Abstract
Parenting in 2 Worlds (P2W) is a culturally grounded parenting intervention that addresses the distinctive social and cultural worlds of urban American Indian (AI) families. P2W was culturally adapted through community-based participatory research in three urban AI communities with diverse tribal backgrounds. This paper reports the immediate outcomes of P2W in a randomized controlled trial, utilizing data from 575 parents of AI children (ages 10–17). Parents were assigned to P2W or to the comparison group, an informational family health curriculum, Healthy Families in 2 Worlds (HF2W). Both the P2W and HF2W curricula consisted of 10 workshops delivered weekly by AI community facilitators. Pretests were administered at the first workshop and a post-test at the last workshop. Tests of the efficacy of P2W versus HF2W on parenting skills and family functioning were analyzed with pairwise t tests, within intervention type, and by baseline adjusted path models using FIML estimation in Mplus. Intervention effect sizes were estimated with Cohen’s d. Participants in P2W reported significant improvements in parental agency, parenting practices, supervision and family cohesion, and decreases in discipline problems and parent-child conflict. Compared to HF2W, P2W participants reported significantly larger increases in parental self-agency and positive parenting practices, and fewer child discipline problems. Most of these desired program effects for P2W approached medium size. Culturally adapted parenting interventions like P2W can effectively strengthen parenting practices and family functioning among urban AI families and help address their widespread need for targeted, culturally grounded programs.
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Notes
We use the terms urban Indian center and urban Indian community, rather than urban American Indian or urban American Indian/Alaska Native, as they are commonly used by community members and organizations serving them.
References
Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: a practical and powerful approach to multiple testing. Journal of the Royal Statistical Society, 57, 289–300.
Castro, F. G., Barrera, M., Jr., & Martinez, C. R., Jr. (2004). The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prevention Science, 5, 41–45.
Chewning, B., Douglas, J., Kokotailo, P. K., LaCourt, J., Clair, D., & Wilson, D. (2001). Protective factors associated with American Indian adolescents’ safer sexual patterns. Maternal and Child Health Journal, 5, 273–280.
Coleman, P. K., & Karraker, K. H. (2000). Self-efficacy among mothers of school-age children: Conceptualization, measurement and correlates. Family Relations, 49, 13–24.
Corbin, J., & Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory (4th ed.). London: Sage Publications.
Davis, B., Dionne, R., & Fortin, M. (2014). Parenting in two cultural worlds in the presence of one dominant worldview: The American Indian experience. In H. Selin (Ed.), Parenting across cultures (pp. 367–377). Dordrecht: Springer.
Doyle, S.R. & McCarty, C.A. (2001). Supervision Questionnaire—Child (Grade 8, Year 9 Update) (Technical Report) [On-line]. Available: http://www.fasttrackproject.org/
Dumka, L. E., Soterzinger, H. D., Jackson, K. M., & Roosa, M. W. (1996). Examination of cross-cultural and cross-language equivalence of the parenting self-agency measure. Family Relations, 45, 216–222.
Everett, F., Proctor, N., & Cartmell, B. (1983). Providing psychological services to American Indian children and families. Professional Psychology: Research and Practice, 14, 588–603.
Garrett, M. T. (1996). ‘Two people’: An American Indian narrative of bicultural identity. Journal of American Indian Education, 36, 1–21.
Garrett, J. T., & Garrett, M. W. (1994). The path of good medicine: Understanding and counseling Native American Indians. Journal of Multicultural Counseling & Development, 22, 134–144.
Graham, J. W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576.
Herring, R. D. (1997). Counseling diverse ethnic youth: Synergetic strategies and interventions for school counselors. Fort Worth: Harcourt Brace.
Israel, B. A., Krieger, J., Vlahov, D., Ciske, S., Foley, M., Fortin, P., & Tang, G. (2006). Challenges and facilitating factors in sustaining community-based participatory research partnerships: lessons learned from the Detroit, New York City and Seattle Urban Research Centers. Journal of Urban Health, 83, 1022–1040.
Kelly, K. J., Comello, M. L. G., & Hunn, L. C. (2002). Parent-child communication, perceived sanctions against drug use, and youth drug involvement. Adolescence, 3, 775–787.
Kulis, S., Ayers, S. L., & Baker, T. M. (2015). Parenting in 2 Worlds: Pilot results from a culturally adapted parenting program for urban American Indians. The Journal of Primary Prevention, 36, 65–70. doi:10.1007/s10935-014-0376-x.
Kunitz, S. J., & Levy, J. E. (1994). Drinking careers: A twenty-five year study of three Navajo populations. New Haven: Yale Univ. Press.
LaFromboise, T. D., & Dizon, M. R. (2003). American Indian children and adolescents. In J. Taylor Gibbs & L. N. Huang (Eds.), Children of color: Psychological interventions with culturally diverse youth (2nd ed., pp. 45–90). San Francisco: Jossey Bass.
LaFromboise, T. D., Heyle, A. M., & Ozer, E. J. (1990). Changing and diverse roles of women in AI cultures. Sex Roles, 22, 455–476.
LaFromboise, T., Coleman, H. L., & Gerton, J. (1993). Psychological impact of biculturalism: Evidence and theory. Psychological Bulletin, 114, 395.
LaFromboise, T. D., Albright, K., & Harris, A. (2010). Patterns of hopelessness among American Indian adolescents: Relationships by levels of acculturation and residence. Cultural Diversity and Ethnic Minority Psychology, 16, 68–76.
Leinhardt, G. (1992). What research on learning tells us about teaching. Educational Leadership, 49, 20–25.
Li, X., Stanton, B., & Feigelman, S. (2000). Impact of perceived parental monitoring on adolescent risk behavior over 4 years. Journal of Adolescent Health, 27, 49–56.
Lobo, S. (2009). Urban clan mothers: Key households in cities. In S. A. Krouse & H. A. Howard (Eds.), Keeping the campfires going: Native women's activism in urban communities (pp. 1–21). Lincoln: University of Nebraska Press.
Loeber, R., Farrington, D. P., Stouthamer-Loeber, M., & Van Kammen, W. (Eds.). (1998). Antisocial behavior and mental health problems: Explanatory factors in childhood and adolescence. Mahwah: Lawrence Erlbaum.
Machamer, A. M., & Gruber, E. (1998). Secondary school, family, and educational risk: Comparing American Indian adolescents and their peers. The Journal of Educational Research, 91, 357–369.
Macvean, M., Shlonsky, A., Mildon, R., & Devine, B. (2015). Parenting interventions for Indigenous child psychosocial functioning. A scoping review. Research on Social Work Practice. doi:10.1177/1049731514565668. Advance online publication.
Marsiglia, F. F., Ayers, S. L., Baldwin-White, A., & Booth, J. (2016). Changing Latino adolescents’ substance use norms and behaviors: The effects of synchronized youth and parent drug use prevention interventions. Prevention Science, 17, 1–12. doi:10.1007/s11121-015-0574-7.
Mmari, K. K. N. (2010). What increases risk and protection for delinquent behaviors among American Indian youth?: Findings from 3 tribal communities. Youth & Society, 41, 382–413.
Moran, J. R., & Reaman, J. A. (2002). Critical issues for substance abuse prevention targeting American Indian youth. The Journal of Primary Prevention, 22, 201–233.
Muthén, L. K., & Muthén, B. O. (2012). Mplus Statistical Analysis with latent variables, version 7. Los Angeles: Muthén & Muthén.
Norris, T., Vines, P. L., & Hoeffel, E. M. (2012). The American Indian and Alaska Native population: 2010. Washington: US Census Bureau.
Olson, D. H., Portner, J., & Lavee, Y. (1985). FACES-III. St Paul: Family Social Science, University of Minnesota.
Paper, J. (2007). Native North American religious traditions: Dancing for life. Praeger: Westport.
Profe, W., & Wild, L. G. (2015). Mother, father, and grandparent involvement associations with adolescent mental health and substance use. Journal of Family Issues. doi:10.1177/0192513X15583069. Advance online publication.
Rai, A. A., Stanton, B., Wu, Y., Li, X., Galbraith, J., Cottrell, L., Pack, R., Harris, C., D’Alessandri, & Burns, J. (2003). Relative influences of perceived parental monitoring and perceived peer involvement on adolescent risk behaviors: An analysis of six cross-sectional data sets. Journal of Adolescent Health, 33, 108–118.
RedHorse, J. G., Lewis, R., Feit, M., & Decker, J. (1978). Family behavior of urban American Indians. Social Casework, 59, 67–72.
Reeves, L. R., Dustman, P. A., Harthun, M. L., Kulis, S., & Brown, E. F. (2014). American Indians’ cultures: How CBPR illuminated inter-tribal cultural elements fundamental to an adaptation effort. Prevention Science, 15, 547–556. doi:10.1007/s11121-012-0361-7.
Resnicow, K., Soler, R., Braithwait, R. L., Ahluwalia, J. S., & Butler, J. (2000). Cultural sensitivity in substance abuse prevention. Journal of Community Psychology, 28, 271–290.
Robin, A. L., & Foster, S. L. (2003). Negotiating parent-adolescent conflict: A behavioral-family systems approach. New York: Guilford Press.
Seideman, R. Y., Jacobson, S., Primeaux, M., Burns, P., & Weatherby, F. (1996). Assessing American families. The American Journal of Maternal/Child Nursing, 21, 274–279.
Swaim, R. C., Oetting, E. R., Jumper Thurman, P., Beauvais, F., & Edwards, R. W. (1993). American Indian adolescent drug use and socialization characteristics: A cross-cultural comparison. Journal of Cross-Cultural Psychology, 24, 53–70.
Szapocznik, J., & Coatsworth, J. D. (1999). An ecodevelopmental framework for organizing risk and protection for drug abuse: A developmental model of risk and protection. In M. Glantz & C. R. Hartel (Eds.), Drug abuse: origins and interventions (pp. 331–366). Washington: American Psychological Association.
Tolan, P. H., & Larsen, R. (2014). Trajectories of life satisfaction during middle school: Relations to developmental‐ecological microsystems and student functioning. Journal of Research on Adolescence, 24, 497–511.
Tolan, P. H., Gorman-Smith, D., & Henry, D. B. (2000). Chicago youth development study parenting practices measure: Instructions for scaling technical report. Chicago: Families and Communities Research Group, Institute for Juvenile Research, Department of Psychiatry, The University of Illinois at Chicago.
Vogt, L. A., Jordan, C., & Tharp, R. G. (1987). Explaining school failure, producing school success: Two cases. Anthropology and Education Quarterly, 18, 276–286.
Walters, K. L. (1999). Urban American Indian identity attitudes and acculturation styles. Journal of Human Behavior in the Social Environment, 2, 163–178.
Weaver, H. N., & White, B. J. (1997). The Native American family circle: Roots of resiliency. Journal of Family Social Work, 2, 67–79.
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The study was funded by the National Institutes of Health (award R01MD006110).
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All study procedures involving human participants were in accordance with the ethical standards of the researchers’ university Institutional Review Board and with the 1964 Helsinki declaration and its later amendments of comparable ethical standards.
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Participants gave active informed consent through non-coercive procedures. They were informed that the questionnaire was part of a university research project, completing it was voluntary, and their answers were confidential. They could return a signed consent form and complete the questionnaire, or return an unsigned consent and blank questionnaire. Those who did not consent were eligible and encouraged to attend all workshops.
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Kulis, S.S., Ayers, S.L., Harthun, M.L. et al. Parenting in 2 Worlds: Effects of a Culturally Adapted Intervention for Urban American Indians on Parenting Skills and Family Functioning. Prev Sci 17, 721–731 (2016). https://doi.org/10.1007/s11121-016-0657-0
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DOI: https://doi.org/10.1007/s11121-016-0657-0