TY - JOUR
AU - T. Perrino
AU - A. Lozano
AU - Y. Estrada
AU - M. I. Tapia
AU - C. H. Brown
AU - V. E. Horigian
AU - W. R. Beardslee
AU - G. Prado
A1 - 
AB - Youth internalizing symptoms (i.e., depression and anxiety), suicide ideation and attempts have been rising in recent years, including among Hispanics. Disparities in mental healthcare are concerning and require intervention, ideally prevention or early intervention. Familias Unidas is a culturally-syntonic, family-centered intervention effective in reducing youth drug use and sexual risk, with evidence of unanticipated effects on internalizing symptoms. This paper describes the systematic process used to adapt the eHealth version of the Familias Unidas intervention to more directly address internalizing symptoms and suicide risk in preparation for an effectiveness-implementation hybrid trial for youth with elevated internalizing symptoms, a history of suicide ideation/attempts, or poor parent-youth communication. The resulting eHealth Familias Unidas Mental Health intervention is described. Guided by a 4-phase framework, the steps in the adaptation process involved: assessment of the community and intervention delivery setting (pediatric primary care clinics); integration of previous intervention research, including intervention mechanisms of action; and expert and community consultation via focus groups. Focus group analyses showed that youth and parents perceived that the intervention was helpful. Their feedback was categorized into themes that were used to directly target mental health by addressing technology use, parent mental health, and social support. Effective and scalable preventive interventions are needed to address mental health disparities. The systematic adaptation process described in this paper is an efficient approach to expanding interventions while maintaining known, empirical and theoretical mechanisms of action. Findings from the ongoing effectiveness-implementation trial will be critical.; Mental health symptoms and suicide ideation and attempts have been increasing for several years. Disparities in quality and access to mental healthcare indicate that Hispanic and socioeconomically disadvantaged youth need accessible and targeted interventions, ideally preventive and early interventions. Our team adapted an existing, evidence-based prevention program for Hispanic families to specifically and directly address youth mental health to be delivered in primary healthcare settings. This paper describes the adaptation framework and steps taken to adapt the original program that was developed and tested for drug use and sexual risk behaviors, with the purpose of additionally addressing depression, anxiety, and suicide ideation and attempts. We subsequently describe the adapted program- eHealth Familias Unidas Mental Health- and discuss how it is currently being implemented and evaluated in primary healthcare settings. The paper provides information and an example of how other research teams can systematically adapt an intervention using insights from the peer-reviewed literature, participants, primary care clinic staff, and experts in youth mental health.; eng
AD - School of Nursing & Health Studies, University of Miami, Coral Gables, FL 33146, USA.; Department of Psychiatry & Behavioral Sciences, Preventive Medicine & Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 6061.; Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.; Boston Children's Hospital, Boston, MA 02115, USA.
AN - 39460747
BT - Transl Behav Med
C5 - Healthcare Disparities; HIT & Telehealth
CP - 12
DA - Nov 25
DO - 10.1093/tbm/ibae056
DP - NLM
IS - 12
JF - Transl Behav Med
LA - eng
N2 - Youth internalizing symptoms (i.e., depression and anxiety), suicide ideation and attempts have been rising in recent years, including among Hispanics. Disparities in mental healthcare are concerning and require intervention, ideally prevention or early intervention. Familias Unidas is a culturally-syntonic, family-centered intervention effective in reducing youth drug use and sexual risk, with evidence of unanticipated effects on internalizing symptoms. This paper describes the systematic process used to adapt the eHealth version of the Familias Unidas intervention to more directly address internalizing symptoms and suicide risk in preparation for an effectiveness-implementation hybrid trial for youth with elevated internalizing symptoms, a history of suicide ideation/attempts, or poor parent-youth communication. The resulting eHealth Familias Unidas Mental Health intervention is described. Guided by a 4-phase framework, the steps in the adaptation process involved: assessment of the community and intervention delivery setting (pediatric primary care clinics); integration of previous intervention research, including intervention mechanisms of action; and expert and community consultation via focus groups. Focus group analyses showed that youth and parents perceived that the intervention was helpful. Their feedback was categorized into themes that were used to directly target mental health by addressing technology use, parent mental health, and social support. Effective and scalable preventive interventions are needed to address mental health disparities. The systematic adaptation process described in this paper is an efficient approach to expanding interventions while maintaining known, empirical and theoretical mechanisms of action. Findings from the ongoing effectiveness-implementation trial will be critical.; Mental health symptoms and suicide ideation and attempts have been increasing for several years. Disparities in quality and access to mental healthcare indicate that Hispanic and socioeconomically disadvantaged youth need accessible and targeted interventions, ideally preventive and early interventions. Our team adapted an existing, evidence-based prevention program for Hispanic families to specifically and directly address youth mental health to be delivered in primary healthcare settings. This paper describes the adaptation framework and steps taken to adapt the original program that was developed and tested for drug use and sexual risk behaviors, with the purpose of additionally addressing depression, anxiety, and suicide ideation and attempts. We subsequently describe the adapted program- eHealth Familias Unidas Mental Health- and discuss how it is currently being implemented and evaluated in primary healthcare settings. The paper provides information and an example of how other research teams can systematically adapt an intervention using insights from the peer-reviewed literature, participants, primary care clinic staff, and experts in youth mental health.; eng
PY - 2024
SN - 1869-6716 (Print); 1613-9860
SP - 713
EP - 721+
ST - Adaptation of an evidence-based, preventive intervention to promote mental health in Hispanic adolescents: eHealth Familias Unidas Mental Health
T1 - Adaptation of an evidence-based, preventive intervention to promote mental health in Hispanic adolescents: eHealth Familias Unidas Mental Health
T2 - Transl Behav Med
TI - Adaptation of an evidence-based, preventive intervention to promote mental health in Hispanic adolescents: eHealth Familias Unidas Mental Health
U1 - Healthcare Disparities; HIT & Telehealth
U3 - 10.1093/tbm/ibae056
VL - 14
VO - 1869-6716 (Print); 1613-9860
Y1 - 2024
ER -