The impact of acculturative and contextual factors and session attendance on Latino caregiver response to a brief treatment activation intervention

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Juan I. Prandoni (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Gabriela Stein

Abstract: Immigrant Latino families face numerous acculturative and contextual barriers that make it difficult for them to become activated in their children’s mental health treatment (Keyes et al., 2012; Kincheloe, Frates, & Brown, 2007). Few studies have addressed this issue in the literature, typically assessing the impact of barriers from variable-centered approaches that fail to capture the complex impact these that barriers can have on Latino families (Stein & Guzman, 2015). This dissertation extends the current literature by using a person-centered approach (i.e., Latent Class Analysis) to explore how varying levels of acculturative (i.e., English-language acculturation and ethnic social preference) and contextual (i.e., family income, caregiver hours worked per week) factors differentially predicted baseline levels of treatment activation in a sample of immigrant Latino caregivers prior a brief activation intervention. Exploratory analyses were then conducted to test for the specific impacts of English-language acculturation and session attendance on response to the intervention. Results indicated that caregivers displaying low acculturation and low SES endorsed the lowest levels of baseline treatment activation. Both caregivers reporting no and ‘some English-language acculturation’ displayed significant intervention gains over control participants at 1-month, but only ‘no-English-language acculturation’ caregivers displayed significant gains over control at 3 months. Session-attendance levels, however, did not differentiate response to the intervention. Results are discussed in from a social decision theory framework to provide clinical implications and recommendations for future research.

Additional Information

Language: English
Date: 2019
Acculturation, Contextual, Culture, Intervention, Latino, Treatment
Hispanic Americans $x Cultural assimilation $x Psychological aspects
Hispanic American children $x Counseling of
Hispanic American families $x Counseling of
Immigrant families $x Counseling of
Patient participation

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