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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Attendance Patterns and Links to Non-Response on Child Report of Internalizing among Mexican-Americans Randomized to a Universal Preventive Intervention
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Attendance Patterns and Links to Non-Response on Child Report of Internalizing among Mexican-Americans Randomized to a Universal Preventive Intervention

机译：出勤模式和对儿童报告的非反应联系，墨西哥裔美国人内化随机预防普遍预防干预

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Abstract We examined attendance trajectory profiles among 335 Mexican-American families participating in an 11-week universal intervention to explore if heterogeneity in attendance and thus dosage was associated with intervention response, defined as pre-to-2-year post (T2) reductions in child report of internalizing symptoms. We estimated trajectories accounting for the influence of baseline covariates, selected based on the Health Belief Model (HBM) and Latino family research, to understand covariate associations with trajectories. Results supported six attendance trajectory groups: non-attenders (NA), early dropouts-low internalizing (EDO-LI), early dropouts-high internalizing (EDO-HI), mid-program dropouts (MPDO), sustained attenders-low internalizing (SA-LI), and sustained attenders-high internalizing (SA-HI). All groups except EDO-HI showed significant pre-to-post change on child report of internalizing; however, trajectory groups reflecting more attendance did not have greater pre-to-post change. Nonetheless, child report of internalizing differentiated two subgroups of sustained attenders and two subgroups of early dropouts. These results suggest heterogeneity among families with similar patterns of attendance and highlight the importance of modeling this heterogeneity. Although life stress was a barrier to participation, there was minimal support for the HBM. Cultural influences, acculturation, and familism, played a more prominent role in distinguishing trajectories. As expected, the EDO-HI group was less acculturated than both sustained attender groups and reported weaker familism values than the SA-HI group. However, unexpectedly, the SA-LI group had lower familism than the EDO-LI group. The results suggest that the influence of culture on participation is nuanced and may depend on child symptomatology.
机译：摘要我们在参加11周墨西哥人家庭之间进行了考察轨迹概况，参加了11周的普遍干预，如果出席的异质性和因素与干预答复相关，那么被定义为2年前（T2）减少儿童报告内化症状。我们估计基于健康信仰模式（HBM）和拉丁裔家庭研究的基线协变量影响的轨迹占基线协变量的影响，了解与轨迹的协变协会协会。结果支持六个出勤轨迹组：非参加者（NA），早期辍学 - 低内化（EDO-LI），早期辍学 - 高内置（EDO-HI），中程序辍学（MPDO），持续的参加者 - 低内化（ Sa-Li），持续的参加者 - 高层内化（SA-HI）。除Edo-HI外的所有组显示内化的儿童报告的显着预先改变;然而，反映更多出勤的轨迹群体没有更大的后果预变化。尽管如此，儿童报告对持续有持续有持续有持续有持续服务员的两个亚组和早期辍学的两个亚组。这些结果表明，具有类似出勤模式的家庭之间的异质性，并突出了模拟这种异质性的重要性。虽然生命压力是参与的障碍，但对HBM的支持很小。文化影响，文化和家庭主义在区分轨迹中发挥了更加突出的作用。正如预期的那样，EDO-HI群体少于持续的患者群体，报告的家庭主义值较弱，而不是SA-HI集团。然而，出乎意料的是，Sa-Li集团的家庭主义比Edo-Li集团较低。结果表明，文化对参与的影响是对细胞有细致的，可能取决于儿童症状。

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