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.

No abstract

We aimed to identify subgroups of Hispanic/Latino (H/L) cancer survivors with distinct health behavior patterns and their associated sociodemographic, medical, and psychosocial characteristics. MethodsBaseline data was used from a randomized clinical trial evaluating the e cacy of an enhanced patient navigation intervention in H/L cancer survivors. Participants (n = 278) completed the Lifestyle Behavior Scale and validated questionnaires on health-related quality of life (HRQOL), supportive care needs, distress, and satisfaction with cancer care. Latent class analysis was used to determine the latent classes and associated characteristics. ResultsThree latent classes emerged: Class 1 (survivors who increased health behaviors [e.g., exercising and eating healthy] since diagnosis); Class 2 (no changes in health behaviors since diagnosis); and Class 3 (a "mixed class," with a higher or lower engagement across various health behaviors since diagnosis).Participants in class 1 were signi cantly more educated and less likely to be foreign born. Participants in class 2 were signi cantly older and more likely to have prostate cancer. H/L cancer survivors in class 3 had a signi cantly lower income, were less educated, and reported greater unmet supportive care needs, more distress, and poorer HRQOL. ConclusionsSurvivors who report engaging in health behaviors less frequently since diagnosis may be experiencing psychosocial challenges and health disparities.