Abstract
This paper reports on the development and piloting of the Madres a Madres (Mothers to Mothers) program, a new, community-based parent training program designed for immigrant Latina mothers and their children. Promotoras, or female community health workers of Latina background, delivered the program in a home visitation format. A total of 194 mothers and 194 focal children (87 male, 107 female) ages 7–12 were randomized to the intervention (113 mother–child dyads) or wait-list control condition (81 mother–child dyads) over the study period. Outcomes of interest were mother-reported parenting skills, broad family functioning, and child externalizing and internalizing behaviors. Data collection occurred at pretest, 3-month posttest, and 9-month follow-up periods. Multilevel growth models revealed increases in intervention mothers’ reported parenting skills, family support, and family organization, and reductions in child internalizing behavior from pretest to follow-up, relative to the control condition. Outcomes did not vary by focal child age, gender, nativity status, or mother acculturative status (years in the United States). Findings are discussed in the context of future directions for research on the Madres a Madres program and on the implementation and dissemination of empirically-supported parent training practices to culturally diverse families.
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Notes
Models were tested using both linear and nonlinear approaches and showed the same pattern of results.
These analyses are not included in table format due to space limitations.
References
Arbuckle, J. L. (1996). Full information estimation in the presence of incomplete data. In G. A. Marcoulides & R. E. Schumacker (Eds.), Advanced structural equation modeling: Issues and techniques (pp. 243–278). Mahwah, NJ: Lawrence Erlbaum Associates.
Barrera, M., Biglan, A., Taylor, T. K., Gunn, B. K., Smolkowski, K., Black, C., et al. (2002). Early elementary school intervention to reduce conduct problems: A randomized trial with Hispanic and non-Hispanic children. Prevention Science, 3, 83–94.
Baumann, A., Domenech Rodríguez, M., & Parra Cardona, J. R. (2011). Community-based applied research with Latino immigrant families: Informing practice and research according to ethical and social justice principles. Family Process, 50, 132–148.
Castro, F. G., Barrera, M., & Martinez, C. R. (2004). The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prevention Science, 5, 41–45.
Coxe, S., West, S. G., & Aiken, L. S. (2009). The analysis of count data: A gentle introduction to Poisson regression and its alternatives. Journal of Personality Assessment, 91, 121–136. doi:10.1080.00223890802634175.
Dishion, T., Shaw, D., Connell, A., Gardner, F., Weaver, C., & Wilson, M. (2008). The Family Check up with high risk indigent families: Preventing problem behavior by increasing parents’ positive behavior support in early childhood. Child Development, 79, 1395–1414. doi:10.1111/j.1467-8624.2008.01195.x.
Domenech Rodríguez, M. M., Baumann, A. A., & Schwartz, A. L. (2011). Cultural adaptation of an evidence based intervention: From theory to practice in a Latino/a community context. American Journal of Community Psychology, 27, 170–186. doi:10.1007/s10464-010-9371-4.
Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–237. doi:10.1080/15374410701820117.
Feingold, A. (2009). Effect sizes for growth-modeling analysis for controlled clinical trials in the same metric as for classical analysis. Psychological Methods, 14, 43–53. doi:10.1037/a0014699.
Forgatch, M. S., & Patterson, G. R. (2010). Parent Management Training—Oregon Model: An intervention for antisocial behavior in children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 159–177). New York, NY: The Guilford Press.
Gallop, R., & Tasca, G. A. (2009). Multilevel modeling of longitudinal data for psychotherapy researchers: II. The complexities. Psychotherapy Research, 19, 438–452.
Gorman-Smith, D., Tolan, P. H., Zelli, A., & Huesmann, R. L. (1996). The relation of family functioning to violence among inner-city minority youths. Journal of Family Psychology, 10, 115–129.
Guerra, N. G., & Knox, L. (2008). How culture impacts the dissemination and implementation of innovation: A case study of the Families and Schools Together program (FAST) for preventing violence with immigrant Latino youth. American Journal of Community Psychology, 41, 304–313. doi:10.1007/s10464-008-9161-4.
Hernandez, M. Y., & Organista, K. C. (2013). Entertainment-education? A footnovela? A new strategy to improve depression literacy and help-seeking behaviors in at-risk immigrant Latinas. American Journal of Community Psychology. Advance online publication. doi:10.1007/s10464-013-9587-1.
Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36, 567–589. doi:10.1007/s10802-007-9201-9.
Kieffer, E. C., Caldwell, C. H., Welmerink, D. B., Welch, K. B., Sinco, B. R., & Guzmán, J. R. (2013). Effect of the healthy MOMs lifestyle intervention on reducing depressive symptoms among pregnant Latinas. American Journal of Community Psychology, 51, 76–89. doi:10.1007/s10464-012-9523-9.
Knox, L., Guerra, N. G., Williams, K. R., & Toro, R. I. (2011). Preventing children’s aggression in immigrant Latino families: A mixed methods evaluation of the Families and Schools Together program. American Journal of Community Psychology, 48, 65–76. doi:10.1007/s10464-010-9411-0.
LaFreniere, P. J., & Dumas, J. E. (1996). Social Competence and Behavior Evaluation children aged 3 to 6 years: The Short Form (SCBE-30). Psychological Assessment, 8, 369–377.
Lau, A. (2006). Making the case for selective and directed cultural adaptations of evidence-based treatments: Examples from parent training. Clinical Psychology: Science and Practice, 13, 295–310. doi:10.1111/j.1468-2850.2006.00042x.
Leidy, M. S., Guerra, N. G., & Toro, R. I. (2010a). A review of family-based programs to prevent youth violence among Latinos. Hispanic Journal of Behavioral Sciences, 32, 5–36. doi:10.1177/0739986309353317.
Leidy, M. S., Guerra, N. G., & Toro, R. I. (2010b). Positive parenting, family cohesion, and child social competence among immigrant Latino families. Journal of Family Psychology, 24, 252–260. doi:10.1037/a0019407.
Linares, L. O., Montalto, D., Li, M., & Oza, V. S. (2006). A promising parenting intervention in foster care. Journal of Consulting and Clinical Psychology, 74, 32–41. doi:10.1037/0022-006X.74.1.32.
Martinez, C. P., & Eddy, J. M. (2005). Effects of culturally adapted parent management training on Latino youth behavioral health outcomes. Journal of Consulting and Clinical Psychology, 73, 841–851. doi:10.1037/0022-006x.73.4.841.
Matos, M., Bauermeister, J. J., & Bernal, G. (2009). Parent–Child Interaction Therapy for Puerto Rican preschool children with ADHD and behavior problems: A pilot efficacy study. Family Process, 48, 232–252.
McCabe, K., & Yeh, M. (2009). Parent–Child Interaction Therapy for Mexican Americans: A randomized clinical trial. Journal of Clinical Child & Adolescent Psychology, 38, 753–759. doi:10.1080/15374410903103544.
McNeil, C. B., & Hembree-Kigin, T. L. (2010). Parent–Child Interaction Therapy (2nd ed.). New York: Springer.
Parra Cardona, J. R., Córdova, D., Holtrop, K., Villarruel, F. A., & Wieling, E. (2008). Shared ancestry, evolving stories: Similar and contrasting life experiences described by foreign born and U.S. born Latino parents. Family Process, 47, 157–172.
Pérez, L. M., & Martinez, J. (2008). Community health workers: Social justice and policy advocates for community health and well-being. American Journal of Public Health, 98, 11–14. doi:10.2105/AJPH.2006.100842.
Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks, CA: Sage.
Raudenbush, S. W., Bryk, A. S., Cheong, Y. F., Congdon, R. T., & du Toit, M. (2011). HLM 7. Chicago, IL: Scientific Software International Inc.
Reid, M. J., Webster-Stratton, C., & Beauchaine, T. P. (2001). Parent training in Head Start: A comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers. Prevention Science, 4, 209–227. doi:1389-4986/01/1200-0209/1.
Rotheram-Borus, M. J., Swendeman, D., & Chorpita, B. F. (2012). Disruptive innovations for designing and diffusing evidence-based interventions. American Psychologist, 67, 463–476. doi:10.1037/a0028180.
Sweet, M. A., & Appelbaum, M. I. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75, 1435–1456.
Tolan, P. H., Gorman-Smith, D., Huesmann, L. R., & Zelli, A. (1997). Assessment of family relationship characteristics: A measure to explain risk for antisocial behavior and depression among urban youth. Psychological Assessment, 9, 212–223.
Webster-Stratton, C., & Herman, K. (2008). The impact of parent management training on child depressive symptoms. Journal of Counseling Psychology, 55, 473–484. doi:10.1037/a0013664.
Acknowledgments
This research was supported by funding from the Centers for Disease Control and Prevention (Grant #5U49CE000734), and through a collaboration between Latino Health Access (LHA) and the Southern California Academic Center of Excellence on Youth Violence Prevention at the University of California at Riverside. We would like to thank LHA, Dr. Cristina Jose Kampfner, and the families and promotoras from the LHA community who partnered with us to design the intervention and carry out the research.
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Williamson, A.A., Knox, L., Guerra, N.G. et al. A Pilot Randomized Trial of Community-Based Parent Training for Immigrant Latina Mothers. Am J Community Psychol 53, 47–59 (2014). https://doi.org/10.1007/s10464-013-9612-4
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DOI: https://doi.org/10.1007/s10464-013-9612-4