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Using stakeholder perspectives to guide systematic adaptation of an autism mental health intervention for Latinx families: A qualitative study
Author(s) -
Chlebowski Colby,
HurwichReiss Eliana,
Wright Blanche,
BrookmanFrazee Lauren
Publication year - 2020
Publication title -
journal of community psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.585
H-Index - 86
eISSN - 1520-6629
pISSN - 0090-4392
DOI - 10.1002/jcop.22296
Subject(s) - thematic analysis , mental health , intervention (counseling) , stakeholder , applied psychology , psychology , focus group , adaptation (eye) , randomized controlled trial , coding (social sciences) , qualitative research , medical education , clinical psychology , medicine , psychotherapist , psychiatry , public relations , social science , statistics , surgery , mathematics , marketing , neuroscience , sociology , political science , business
Embedded within a Hybrid Type 1 randomized effectiveness‐implementation trial in publicly funded mental health services, the current study identified stakeholder recommendations to inform cultural adaptations to An Individualized Mental Health Intervention for Autism Spectrum Disorder (AIM HI) for Latinx and Spanish‐speaking families. Recommendations were collected through focus groups with therapists ( n = 17) and semi‐structured interviews with Latinx parents ( n = 29). Relevant themes were identified through a rapid assessment analysis process and thematic coding of interviews. Adaptations were classified according to the Framework for Reporting Adaptations and Modifications‐Enhanced (FRAME) to facilitate fit, acceptability, and sustained implementation of AIM HI and classify the content, nature, and goals of the adaptations. Recommended adaptations were classified through FRAME as tailoring training and intervention materials, changing packaging or materials, extending intervention pacing, and integrating supplemental training strategies. Goals for adaptations included improving fit for stakeholders, increasing parent engagement, and enhancing intervention effectiveness. The current study illustrates the process of embedding an iterative process of intervention adaptation within a hybrid effectiveness‐implementation trial. The next steps in this study are to integrate findings with implementation process data from the parent trial to develop a cultural enhancement to AIM HI and test the enhancement in a Hybrid Type 3 implementation–effectiveness trial.