Cultural sensitivity and adaptation in family-based prevention interventions

被引:409
作者
Kumpfer K.L. [1 ,4 ]
Alvarado R. [1 ]
Smith P. [2 ]
Bellamy N. [3 ]
机构
[1] Department of Health Promotion and Education, University of Utah, Salt Lake City, UT
[2] Department of Family and Consumer Studies, University of Utah, Salt Lake City, UT
[3] Center for Substance Abuse Prevention, Division of Knowledge Development and Evaluation, Rockville, MD
[4] Department of Health Promotion and Education, University of Utah, Salt Lake City, UT 84112
关键词
Cultural issues; Family therapy; Outcome research; Parent training; Substance abuse prevention;
D O I
10.1023/A:1019902902119
中图分类号
学科分类号
摘要
Because of the substantial impact of families on the developmental trajectories of children, family interventions should be a critical ingredient in comprehensive prevention programs. Very few family interventions have been adapted to be culturally sensitive for different ethnic groups. This paper examines the research literature on whether culturally adapting family interventions improves retention and outcome effectiveness. Because of limited research on the topic, the prevention research field is divided on the issue. Factors to consider for cultural adaptations of family-focused prevention are presented. Five research studies testing the effectiveness of the generic version of the Strengthening Families Program (SFP) compared to culturally-adapted versions for African Americans, Hispanic, Asian/Pacific Islander, and American Indian families suggest that cultural adaptations made by practitioners that reduce dosage or eliminate critical core content can increase retention by up to 40%, but reduce positive outcomes. Recommendations include the need for additional research on culturally-sensitive family interventions. © 2002 Society for Prevention Research.
引用
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页码:241 / 246
页数:5
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