The development of a culturally relevant preventive intervention

Abstract

Researchers often publish the numerical findings of their intervention studies while overlooking the experiential findings that could help promote more appropriate and effective interventions in the future. The present paper describes the process by which we developed a culturally relevant preventive intervention for Korean American adolescents aged 11 to 14 years and their parents. We discuss the main findings of a series of pilot studies and demonstrated how lessons learned from each study guided the development process and informed the research that followed. Program development is an iterative process that incorporates feedback from study participants. Cultural relevance is ensured when participants’ voices are reflected in the program development, implementation, and evaluation process. The final outcome of the development process was the preventive intervention improving parent-child relationships, increasing parental knowledge, enhancing parental self-efficacy, and decreasing parental stress among Korean American parents, and ultimately promoting Korean American adolescents’ mental health. The specific aims of this two-group, repeated-measures, controlled randomized study were to test the feasibility of the PRIDE (Promoting Intergenerational Dialogue about Emotional Problems) intervention and to compare its efficacy with an attention control (AC) group regarding parental knowledge, parental and filial self-efficacy, parent-child (P-C) communication, P-C conflicts, and P-C satisfaction.

Share and Cite:

Choi, H. (2012) The development of a culturally relevant preventive intervention. Open Journal of Nursing, 2, 123-129. doi: 10.4236/ojn.2012.22019.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Kim, E. and Wolpin, S. (2008) The Korean American family: Adolescents versus parents acculturation to American culture. Journal of Cultural Diversity, 15, 108-116.
[2] Choi, H. and Dancy, B.L. (2009) Korean American adolescents’ and their parents’ perceptions of acculturative stress. Journal of Child and Adolescent Psychiatric Nursing, 22, 203-210. doi:10.1111/j.1744-6171.2009.00200.x
[3] Choi, H., Dancy, B.L. and Lee, J. (in press) Raising children in America: Korean parents’ experiences. Journal of Psychiatric and Mental Health Nursing.
[4] Sohn, S. and Wang, X. C. (2006) Immigrant parents’ involvement in American schools: Perspectives from Korean mothers. Early Childhood Education Journal, 34, 125-132. doi:10.1007/s10643-006-0070-6
[5] Park, W. (2009) Parental attachment among Korean-American adolescents. Child and Adolescent Social Work Journal, 26, 307-319. doi:10.1007/s10560-009-0164-2
[6] Cho, S. and Bae, S.W. (2005) Demography, psychosocial factors, and emotional problems of Korean American adolescents. Adolescence, 40, 533-550.
[7] Kim, E. and Hong, S. (2007) First-generation Korean-American parents’ perceptions of discipline. Journal of Professional Nursing, 23, 60-68. doi:10.1016/j.profnurs.2006.12.002
[8] Kim, S.S. (2004) The experiences of young Korean immigrants: A grounded theory of negotiating social, cultural, and generational boundaries. Issues in Mental Health Nursing, 25, 517-537. doi:10.1080/01612840490443464
[9] Sue, D.W. and Sue, D. (2003) Counseling the culturally diverse: Theory and practice. 4th Edition, John Wiely & Sons, New York.
[10] Kang, C.H. (1996). Acculturation stress, family environment and the psychological adjustment of Korean American adolescents. California School of Professional Psychology, Los Angeles.
[11] Kim, I.J., Lee, Y.S.C., Nguyen, V. and Kim, P.Y. (2006) Role of anger and family conflict in Korean-American adolescents’ depressive symptoms. The 114th Annual Convention of the American Psychological Association, New Orleans, 10-13 August 2006.
[12] Lau, A.S., Jernewall, N.M., Zane, N. and Myers, H.F. (2002) Correlates of suicidal behaviors among Asian American outpatient youths. Cultural Diversity and Ethnic Minority Psychology, 8, 199-213. doi:10.1037/1099-9809.8.3.199
[13] Park, M. (2005) The communication problem between Korean American adolescents and their parents. Journal of Christian Education and Information Technology, 8, 281-305.
[14] Yeh, C.J. (2003) Age, acculturation, cultural adjustment, and mental health symptoms of Chinese, Korean, and Japanese immigrant youths. Cultural Diversity and Ethnic Minority Psychology, 9, 34-48. doi:10.1037/1099-9809.9.1.34
[15] O’Connell, M.E., Boat, T. and Warner, K.E. (2009) Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. The National Academies Press, Washington DC.
[16] Kumpfer, K.L., Alvarado, R., Smith, P. and Bellamy, N. (2002) Cultural Sensitivity and adaptation in family-based prevention interventions. Prevention Science, 3, 241-246. doi:10.1023/A:1019902902119
[17] Xiong, Z.B., Detzner, D.F., Keuster, Z.H., Eliason, P.A. and Allen, R. (2006) Developing culturally sensitive parent education programs for immigrant families: The Helping youth succeed curriculum. Hmong Studies Journal, 7, 1-29.
[18] Cardona, J.P., Holtrop, K., CoRdova, J.D., Escobar-Chew, A.R., Horsford, S. and Tams, L., et al. (2009) Queremos aprender? Latino immigrants’ call to integrate cultural adaptation with best practice knowledge in a parenting intervention. Family Process, 48, 211-231. doi:10.1111/j.1545-5300.2009.01278.x
[19] Choi, H. (2007) Changing parent-child relationship: A case of Korean American family. Symposium conducted at the 4th Annual Conference of the Asian American/Pacific Islander Association, San Francisco, 31 March-1 April 2007.
[20] US Census Bureau (2004) We the people: Asians in the United States. Census 2000 special reports. http://www.census.gov/prod/2004pubs/ensr-17.pdf
[21] Siegel, P., Martin, E. and Bruno, R. (2001) Language use and linguistic isolation: Historical data and methodological issues. Federal Committee on Statistical Methodology (FCSM) Statistical Policy Seminar, Bethesda, 8-9 November 2000.
[22] Fraenkel, P. (2006) Engaging families as experts: Collaborative family program development. Family Process, 45, 237-257. doi:10.1111/j.1545-5300.2006.00093.x
[23] Reese, L.R.E. and Vera, E.M. (2007) Culturally relevant prevention: The scientific and practical considerations of community-based programs. The Counseling Psychologist, 35, 763-778. doi:10.1177/0011000007304588
[24] Sandelowski, M. (2000) Whatever happened to qualitative description? Research in Nursing & Health, 23, 334-340.
[25] Krueger, R.A. and Casey, M.A. (2000) Focus groups: A practical guide for applied research. 3rd Edition, Sage Publications, Thousand Oaks.
[26] Murdaugh, C., Russell, R.B. and Sowell, R. (2000) Using focus groups to develop a culturally sensitive videotape intervention for HIV-positive women. Journal of Advanced Nursing, 32, 1507-1513. doi:10.1046/j.1365-2648.2000.01610.x

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.