Title:
Family Functioning in Hispanic Parents of Adolescents: Who Benefits Most from a Family-Based HIV and Substance Use Preventive Intervention?
Author:
Lourdes Rojas
Date:
2019
Executive Summary:
Family-based, evidence-based interventions (EBIs) have been found to not only prevent adolescent mental and behavioral health problems, but also improve general family functioning. Unfortunately, family-based EBIs are resource intensive and not widely-disseminated for population-scale impact. The resources associated with implementing and disseminating EBIs must be efficiently allocated to families who are likely to benefit most. Yet, how do we predict who benefits most? Prevention scientists have hypothesized that identifying families based on baseline family functioning, the key modifiable determinant of family-based EBIs, may best predict who is likely to benefit most. In this dissertation, we applied this logic to an evidence-based, Hispanic-specific, family-centered preventive intervention, Familias Unidas. Utilizing a pooled data set of four completed efficacy and effectiveness trials of Familias Unidas (N=1445 Hispanic families), we conducted a series of secondary data analyses to fulfill three objectives: 1) confirm a parsimonious measure of family functioning for Hispanic parents at baseline, 2) identify whether heterogenous subgroups of parents who have similar family functioning characteristics at baseline exist, and 3) test whether the indirect effect of intervention on adolescent behavioral health outcomes (at follow-up) through family functioning (post-intervention) significantly differ by the defined subgroups from the second objective. We discuss the implications of our findings for screening and targeting of parents who are most likely to benefit from family-based preventive interventions.
