Barreras y Soluciones: Lessons learned from integrating research‐based clinical techniques into a community agency serving low‐income Latinx immigrant families

Borelli, Jessica L.; Cervantes, Breana R.; Hecht, Hannah K.; Marquez, Christina; DePrado, Rosy; Torres, Gina; Robles, Araceli; Chirinos, Noraima; Leal, Francisca; Montiel, Gloria Itzel; Pedroza, Melissa; Guerra, Nancy G.

doi:10.1111/famp.12712

Cited by 7 publications

(8 citation statements)

References 44 publications

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“…In these less acculturated groups, investigators interested in using RS may wish to employ the methods of community-based participatory research to codevelop interventions that are consistent with local values (Borelli, Cervantes, et al, 2021; Borelli, Yates, et al, 2021). Because our Latina sample was relatively acculturated, we believe our study provides a more conservative estimate of the effect of ethnicity on intervention outcomes.…”

Section: Discussionmentioning

confidence: 99%

Relational savoring intervention: Positive impacts for mothers and evidence of cultural compatibility for Latinas.

Borelli¹,

Kerr²,

Smiley³

et al. 2023

Emotion

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Parenting young children poses numerous emotion regulation challenges, and prevention programs that promote emotion regulation skills can help with this important task of parenthood. Relational savoring (RS), which entails savoring a positive experience of interpersonal connectedness, is a brief manualized intervention program, 4 weeks in length, grounded in positive psychology and attachment theory. In the current longitudinal, randomized, controlled trial, we examined the impacts of RS compared with an active control (personal savoring [PS], defined as savoring a positive individual experience) in a sample of N = 164 mothers of toddlers (M age = 20.93 months) on outcomes that were assessed immediately postintervention (positive emotion, closeness to child) and at a 3-month follow-up visit (parenting sensitivity, reflective functioning [RF], savoring uptake, and parenting wellness). Compared with mothers assigned to the PS condition, mothers in the RS condition had greater immediate response to the intervention (greater increases in positive emotions [gratitude, pride], closeness to their child) as well as greater increase in sensitivity to toddlers' cues at the three-month follow-up. Neither RS nor PS increased overall parenting wellness at the three-month follow-up. Latina mothers (but not non-Latina mothers) in the RS condition had higher RF and greater savoring uptake than Latina mothers in the PS condition at follow-up. Findings provide preliminary evidence of the efficacy of RS in modifying therapeutic targets and suggest evidence of the cultural congruence of RS for Latina mothers.

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Section: Discussionmentioning

confidence: 99%

Relational savoring intervention: Positive impacts for mothers and evidence of cultural compatibility for Latinas.

Borelli¹,

Kerr²,

Smiley³

et al. 2023

Emotion

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“…Transcripts from 15 promotoras were included in the current analysis. Five promotoras had previously worked as co-interventionists for the family resilience intervention developed by two coauthors of the present study (Borelli et al, 2021; Borelli et al, 2022; Borelli, Yates, et al, 2020). Participating promotoras who provided demographic information ( n = 12; 3 promotoras were unable to be contacted for demographic information) were all female, Latina, and aged 35–65 ( M age = 50 years).…”

Section: Methodsmentioning

confidence: 99%

COVID-19 and the Latinx community: “Promotoras represent a community in pain”.

Marquez¹,

Kazmierski²,

Carballo³

et al. 2023

Journal of Latinx Psychology

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COVID-19 has disproportionately affected the Latinx community, leading to heightened economic instability and increased mortality/morbidity. Frontline community health workers (promotoras) have played an integral role in serving low-income Latinx immigrant communities, disseminating health information to this vulnerable community while also facing heightened risks to their own health and well-being. This study explores the impact of the pandemic on Latinx communities and the promotoras that serve them, examining how the stresses and inequities the pandemic wrought might be mitigated. Promotoras (N = 15, all female) were recruited from a local health agency in Santa Ana, California, and completed a semistructured interview about their experiences during COVID-19. Qualitative analyses demonstrated that the pandemic substantially affected the daily lives both of community members, via economic challenges, limited access to reliable pandemic-related information, and psychological and social stress, and of promotoras, via changes to the nature of their work and psychological and social stress. Promotoras perceived that these harms might be mitigated by providing for economic and material needs in the community and that promotoras can be fortified to continue serving the community through self-care and psychosocial healing practices. According to promotoras, the Latinx community needs economic and material resources to overcome COVID-19-related stressors. Additionally, promotoras may benefit from programming to preserve mental and physical health in the wake of new stressors. Lending greater support to promotoras within the agencies in which they are nested may enable them to be more successful in fulfilling their mission and sustaining their own health.

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“…When the community trusts the researchers, they become more open and willing to work with them on various issues that affect their community. Co-identifying a research problem with the community and involving community members as a core member of the research team or advisory/steering committee as opposed to only a consultant or recruitment assistant foster community agency 20 21. This approach amplifies the community’s contribution to specific CBPR projects by granting them equitable power and fostering enthusiasm 20–22.…”

Section: Importance Of Cementioning

confidence: 99%

“…Co-identifying a research problem with the community and involving community members as a core member of the research team or advisory/steering committee as opposed to only a consultant or recruitment assistant foster community agency 20 21. This approach amplifies the community’s contribution to specific CBPR projects by granting them equitable power and fostering enthusiasm 20–22. CE also informs the researchers of culturally competent approaches in research such as holding focus groups for men and women separately on a sensitive topic in some communities that show respect to the culture of the community and serve the community ethically and effectively.…”

Section: Importance Of Cementioning

confidence: 99%

“…20 21 This approach amplifies the community's contribution to specific CBPR projects by granting them equitable power and fostering enthusiasm. [20][21][22] CE also informs the researchers of culturally competent approaches in research such as holding focus groups for men and women separately on a sensitive topic in some communities that show respect to the culture of the community and serve the community ethically and effectively.…”

Section: Ce and Its Principlesmentioning

confidence: 99%

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Employing diffusion of innovation theory for ‘not missing the mass’ in community-engaged research

Turin,

Kazi,

Rumana

et al. 2023

BMJ Open

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IntroductionEngaging with minority communities, such as immigrants and ethnic minorities, often involves adopting top-down approaches, wherein researchers and policymakers provide solutions based on their perspective. However, these approaches may not adequately address the needs and preferences of the community members, who have valuable insights and experiences to share. Therefore, community-engaged approaches, which involve collaborative partnerships between community members and researchers to identify issues, co-create solutions, and recommend policy changes, are becoming more recognized for their effectiveness and relevance. Yet, prevailing community engagement efforts often focus on easily reachable and already engaged segments of the community, sometimes overlooking the broader population.MethodsWhen working with immigrant and racialized communities, we encountered difficulties in engaging the wider community through traditional researcher-led approaches. We realized that overcoming these challenges required innovative strategies rooted in community-based participatory research principles and the diffusion of innovation theory. We recognized that a nuanced understanding of the community's dynamics and preferences was crucial in shaping our approach and building trust and rapport with the community members.ResultsThe need to bridge the gap between researcher-led initiatives and community-driven involvement has never been more pronounced. Our experience, chronicled in this article, highlights the journey of our research program with an immigrant/racialized community. This reflection enhances our comprehension of community engagement that deliberately strives to reach a larger cross-section of the community. By providing practical methods for reaching the broader community and navigating the intricacies of engagement, we aim to assist fellow researchers in conducting effective community-engaged research across various minority communities.ConclusionIn sharing our insights and successful strategies for community engagement, we hope to contribute to the field's knowledge. Our commitment to fostering meaningful collaboration underscores the importance of co-creating solutions that resonate with the diverse voices within these communities. Through these efforts, we envision a more inclusive and impactful approach to addressing the complex challenges faced by minority populations.

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Barreras y Soluciones: Lessons learned from integrating research‐based clinical techniques into a community agency serving low‐income Latinx immigrant families

Cited by 7 publications

References 44 publications

Relational savoring intervention: Positive impacts for mothers and evidence of cultural compatibility for Latinas.

Relational savoring intervention: Positive impacts for mothers and evidence of cultural compatibility for Latinas.

COVID-19 and the Latinx community: “Promotoras represent a community in pain”.

Employing diffusion of innovation theory for ‘not missing the mass’ in community-engaged research

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