Healing through Parenting: An Intervention Delivery and Process of Change Model Developed with Low‐Income Latina/o Immigrant Families

• Published in: Family process 2019-03, Vol.58 (1), p.34-52
• Main Author: Parra‐Cardona, J. Ruben
• Format: Article
• Language: English
• Subjects: Adversity; Case studies; Childrearing practices; crianza; Cultural Adaptation; Culturally Competent Care - methods; Dissemination; Education, Nonprofessional - methods; Emigrants and Immigrants - psychology; Female; Healing; Health disparities; Health Status Disparities; Hispanic Americans; Hispanic or Latino - psychology; Humans; Immigrants; Immigration; Intervention; justicia social; Latin American cultural groups; Low income groups; Male; Mental health; modelos de crianza; Narratives; Noncitizens; Parent Training; Parenthood education; Parenting; Parenting - psychology; Parents & parenting; Poverty - psychology; Prevention programs; proceso de cambio; Process of Change; Social Justice; Stress; Underserved populations; United States; Vulnerability; Well being; 养育孩子; 养育孩子模式; 变化过程; 社会公平
• ISSN: 0014-7370; 1545-5300
• DOI: 10.1111/famp.12429

Low‐income Latinas/os are exposed to widespread mental health disparities in the United States. Most recently, a resurgence of anti‐immigration narratives has led vulnerable Latina/o immigrants to experience considerable contextual stressors with multiple deleterious consequences for their overall well‐being, including significant disruptions to their parenting practices. Within this context of adversity and despite the multiple benefits associated with parent training (PT) prevention interventions, the availability of contextually and culturally relevant PT interventions remains limited in underserved Latina/o communities. This paper constitutes a contribution to this gap in knowledge by presenting a model of intervention delivery utilized in the dissemination of culturally adapted versions of the evidence‐based intervention known as GenerationPMTO.© The proposed model also describes a process of change that we have documented in empirical research with low‐income Latina/o immigrant parents who have been exposed to the adapted interventions. The manuscript is organized in four sections. First, an overview of the model is discussed, along with a brief summary of major theories. Next, the core components of the model are described, complemented by the presentation of a case study. Finally, implications for prevention and clinical intervention are discussed. Los latinos de bajos recursos están expuestos a amplias desigualdades relacionadas con la salud mental en los Estados Unidos. Recientemente, un resurgimiento de relatos antiinmigratorios han llevado a los inmigrantes latinos vulnerables a sufrir considerables factores desencadenantes de estrés contextual con varias consecuencias perjudiciales para su bienestar general, por ejemplo, interrupciones significativas a sus prácticas de crianza. Dentro de este contexto de adversidad, y a pesar de los múltiples beneficios asociados con las intervenciones preventivas de capacitación para padres, la disponibilidad de intervenciones de capacitación para padres contextualmente y culturalmente relevantes siguen siendo limitadas en las comunidades latinas marginadas. Este artículo constituye un aporte a este déficit de conocimiento mediante la presentación de un modelo de aplicación de intervenciones utilizado en la difusión de versiones culturalmente adaptadas de la intervención de base factual, conocida como GenerationPMTO.© El modelo propuesto también describe un proceso de cambio que hemos documentado en la invest