Predictors of Participation in an eHealth, Family-Based Preventive Intervention for Hispanic Youth
- 311 Downloads
The Familias Unidas intervention is an efficacious family-based preventive intervention for reducing substance use and other health risks among Hispanic youth. A current randomized controlled trial (RCT) is examining this intervention’s efficacy when delivered via the Internet (eHealth). eHealth interventions can overcome logistical barriers to participation, yet there is limited information about the feasibility of these interventions, especially among ethnic minorities. This paper examines participation and predictors of participation in the eHealth Familias Unidas intervention in a sample of 113 Hispanic families whose adolescent had behavioral problems. Analyses examined multidimensional ways of characterizing participation, including the following: (1) total intervention participation, (2) initial engagement (participating in at least one of the first three intervention sessions), (3) completing the pre-recorded, eHealth parent group sessions, and (4) participating in the live, facilitator-led, eHealth family sessions. Participation in this eHealth intervention was comparable to, and in most cases higher than, previous, face-to-face Familias Unidas interventions. High levels of baseline family stress were associated with lower initial engagement and lower family session participation. Greater parental Hispanicism was associated with more participation in eHealth parent group sessions and across the total intervention. Higher levels of baseline effective parenting, in other words less intervention need, were significantly associated with lower levels of total intervention participation and lower levels of family session participation. Implications for preventive interventions delivered via Internet are discussed.
KeywordsAdolescent Prevention Family Hispanic Participation Engagement Internet
Compliance with Ethical Standards
This study involved analyses of data from a randomized controlled trial funded by the Centers for Disease Control and Prevention, Grant No. U01PS003316-Yannine Estrada, Principal Investigator.
Conflict of Interest
Authors Hilda Pantin and Guillermo Prado are the developers of the Familias Unidas intervention, which is the subject of this paper’s analyses.
This study was approved by the University of Miami’s Human Subjects Research Board and the Miami- Dade County Schools’ Research Board. All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from parents of all youth in this trial. Voluntary informed assent was obtained from all youth in this trial.
- Brouwer, W., Kroeze, W., Crutzen, R., de Nooijer, J., de Vries, N. K., … & Oenema, A. (2011). Which intervention characteristics are related to more exposure to internet-delivered healthy lifestyle promotion interventions? Journal of Medical Internet Research, 13, e2.Google Scholar
- Byrne, B. M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah: Lawrence Erlbaum Associates.Google Scholar
- Dillman Carpentier, F. R., Mauricio, A. M., Gonzales, N. A., Millsap, R. E., Meza, C. M., Dumka, L. E., German, M., & Genalo, M. T. (2007). Engaging Mexican origin families in a school-based preventive intervention. Journal of Primary Prevention, 28, 521–546.CrossRefPubMedPubMedCentralGoogle Scholar
- Estrada, Y., Rosen, A., Huang, S., Tapia, M., Sutton, M., Willis, L., et al. (2015). Efficacy of a brief intervention to reduce substance use and human immunodeficiency virus infection risk among Latino youth. Journal of Adolescent Health. doi: 10.1016/j.jadohealth.2015.07.006.
- Fernandez, M. A., & Eyberg, S. M. (2009). Predicting treatment and follow-up attrition in parent–child interaction therapy. Journal of Abnormal Psychology, 37, 431–441.Google Scholar
- Guo, X., Suarez-Morales, L., Schwartz, S. J., & Szapocznik, J. (2009). Some evidence for multidimensional biculturalism: Confirmatory factor analysis and measurement invariance analysis on the Bicultural Involvement Questionnaire-Short Version. Psychological Assessment, 21, 22–31.CrossRefPubMedGoogle Scholar
- Kline, R. B. (1998). Principles and practice of structural equation modeling. NY: Guilford Press.Google Scholar
- Muthén, L.K. & Muthén, B.O. (1998–2012). Mplus user’s guide. Seventh edition. Los Angeles: Muthén & Muthén.Google Scholar
- Pantin, H. (1996). Ecodevelopmental measures of support and conflict for Hispanic youth and families. Miami: University of Miami School of Medicine.Google Scholar
- Pantin, H., Prado, G., Lopez, B., Huang, S., Tapia, M. I., Schwartz, S. J., et al. (2009). A randomized controlled trial of familias unidas for hispanic adolescents with behavior problems. Psychosomatic Medicine, 71, 987–995.Google Scholar
- Prado, G., Pantin, H., Schwartz, S. J., Lupei, N. S., & Szapocznik, J. (2006). Predictors of engagement and retention into a parent centered, ecodevelopmental HIV preventive intervention for Hispanic adolescents and their families. Journal of Pediatric Psychology, 31, 874–890.CrossRefPubMedGoogle Scholar
- Prado, G., Pantin, H., Briones, E., Schwartz, S., Feaster, D., Huang, S., … Szapocznik, J. (2007). A randomized controlled trial of a parent-centered intervention in preventing substance use and HIV risk behaviors in Hispanic adolescents. Journal of Consulting and Clinical Psychology, 75, 914–26.Google Scholar
- Prado, G., Cordova, D., Huang, S., Estrada, Y., Rosen, A., Bacio, G.A., … McCollister, K. (2012). The efficacy of Familias Unidas on drug and alcohol outcomes for Hispanic delinquent youth: Main effects and interaction effects by parental stress and social support. Drug and Alcohol Dependence, 125S, S18-25.Google Scholar
- Quay, H. C., & Peterson, D. R. (1993). The Revised Behavior Problem Checklist: Manual. Odessa: Psychological Assessment Resources.Google Scholar
- Rainie, L., Duggan, M., & Page, D. (2015). Americans’ internet access: 2000–2015. Washington, DC: Pew Research Center.Google Scholar
- Salas-Wright, C.P., Vaughn, M.G., Schwartz, S.J., & Córdova, D. (2015). An “immigrant paradox” for adolescent externalizing behavior? Evidence from a national sample. Social Psychiatry and Psychiatric Epidemiology, 51,27–37.Google Scholar
- Santisteban, D. A., Dillon, F., Mena, M. P., Estrada, Y., & Vaughan, E. L. (2005). Psychiatric, family and ethnicity-related factors that can impact treatment utilization among Hispanic substance abusing adolescents. Journal of Social Work Practice in the Addictions, 5, 133–155.CrossRefPubMedPubMedCentralGoogle Scholar
- Sourander, A., McGrath, P.J., Ristkari, T., Cunningham, C., Huttunen, J., … & Unruh, A. (2016). Internet-assisted parent training intervention for disruptive behavior in 4-year-old children: A randomized clinical trial. JAMA Psychiatry, 73, 378–87.Google Scholar
- Spoth, R., Rohrbach, L.A., Greenberg, M., Leaf, P., Brown, C.H., … & Society for Preventon Research Type 2 Translational Task Force Members and Contributing Authors. (2013). Addressing core challenges for the next generation of type 2 translation research and systems: The translation science to population impact framework. Prevention Science, 14, 319–51.Google Scholar