。了解这些因素可能有助于制定举措,减少参加规划的障碍,从而减少结构上少数群体的ace和其他卫生不平等现象。本研究的目的是探讨这一关键的空白文献。参与者为66名护理人员及其107名10至14岁的儿童(N = 66个家庭),随机分配到治疗组。基线测量用于预测课程出勤率(总课程数和任何出勤率)。照顾者的结果显示,高亲密伴侣暴力受害和犯罪和抑郁预测项目出席(会议次数和任何出席)。对于儿童来说,女孩比男孩更有可能参加至少一次会议。儿童总治疗次数的预测因子包括:女孩、低抑郁、高意识(情绪调节)、高亲子沟通、高严厉的父母教育、高照顾者的积极强化和高家庭凝聚力。这些发现对于减少项目出勤率的潜在障碍以及针对特定亚群体的动机性访谈方法具有重要意义,这些方法可以提高以优势为中心、以文化为基础、以家庭为基础的项目的出勤率,以减少ace。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Prevention Science
Prevention Science PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
11.40%
发文量
128
期刊介绍: Prevention Science is the official publication of the Society for Prevention Research. The Journal serves as an interdisciplinary forum designed to disseminate new developments in the theory, research and practice of prevention. Prevention sciences encompassing etiology, epidemiology and intervention are represented through peer-reviewed original research articles on a variety of health and social problems, including but not limited to substance abuse, mental health, HIV/AIDS, violence, accidents, teenage pregnancy, suicide, delinquency, STD''s, obesity, diet/nutrition, exercise, and chronic illness. The journal also publishes literature reviews, theoretical articles, meta-analyses, systematic reviews, brief reports, replication studies, and papers concerning new developments in methodology.
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