Adaptation process of a culturally congruent parenting intervention for parents of Hispanic adolescents to an online synchronous format

Micaela Mercado, Sonia Vega-López, Anaid Gonzalvez, Beatriz Vega-Luna, Sarah Hoyt, Gabriela Martinez, Stephanie Ayers, Flavio F Marsiglia, Micaela Mercado, Sonia Vega-López, Anaid Gonzalvez, Beatriz Vega-Luna, Sarah Hoyt, Gabriela Martinez, Stephanie Ayers, Flavio F Marsiglia

Abstract

Adaptations to interventions for specific settings or communities are critical for facilitating successful implementation. The Dynamic Adaptation Process model was applied to systematically assess the adaptation process made to an in-person parenting intervention (FPNG+) prior to its implementation online. This qualitative case study design included meeting notes and interviews completed with project team members. Meeting notes were analyzed using content analysis. Semi-structured interviews regarding project team members' roles on FPNG+ and processes and activities they identified as critical for the adaptation of FPNG+ to an online intervention were analyzed using a deductive-inductive approach. In the formative phase, three primary processes were identified: information gathering to determine if the environment existed for the implementation of an online program; considerations to support the facilitation process of FPNG+ to an online environment, and decision-making to support modifications to FPNG+. The pre-implementation phase consisted of three processes: information shared by the instructional designer to facilitate the delivery of the FPNG+ content online; modifications made to the format of the intervention to meet the cultural needs of Hispanic families and address contextual issues; and iterative efforts to tailor the intervention by the project team. This study used implementation science to distinguish the dynamic processes that occurred across different systems and multiple levels in the project team's effort to modify FPNG+ to an online intervention. The contribution of this study underscores the importance of identifying the processes that facilitate the modifications made to an intervention and the capacity to implement the modified intervention with Hispanic families.

Keywords: Adaptation; Dynamic adaptation process; Hispanic; Implementation science; Online intervention.

© Society of Behavioral Medicine 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Figures

Fig 1
Fig 1
Schematic representation of the findings using the Dynamic Adaptation Process (DAP) model.

References

    1. Card JJ, Solomon J, Cunningham SD.. How to adapt effective programs for use in new contexts. Health Promot Pract. 2011; 12(1):25–35. doi:10.1177/1524839909348592.
    1. Chambers DA, Norton Wynne E., Norton WE.. The adaptome: advancing the science of intervention adaptation. Am J Prev Med. 2016;51(4):S124–31. doi:10.1016/j.amepre.2016.05.011.
    1. Stirman SW, Miller CJ, Toder K, Calloway A.. Development of a framework and coding system for modifications and adaptations of evidence-based interventions. Implement Sci. 2013; 8(1):1–12. doi:10.1186/1748-5908-8-65.
    1. Rodriguez M, Baumann A, Schwartz A.. Cultural adaptation of an evidence based intervention: from theory to practice in a Latino/a community context. Am J Community Psychol. 2011; 47(1):170–186.
    1. Ferrer-Wreder L, Sundell K, Mansoory S.. Tinkering with perfection: theory development in the intervention cultural adaptation field. Child Youth Care Forum. 2012; 41(2):149–171. doi:10.1007/s10566-011-9162-6.
    1. Escoffery C, Lebow-Skelley E, Udelson H, et al. . A scoping study of frameworks for adapting public health evidence-based interventions. Transl Behav Med. 2019; 9(1):1–10. doi:10.1093/tbm/ibx067.
    1. Wingood GM, Diclemente RJ.. The ADAPT-ITT model: a novel method of adapting evidence-based HIV interventions. J Acquir Immune Defic Syndr. 2008; 47(SUPPL. 1):40–46. doi:10.1097/QAI.0b013e3181605df1.
    1. Green LW, Glasgow RE.. Evaluating the relevance, generalization, and applicability of research: issues in external validation and translation methodology. Eval Health Prof. 2006; 29(1):126–153. doi:10.1177/0163278705284445.
    1. Koh S, Lee M, Brotzman LE, Shelton RC.. An orientation for new researchers to key domains, processes, and resources in implementation science. Transl Behav Med. 2020; 10(1):179–185. doi:10.1093/tbm/iby095.
    1. Aarons GA, Green AE, Palinkas LA, et al. . Dynamic adaptation process to implement an evidence-based child maltreatment intervention. Implement Sci. 2012; 7(1):1–9. doi:10.1186/1748-5908-7-32.
    1. Corralejo SM, Domenech Rodríguez MM.. Technology in parenting programs: a systematic review of existing interventions. J Child Fam Stud. 2018; 27(9):2717–2731. doi:10.1007/s10826-018-1117-1.
    1. Estrada Y, Molleda L, Murray A, et al. . eHealth Familias Unidas: Pilot study of an internet adaptation of an evidence based family intervention to reduce drug use and sexual risk behaviors among Hispanic adolescents. Int J Environ Res Public Health. 2017; 14(264):2641–2615. doi:10.3390/ijerph14030264.
    1. Brownson RC, Colditz GA, Proctor EK.. Adaptation in dissemination and implementation science. In: Dissemination and Implementation Research in Health: Translating Science to Practice. 2nd ed. New York, NY: Oxford University Press; 2017. doi:10.1093/oso/9780190683214.001.0001.
    1. Vega-lópez S, Marsiglia FF, Ayers S, et al. . Methods and rationale to assess the efficacy of a parenting intervention targeting diet improvement and substance use prevention among Latinx adolescents. Contemp Clin Trials. 2020;89:105914. doi:10.1016/j.cct.2019.105914.
    1. Njie B, Asimiran S.. Case study as a choice in qualitative methodology. J Res Method Educ. 2014;4(3):35–40. doi:10.9790/7388-04313540.
    1. Barusch A, Gringeri C, George M.. Rigor in qualitative social work research: a review of strategies used in published articles. Soc Work Res. 2011; 35(1):11–19.
    1. Hsieh HF, Shannon SE.. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277–1288. doi:10.1177/1049732305276687.
    1. Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K.. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Heal Ment Health Serv Res. 2015; 42(5):533–544. doi:10.1007/s10488-013-0528-y.
    1. Strauss A, Corbin J.. Grounded theory methodology: an overview. In Denzin N. K., & Lincoln Y. S. (Eds.), Handbook of Qualitative Research (Chapter 17, pp. 273–285). Thousand Oaks, CA: SAGE.
    1. Labra O, Castro C, Wright R, Chamblas I.. Thematic analysis in social work: a case study. Glob Soc Work Cut Edge Issues Crit Reflect. 2020; 1(1):1–20. doi:10.5772/intechopen.89464.
    1. Dedoose Version 9.0.62, web application for managing, analyzing, and presenting qualitative and mixed method research data. 2022. Los Angeles, CA: SocioCultural Research Consultants, LLC..
    1. Rogers EM. Diffusion of Innovation. 3rd ed. New York: The Free Press; 1995.
    1. McKleroy VS, Galbraith JS, Cummings B, et al. . Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Educ Prev. 2006; 18(SUPPL. A):59–73. doi:10.1521/aeap.2006.18.supp.59.
    1. Moullin JC, Dickson KS, Stadnick NA, Rabin B, Aarons GA.. Systematic review of the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework. Implement Sci. 2019; 14(1):1–16. doi:10.1186/s13012-018-0842-6.
    1. Cherney A, Head B.. Supporting the knowledge-to-action process: a systems-thinking approach. Evid Policy. 2011; 7(4):471–488. doi:10.1332/174426411X603461.
    1. Stirman SW, Baumann AA, Miller CJ.. The FRAME: An expanded framework for reporting adaptations and modifications to evidence-based interventions. Implement Sci. 2019; 14(1):1–10. doi:10.1186/s13012-019-0898-y.

Source: PubMed

Sponsorzy i współpracownicy

Warunki medyczne

Interwencje lekowe

3
Subskrybuj