Factors associated with the implementation of the Familias Unidas intervention in a type 3 translational trial

Abstract

This study highlights how Familias Unidas, a Hispanicspecific, evidence-based, family centered preventive intervention, progressed from intervention development (type 1 translation; T1) through rigorous evaluation (T2) and examines the role of intervention fidelity-adherence and competence-in a T3 trial. Effects of participant, provider, and organizational variables on direct (observational) and indirect (self-reported) fidelity were examined as were effects of fidelity. Two structural equation models were estimated using data from 367 Hispanic parent-adolescent dyads randomized to Familias Unidas. Facilitator perceptions of parental involvement in schools, school performance grade, and school socioeconomic status predicted indirect adherence ratings, which were positively related to adolescent substance use. Facilitator openness to evidence-based practices was associated with indirect competence ratings, school performance grade and size were associated with direct competence ratings, and direct competence ratings were negatively associated with substance use. Findings highlight unique contributions of direct and indirect fidelity ratings in the implementation of Familias Unidas.

“Home Practice Is the Program”: Parents’ Practice of Program Skills as Predictors of Outcomes in the New Beginnings Program Effectiveness Trial

“…To accomplish this goal, we must understand the program experiences of underserved groups. Although prior research has examined dimensions of implementation as predictors of outcomes (Durlak & DuPre, 2008), there has been little research on implementation within minority populations (Berkel, et al, 2013; St. George, et al, 2016), and this is the first to examine home practice for fathers and Latinos. To better our understanding of what works with different groups, we must examine implementation processes within underserved subgroups, rather than simply reporting mean differences in participation or whether they differed from the majority population (Knight, Roosa, & Umaña-Taylor, 2009).…”

“…Most of the research on implementation of parenting programs has been conducted with non-Latina White (NLW) mothers. Little attention has been given to whether implementation processes are also relevant within minority populations (Berkel, Murry, Roulston, & Brody, 2013; St. George et al, 2016) or with fathers (Panter-Brick et al, 2014). In contrast to the efficacy trials of the NBP, which included a primarily NLW sample of divorced mothers, the effectiveness trial tested program effects with a diverse sample of divorcing fathers and mothers.…”

County-level factors affecting Latino HIV disparities in the United States

“…National-level adolescent drug use rates have been consistently higher among Latinos than NL-White [ 51 , 52 ], and in a review of Latino HIV risk, Loue [ 53 ] noted higher rates of HIV transmission through injecting drug use for Puerto Ricans both on the island as well as on the US mainland. As a potential solution, family-based prevention programs specifically designed for young Hispanics in Miami [ 54 ] and Mexican Americans in Arizona [ 55 ], have demonstrated prevention of drug abuse and lower sexual risk behaviors.…”

The “Haves, Have Some, and Have Nots:” a Latent Profile Analysis of Capacity, Quality, and Implementation in Community-Based Afterschool Programs

“…The concept of "readiness" of an organization to implement evidence-based practices has emerged as an important factor (Flaspohler, Meehan, et al, 2012;Tseng & Seidman, 2007). For example, individual educator willingness has been found to impact effective prevention efforts (St. George, 2016). Effective implementation of EBP's has been found in organizations with supportive leadership, openness to change, and communication among staff and leadership (Chilenski, et al, 2007(Chilenski, et al, , 2015.…”