Mixed-methods feasibility study on the cultural adaptation of a child abuse prevention model

Child Abuse Negl. 2014 Sep;38(9):1496-507. doi: 10.1016/j.chiabu.2014.04.017. Epub 2014 May 15.

Abstract

The current study utilized mixed-methods analyses to examine the process of adapting a home-based parenting program for a local Latino community. The study examined the: (a) acceptability and cultural congruence of the adapted SafeCare® protocol, (b) adherence to the core components of SafeCare® while adapting to local community culture, and (c) social validity of the new model in addressing SafeCare® target areas (parenting, home safety, and child health). Participants were 28 Latino mothers and eight providers. After training in the adapted model, providers demonstrated improved knowledge and skills. All providers reached national certification standards for SafeCare®, demonstrating fidelity to the core components of the original model. Positive consumer-provider relationships were developed as reflected by the results on the Working Alliance (collaboration between caregivers and parents). Themes from the integrated results of the social validity measures and individual interviews with parents were perceived benefits of the program on targeted areas and cultural congruency of the approach. Recommendations are to consider using adaptation guidelines as outlined to promote local culturally congruent practices.

Keywords: Child neglect; Cultural adaptation; Evidence-based treatment; Home visitation; Latino families; Prevention.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child Abuse / prevention & control*
  • Cultural Competency*
  • Feasibility Studies
  • Female
  • Hispanic or Latino
  • Humans
  • Mothers
  • Parenting / ethnology*
  • Program Development*
  • Treatment Outcome
  • Young Adult