WITHDRAWN: Padres Preparados: Cultural Adaptation for Latino Parents of Preschoolers

Significance: Latinos are the largest ethnic minority group in the US. There are notable gaps in academic achievement for youths as well as notable health disparities in mental health. Cultural adaptations to evidence-based interventions have shown promise in increasing acceptability and accessibility of treatments as well as improving outcomes.

Innovation: The aim of this presentation is to describe the development and effectiveness of Padres Preparados, a culturally adapted evidence-based intervention for Latino parents of preschool children. The intervention was delivered in a community setting using texting to engage parents in the content review as well as video vignettes for ease of review of specific parenting skills.

Approach: During Phase I we conducted focus groups with teachers and parents, and structured interviews with Head Start administrators. These informed the development of the literacy module of Padres Preparados. It was tested with 46 families. Phase II was an 8-session treatment tested with 133 families in a randomized controlled trial.

Results/Implications for Optimizing Prevention Science: Both trials showed significant impact to parenting knowledge, behavioral intentions, self-efficacy, and parenting stress. More importantly parents reported significant changes in parenting practices. Parents also reported high satisfaction ratings and had excellent attendance to the groups.

Evidence-based interventions that are skillfully adapted to a target population have great potential to reduce health disparities and improve outcomes. The process requires community connectedness and the ability to work flexibly with evidence-based interventions to make them accessible, acceptable, and effective with the population of interest. Flexibility, also known as “fit” likely improves the fidelity with which the active ingredients of evidence-based intervention is delivered.