Información del artículo
Abstract
Behavioral health is defined as the absence of mental illness or substance use problems and the presence of positive emotional well being. Although many U.S. Hispanic youth are at increased risk for substance abuse, suicidality, teen pregnancy, unsafe sexual practices and HIV, there exists a lack of available evidence-based practices for Hispanic youth which promotes behavioral health and HIV prevention. The objective of the current research was to adapt and revise the Familia Adelante (FA)Program, a behavioral health, drug intervention and prevention program to incorporate an HIV prevention component. Through qualitative community based participatory methods, including an expert panel and members of the target population, the curriculum was redesigned to integrate effective HIV risk reduction strategies. The process of adapting the intervention is described in this paper, as well as recommendations for future research in program adaptation.
Keywords:
adolescent
hispanic
HIV
prevention
substance abuse
Resumen
La salud conductual es definida como la ausencia de enfermedad mental o de problemas de consumo de sustancias, así como la presencia de un bienestar emocional positivo. Aunque muchos jóvenes hispanos estadounidenses se enfrentan a un riesgo cada vez mayor de abuso de sustancias, suicidio, embarazo adolescente, prácticas sexuales de riesgo y contagio del VIH, existe un vacío en cuanto a la disponibilidad de programas basados en la evidencia para jóvenes hispanos que fomenten los hábitos saludables y la prevención del VIH en estas poblaciones. El objetivo de la presente investigación ha sido adaptar y revisar el programa Familia Adelante (FA), un programa de salud conductual, intervención y prevención de consumo de drogas, para incorporar en el mismo un elemento de prevención del VIH. Mediante métodos cualitativos de participación basada en la comunidad y la incorporación de un panel de expertos y miembros de la población meta, se rediseñó el currículo de distintas estrategias de reducción de riesgo de contagio del VIH. En el presente artículo se describe el proceso de adaptación de dicha intervención, y se incluyen algunas recomendaciones para investigaciones futuras sobre la adaptación de programas.
Palabras clave:
abuso de sustancias
adolescente
hispano
prevención
VIH
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References
[Allen et al., 2008]
E. Allen, G. Rhoades, S. Stanley, H. Markman, T. Williams, J. Melton, M. Clements.
Premarital precursors of marital infidelity.
Family Process, 47 (2008), pp. 243-259
[AAP, 2002]
[AAP] American Academy of Pediatrics. (2002). Reducing the risk. Retrieved from http://www.californiasids. com/universal/mainpage.cfm?p=20.
[Castro et al., 2006]
F.G. Castro, M. Barrera, L. Holleran Steiker.
Issues and challenges in the design of culturally adapted evidence-based interventions.
Annual Review of Clinical Psychology, 6 (2006), pp. 213-219
[CDC, 2004]
[CDC] Center for Disease Control & Prevention..
Morbidity and mortality weekly report.
Morbidity and Mortality Weekly Report, 53 (2004), pp. 145-147
[CDC, 2007]
[CDC] Centers for Disease Control and Prevention. (2007). Teen birth rates rise for first time in 15 years. Retrieved from http://www.cdc.gov/nchs/pressroom/07newsreleases/teenbirth.htm.
[CDC, 2007]
[CDC] Center for Disease Control and Prevention. (2008). Youth risk behavior surveillance-selected steps communities, United States, 2007. Retrieved from http://www. cdc.gov/mmwr/preview/mmwrhtml/ss5712a1.htm.
[CDCC, 2010]
[CDC]Centers for Disease Control and Prevention. (2010). HIV and AIDS among gay and bisexual men. Retrieved from http://www.cdc.gov/nchhstp/newsroom/docs/Fast Facts-MSM-FINAL508COMP.
[CDC, 2011]
[CDC] Centers for Disease Control and Prevention. (2011). HIV/AIDS. Retrieved from http://www.cdc.gov/hiv/topics/surveillance/basic.htm.
[Cervantes et al., 1991]
R.C. Cervantes, A.M. Padilla, N. Salgado de Snyder.
The Hispanic stress inventory: A culturally relevant approach to psychosocial assessment.
Psychological Assessment, 3 (1991), pp. 438-447
[Cervantes, 1993]
R.C. Cervantes.
The Hispanic Family Intervention Program: An empirical approach toward substance abuse prevention.
Hispanic Substance Abuse.,
[Cervantes and Pratt Peña, 1998]
R.C. Cervantes, C. Pratt Peña.
Evaluating Hispanic/Latino programs: Ensuring cultural competency.
Alcoholism Treatment Quarterly, 16 (1998), pp. 109-131
[Cervantes et al., 2005]
R.C. Cervantes, B. Kappos, N. Duenas, D. Arellano.
Culturally focused HIV prevention and substance abuse treatment for Hispanic women.
Addictive Disorders and Their Treatment, 2 (2005), pp. 69-77
[Cervantes et al., 2011]
R. Cervantes, J. Goldbach, S. Santos.
Familia Adelante: A multi-risk prevention intervention for Latino youth.
Journal of Primary Prevention, 32 (2011), pp. 225-234
[Cervantes et al., 2012]
R.C. Cervantes, J. Goldbach, A. yeung, A. Rey.
Development of the environmental strategies instrument to measure adolescent alcohol prevention-related outcomes in community settings.
The American Journal of Evaluation, 33 (2012), pp. 99-111
[De La Rosa et al., 2005]
M. De La Rosa, D. Rugh, P. Rojas.
Substance abuse among Puerto Rican and Dominican gang members in a small city setting.
Journal of Social Work Practice in the Addictions, 5 (2005), pp. 23-43
[DeNavas-Walt, (2005). et al., 2005p]
DeNavas-Walt, C. (2005). Income, Poverty, and Health Insurance Coverage in the United States: 2004. Retrieved from http://www.census.gov/prod/2005pubs/p60-229. pdf. in press.
[DHHS, 2011]
[DHHS] Department of Health and Human Services. (2011). Mental Health: Culture, Race and Ethnicity – A Supplement to Mental Health: A report to the Surgeon General. Rockville, MD. Retrieved from http://www.nc bi.nlm. nih.gov.
[Dusenbury et al., 2003]
L. Dusenbury, R. Branningan, M. Falco, W.B. Hansen.
A review of research on fidelity of implementation: Implications for drug abuse prevention in school settings.
Health Education Research, 18 (2003), pp. 237-256
[Friedman et al., 1998]
S.B. Friedman, M. Fisher, S.K. Schonberg, E.M. Alderman.
Comprehensive Adolescent Health Care.
2nd, Mosby, (1998), pp. 676-679
[Gilliam et al., 2002]
A. Gilliam, D. Davis, T. Barrington, R. Lacson, U. Phoenix.
The value of engaging stakeholders in planning and implementing evaluations.
AIDS Education and Prevention, 14 (2002), pp. 5-17
[Guilamo-Ramos et al., 2009]
V. Guilamo-Ramos, A. Bouris, J. Jaccard, C. Lesesne, M. Ballan.
Family mediators of acculturation and adolescent sexual behavior among Latino youth.
Journal of Primary Prevention, 30 (2009), pp. 395-419
[Guilamo-Ramos et al., 2012]
V. Guilamo-Ramos, A. Bouris, S. Gallego.
Latinos and HIV: A framework to develop evidence-based strategies.
Social services and social action in the HIV pandemic: Principles, method, and populations.,
[Hecht et al., 2003]
M.L. Hecht, F.F. Marsiglia, E. Elek, D.A. Wagstaff, S. Kulis, P.L. Dustman, M. Miller-Day.
Culturally-grounded substance use prevention: an evaluation of the keepin’ it R.E.A.L. curriculum.
Prevention Science., 4 (2003), pp. 233-248
[Hershberger et al., 2003]
S. Hershberger, M. Wood, D. Fisher.
A cognitive– behavioral intervention to reduce HIV risk behaviors in crack and injection drug users.
AIDS and Behavior, 7 (2003), pp. 229-243
[Holleran et al., 2005]
L.K. Holleran, F. Castro, S. Coard, K. Kumpfer, V. Nyborg, H. Stephenson.
Moving towards state of the art, culturally relevant prevention interventions for minority youth.
Panel presentation at Society for Prevention Research Annual Meeting, (2005),
May
[Holleran, 2008]
L.K. Holleran.
Making drug and alcohol prevention relevant: Adapting evidence-based curricula to unique adolescent cultures.
Family & Community Health, 57 (2008), pp. S52-S60
[Holleran and Hopson, 2012]
L.K. Holleran, L.M. Hopson.
Methodology for evaluating an adaptation of evidence-based drug abuse prevention in alternative schools.
Children in Schools, 30 (2012), pp. 116-127
[Ingram et al., 2008]
B.L. Ingram, D. Flannery, A. Elkavich, M.J. Rotheram- Borus.
Common processes in evidencebased adolescent HIV prevention programs.
AIDS and Behavior, 12 (2008), pp. 374-383
[Kumpfer et al., 2002]
K.L. Kumpfer, R. Alvarado, P. Smith, N. Bellamy.
Cultural sensitivity and adaptation in family based prevention interventions.
Prevention Science, 3 (2002), pp. 241-246
[Florida, 2010]
Florida Department of Health, Bureau of HIV/AIDS. (2010). Latino Issues Survey. Retrieved from http://www.wemakethechange.com/wpcontent/uploads/latinosummitfacts.pdf.
[Lescano et al., 2009]
C.M. Lescano, L.K. Brown, M. Raffaelli, L. Lima.
Cultural factors and family-based HIV prevention intervention for Latino youth.
Journal of Pediatric Psychology, 34 (2009), pp. 1041
[Minkler and Wallerstein, 2003]
Community based participatory research for health,
[Monitoring the et al., 2008]
Monitoring the Future. (2008). Monitoring the Future National Survey Results on Drug Use, 1975-2008 Volume II. Retrieved from http://monitoringthe future.org/pubs/monographs/vol2_2008.pdf.
[Morales et al., 2002]
L.S. Morales, M. Lara, R.S. Kington, R.O. Valdez, J.J. Escarce.
Socioeconomic, cultural, and behavi oral factors affecting Hispanic health outcomes.
Journal of Health for the Poor and Underserved, 13 (2002), pp. 477-503
[Morgan, 1997]
D.L. Morgan.
Focus groups as qualitative research.
2nd, Sage, (1997),
[MMWR, 2011]
[MMWR] Morbidity and Mortality Weekly Report.
Mental Illness Surveillance Among Adults in the United States.
Centers for Disease Control, (2011),
[Nahom et al., 2001]
D. Nahom, E. Wells, M. Gillmore, M. Hoppe, D. Morrison, M. Archibald.
Differences by gender and sexual experience in adolescent sexual behavior.
Journal of School Health, 71 (2001), pp. 153-158
[NIDA, 2011]
[NIDA] National Institute on Drug Abuse. (2011). Preventing Drug Abuse among Children and Adolescents. Retrieved from http://drugabuse.gov/preven tion/index .html.
[NSDUH, 2007]
[NSDUH] National Survey on Drug Use and Health. (2007). Results from the 2007 National Survey on Drug Use and Health: National findings. Rockville, MD: U.S. Department of Health and Human Services. Retrieved fromhttp://www.samhsa.gov/data/NSDUH/2k10NSDUH/2 k10Results.htm.
[Nelson and Arthur, 2004]
A. Nelson, B. Arthur.
Storytelling for Empowerment: Decreasing at-risk youth's alcohol and marijuana use.
Journal of Primary Prevention, 24 (2004), pp. 169-180
[Pemberton et al., 2006]
Pemberton, M., Colliver, D., Robbins, T., Gfroerer, J. (2011). Underage Alcohol Use: Findings from the 2002-2006 National Survey on Drug Use and Health. Substance Abuse and Mental Health Services Administration. Retrieved from http://www.oas.samhsa.gov/underage 2k8/toc.htm.
[Prado et al., 2006]
G. Prado, S. Schwartz, A. Pattatucci-Aragón, M. Clatts, H. Pantin, M.I. Fernandez.
The prevention of HIV transmission in Hispanic adolescents.
Drug and Alcohol Dependence, 84S (2006), pp. S43-S53
[Robles et al., 2004]
N.R. Robles, L. Pastor, M. Manjon.
Lercanidipine in diabetic patients with renal failure.
Nefrologia, 24 (2004), pp. 338-343
[Rotheram-Borus et al., 1997]
M.J. Rotheram-Borus, D.A. Murphy, C.L. Coleman, M. Kennedy, H.M. Reid, T. Cline.
Risk acts, health care, and medical adherence among HIV+ youths in care overtime.
AIDS Behavior, 1 (1997), pp. 43-52
[Szapocznik et al., 2007]
J. Szapocznik, G. Prado, K. Burlew, R.A. Williams, D.A. Santisteban.
Drug abuse in African American and Hispanic adolescents: Culture, development and behavior.
Annual Review of Clinical Psychology, 3 (2007), pp. 77-105
[Shedlin et al., 2005]
M.G. Shedlin, C.U. Decena, D. Oliver-Velez.
Initial acculturation and HIV risk among new Hispanic immigrants to New york.
Journal of the National Medical Association, 97 (2005), pp. 32S-36S
[Smedley et al., 0309]
Smedley, B.D., Stith, A.y., Nelson, A.R. (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Institute of Medicine Report. Washington, D.C.: National Academy Press. Retrieved from http://www.nap.edu/openbook.php?isbn=030908265X.
[Stewart et al., 2007]
D.W. Stewart, P.N. Shamdasani, D.W. Rook.
Focus Groups: Theory and Practice.
2nd, Sage, (2007),
[Villaruel et al., 2006]
A.M. Villaruel, J.B. Jemmott III, L.S. Jemmott.
A Randomized Controlled Trial Testing an HIV Prevention Intervention for Latino youth.
Archives of Pediatrics & Adolescent Medicine, 160 (2006), pp. 772-777
[Whitaker and Miller, 2000]
D.J. Whitaker, K.S. Miller.
Parent-adolescent discussions about sex and condoms: Impact on peer influences of sexual risk behavior.
Journal of Adolescent Research, 15 (2000), pp. 251-272
[Zayas et al., 2009]
L.H. Zayas, C. Hausmann-Stabile, A.M. Pilat.
Recruiting urban Latina adolescents and their families: Challenges and lessons learned in suicide attempts research.
Youth & Society., 40 (2009), pp. 591-602
