Criando Niños Con Cariño : Primary Care-Based Group Parenting Program Adaptation and Pilot.
Samantha Schilling1, Daniela Romero-Cely1, Alexander Mebane1
1Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC.
Culturally adapting parenting programs like Child-Adult Relationship Enhancement in Primary Care (PriCARE) into Criando Niños con Cariño enhances parent engagement. Pilot data indicate this adapted program is feasible and acceptable for Hispanic parents.
Area of Science:
- Parenting Interventions
- Cultural Adaptation
- Primary Care
Background:
- Primary care settings offer opportunities for parenting interventions.
- Culturally adapting programs is crucial for engaging diverse populations.
- Existing programs may not meet the specific needs of Hispanic parents.
Purpose of the Study:
- To culturally adapt and pilot the Child-Adult Relationship Enhancement in Primary Care (PriCARE) program for Spanish-speaking, Hispanic parents.
- To assess the feasibility and acceptability of the adapted program, named Criando Niños con Cariño.
- To ensure program content and goals align with cultural values.
Main Methods:
- Cultural adaptation informed by literature, expert consultation, and focus groups.
- Application of an implementation framework to systematically record adaptations.
- Pilot study involving 32 parents of children aged 2-6 years, measuring enrollment, attendance, and satisfaction.
Main Results:
- Adaptations included reframing concepts (e.g., child-led play) and incorporating cultural values (e.g., respeto, armonía).
- Pilot study enrollment was 43% (52/121 dyads invited).
- 32 parents (62% of enrolled) attended at least 4 sessions and reported high satisfaction (mean 47/50 on TAI).
Conclusions:
- Criando Niños con Cariño is the result of a rigorous adaptation process.
- The program's reframed goals and concepts are culturally congruent.
- Pilot data suggest the adapted program is feasible and acceptable to Hispanic parents.
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