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Predictors of Participation in an eHealth, Family-Based Preventive Intervention for Hispanic Youth

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Abstract

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.

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Authors and Affiliations

  1. Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street (R-669), Miami, FL, 33136, USA

    Tatiana Perrino, Yannine Estrada, Sara St. George, Hilda Pantin, Tae Kyoung Lee & Guillermo Prado

  2. Department of Biostatistics, Vanderbilt University, Nashville, TN, USA

    Shi Huang

  3. Department of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA

    Miguel Ángel Cano

Authors
  1. Tatiana Perrino
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  2. Yannine Estrada
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  3. Shi Huang
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  4. Sara St. George
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  5. Hilda Pantin
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  6. Miguel Ángel Cano
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  7. Tae Kyoung Lee
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  8. Guillermo Prado
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Corresponding author

Correspondence to Tatiana Perrino.

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Funding

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.

Ethical Approval

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

Informed consent was obtained from parents of all youth in this trial. Voluntary informed assent was obtained from all youth in this trial.

Additional information

Paper submitted as part of Prevention Science Special Issue titled: “Participation in Preventive Interventions: Advancing Conceptualization and Theoretical Models”, Guest editors Nancy Gonzales, Anne Mauricio and Irwin Sandler.

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Perrino, T., Estrada, Y., Huang, S. et al. Predictors of Participation in an eHealth, Family-Based Preventive Intervention for Hispanic Youth. Prev Sci 19, 630–641 (2018). https://doi.org/10.1007/s11121-016-0711-y

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