Top

International Journal of Mental Health and Addiction

Published in:

01-04-2020 | Original Article

Local Adaptations to Implement the Strengthening Families Program in Northeastern Brazil

Authors: Jordana Calil Lopes de Menezes, Larissa de Almeida Nobre-Sandoval, Sheila Giardini Murta

Published in: International Journal of Mental Health and Addiction | Issue 2/2020

Abstract

Local adaptations can promote user engagement and sustainability in the preventive program. The objective of this study is to evaluate local adaptations of the Strengthening Families Program (SFP) (10-14) for Brazilian families. Data were collected from semi-structured interviews of 42 facilitators who implemented the program. The directed content analysis was the analysis method used. The findings revealed that most facilitators did not make any additions (83.3%), while 50% reported discarding activities, largely due to the lack of time (31.6%). Adaptations were made by 73.2% of the interviewees, which most commonly (32%) addressed examples and linguistic features. Suggestions were made by 58.94% of the interviewees and focused on improving the support systems and delivery of the intervention, as well as the intervention itself to customize it to the socioeconomic and educational conditions of the target group. It was concluded that adaptations to the SFP (10-14) materials and procedures, and improvements in political support and organizational capacity are needed for its implementation.

Abreu, S., & Murta, S. G. (2016). O estado da arte da pesquisa em prevenção em saúde mental no Brasil: uma revisão sistemática. Interação em Psicologia, 20, 101–111. https://doi.org/10.5380/psi.v20i1.34790.CrossRef

Abreu, S., Miranda, A. A. V., & Murta, S. G. (2016). Programas preventivos brasileiros: quem faz e como é feita a prevenção em saúde mental? Psico-USF, 21, 163–177. https://doi.org/10.1590/1413-82712016210114.CrossRef

Allen, D., Coombes, L., & Foxcroft, D. R. (2006). Cultural accommodation of the Strengthening Families Programme 10–14: UK phase I study. Health Education Research, 22(4), 547–560. https://doi.org/10.1093/her/cyl122.CrossRefPubMed

Barrera Jr., M., Berkel, C., & Castro, F. G. (2016). Directions for the advancement of culturally adapted preventive interventions: local adaptations, engagement, and sustainability. Prevention Science: The Official Journal of the Society for Prevention Research, 1–9. https://doi.org/10.1007/s11121-016-0705-9.

Baumann, A. A., Powell, B. J., Kohl, P. L., Tabak, R. G., Penalba, V., Proctor, E. K., et al. (2015). Cultural adaptation and implementation of evidence-based parent-training: a systematic review and critique of guiding evidence. Children and Youth Services Review, 53, 113–120. https://doi.org/10.1016/j.childyouth.2015.03.025.CrossRefPubMedPubMedCentral

Benchaya, M. C., Bisch, N. K., Moreira, T. C., Ferigolo, M., & Barros, H. M. T. (2011). Pais não autoritativos e o impacto no uso de drogas: a percepção dos filhos adolescentes. Jornal de Pediatria (RJ), 87(3), 238–244. https://doi.org/10.1590/S0021-75572011000300010.CrossRef

Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. Nursing Plus Open, 2, 8–14. https://doi.org/10.1016/j.npls.2016.01.001.CrossRef

Bittencourt, A. L. P., França, L. G., & Gondim, J. R. (2015). Adolescência vulnerável: fatores biopsicossociais relacionados ao uso de droga. Revista de Bioética, 23(2), 311–319. https://doi.org/10.1590/1983-80422015232070.CrossRef

Brasil. Ministério da Saúde. Secretaria de Atenção a Saúde. Departamento de Ações Programáticas Estratégicas. (2017). Programa Famílias Fortes: manual do facilitador. Brasília: Ministério da Saúde Retrieved from http://bvsms.saude.gov.br/bvs/publicacoes/familias_fortes.

Burkhart, G. (2015). Is the Strengthening Families Programme feasible in Europe? Journal of Children’s Services, 10(2), 133–150. https://doi.org/10.1108/JCS-02-2014-0009.CrossRef

Castro, A., & Bustamante, I. (2013). Rutas de aprendizaje del Programa Familias Fuertes: amor y límites. Lima: Secretaria General de la Comunidad Andina Retrieved from http://www.comunidadandina.org/StaticFiles/2013214121126Familias_Fuertes.pdf.

Chu, J., & Leino, A. (2017). Advancement in the maturing science of cultural adaptations of evidence-based interventions. Journal of Consulting and Clinical Psychology, 85(1), 45–57. https://doi.org/10.1037/ccp0000145.CrossRefPubMed

Coombes, L., Allen, D. M., & Foxcroft, D. (2012). An exploratory pilot study of the Strengthening Families Programme 10–14 (UK). Drugs: education, prevention and policy, 19(5), 387–396. https://doi.org/10.3109/09687637.2012.658889.CrossRef

Corea M. L., Zubarew T., Valenzuela M. T., & Salas F. (2012). Evaluación del programa "Familias fuertes: amor y límites" en familias con adolescentes de 10 a 14 años. Revista médica de Chile, 140(6), 726–731. https://doi.org/10.4067/S0034-98872012000600005

Dietz, G., Santos, C. G., Hildebrandt, L. M., & Leite, M. T. (2011). As relações interpessoais e o consumo de drogas por adolescentes. SMAD. Revista eletrônica saúde mental álcool e drogas, 7(2), 85–91. https://doi.org/10.11606/issn.1806-6976.v7i2p85-91.CrossRef

Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3–4), 327–350. https://doi.org/10.1007/s10464-008-9165-0.CrossRefPubMed

Gardner, F., Montgomery, P., & Knerr, W. (2016). Transporting evidence-based parenting programs for child problem behavior (age 3–10) between countries: systematic review and meta-analysis. Journal of Clinical Child & Adolescent Psychology, 45(6), 749–762. https://doi.org/10.1080/15374416.2015.1015134.CrossRef

Gottfredson, D. C., Cook, T. D., Gardner, F. E. M., Gorman-Smith, D., Howe, G. W., Sandler, I. N., & Zafft, K. M. (2015). Standards of evidence for efficacy, effectiveness, and scale-up research in prevention science: next generation. Prevention Science, 16, 893–926. https://doi.org/10.1007/s11121-015-0555-x.CrossRefPubMedPubMedCentral

Hill, L. G., Maucione, K., Hood, K., & B. (2007). A focused approach to assessing program fidelity. Prevention Science, 8(1), 25–34. https://doi.org/10.1007/s11121-006-0051-4.CrossRefPubMed

Israelashvili, M. (2019). Parents and substance abuse prevention: current state and future challenges. Pedagogía Social. Revista Interuniversitaria, (34). https://doi.org/10.7179/psri_2019.34.04.

Kumpfer, K. L., & Magalhães, C. (2018). Strengthening Families Program: an evidence-based family intervention for parents of high-risk children and adolescents. Journal of Child & Adolescent Substance Abuse, 27(3), 174–179. https://doi.org/10.1080/1067828X.2018.1443048.CrossRef

Kumpfer, K. L., Pinyuchon, M., Melo, A. T., & Whiteside, H. O. (2008). Cultural adaptation process for international dissemination of the strengthening families program. Evaluation & The Health Professions, 31, 226–239. https://doi.org/10.1177/0163278708315926

Kumpfer, L. K., Molgaard, V., & Spoth, R. (1996). The Strengthening Families Program for the prevention of delinquency and drug use. In R. D. V. Peters & R. J. McMahon (Eds.), Preventing childhood disorders, substance abuse, and delinquency (Vol. 1, pp. 241–267). Thousand Oaks: Sage publications.CrossRef

Kumpfer, K., Magalhães, C., & Xie, J. (2017). Cultural adaptation and implementation of family evidence-based interventions with diverse populations. Prevention Science, 18(6), 649–659. https://doi.org/10.1007/s11121-016-0719-3.CrossRefPubMed

Maalouf, W., & Campello, G. (2014). The influence of family skills programmes in violence indicators: experience from a multi-site project of the United Nations Office on Drugs and Crime in low and middle income countries. Aggression and Violent Behavior, 19, 616–624. https://doi.org/10.1016/j.avb.2014.09.012.CrossRef

Malta, D. C., Machado, Í. E., Felisbino-Mendes, M. S., Prado, R. R. D., Pinto, A. M. S., Oliveira-Campos, M., Souza, M. F. M., & Assunção, A. A. (2018). Uso de substâncias psicoativas em adolescentes brasileiros e fatores associados: Pesquisa Nacional de Saúde dos Escolares, 2015. Revista Brasileira de Epidemiologia, 21, e180004. https://doi.org/10.1590/1980-549720180004.supl.1.CrossRefPubMed

Mejia, A., Leijten, P., Lachman, J. M., & Parra-Cardona, J. R. (2016). Different strokes for different folks? Contrasting approaches to cultural adaptation of parenting interventions. Prevention Science: the official journal of the Society for Prevention Research, 1–10. https://doi.org/10.1007/s11121-016-0671-2.

Mejía, A., Bertello, L., Gil, J., Griffith, J., López, A. I., Moreno, M., & Calam, R. (2019). Evaluation of family skills training programs to prevent alcohol and drug use: a critical review of the field in Latin America. International Journal of Mental Health and Addiction., 1–18. https://doi.org/10.1007/s11469-019-00060-x.

Menezes, J. C. L., & Murta, S. G. (2019). The process of cultural adaptation of the Strengthening Families Program (10-14) in around world: an integrative review. Trends in Psychology, accepted.

Miranda, A. A. V. (2016). Prevenindo o uso abusivo de drogas: uma análise da difusão do Programa Famílias Fortes no Brasil (Master Dissertation). Universidade de Brasília. Retrieved from https://repositorio.unb.br/handle/10482/21363

Moore, J. E., Bumbarger, B. K., & Cooper, B. R. (2013). Examining adaptations of evidence-based programs in natural contexts. Journal of Primary Prevention, 34(3), 147–161. https://doi.org/10.1007/s10935-013-0303-6.CrossRefPubMed

Molgaard, V. K., Spoth, R. L., & Redmond, C. (2000). Competency training. The Strengthening Families Program: For Parents and Youth 10–14. Office of Juvenile Justice and Delinquency Prevention. Retrived from https://www.ncjrs.gov/html/ojjdp/2000_8_1/contens.html

Murta, S. G., Nobre-Sandoval, L. A., Pedralho, M. S., Tavares, T. N. G., & Ramos, C. E. P. L. (2018). Needs assessment for cultural adaptation of the Strengthening Families Program (SFP 10-14-UK) in Brazil. Psicologia: Reflexão e Crítica, 31(25), 1–12. https://doi.org/10.1186/s41155-018-0105-0.CrossRef

Newton, N. C., Champion, K. E., Slade, T., Chapman, C., Stapinski, L., Koning, I., Tonks, Z., & Teesson, M. (2017). A systematic review of combined student- and parent-based programs to prevent alcohol and other drug use among adolescents. Drug and Alcohol Review, 36, 337–351. https://doi.org/10.1111/dar.12497.CrossRefPubMed

Orpinas, P., Ambrose, A., Maddaleno, M., Vulanovic, L., Mejia, M., Butrón, B., Soriano, I. (2014). Lessons learned in evaluating the Familias Fuertes program in three countries in Latin America. Revista Panamericana de Salud Pública, 36(6), 383–390. https://doi.org/10.1007/s10566-011-9170-6

Orte-Socias, C., & Amer-Fernández, J. (2014). Cultural adaptations of the Strengthening Families Program in Europe: A case example of an evidencebased family education program. Estudios sobre Educación, 26, 175-195. https://doi.org/10.15581/004.26.175-195

Ortega, E., Giannotta, F., Latina, D., & Ciairano, S. (2012). Cultural adaptation of the Strengthening Families Program 10–14 to Italian families. Child & Youth Care Forum, 41(2), 197–212 Retrieved from http://link-springer-com.ez54.periodicos.capes.gov.br/article/10.1007/s10566-011-9170-6#/page-1.CrossRef

Pedersen, G. A., Smallegange, E., Coetzee, A., Hartog, K., Turner, J., Jordans, M. J., & Brown, F. L. (2019). A systematic review of the evidence for family and parenting interventions in low-and middle-income countries: child and youth mental health outcomes. Journal of Child and Family Studies, 28, 1–20. https://doi.org/10.1007/s10826-019-01399-4.CrossRef

Pérez, J. M. E., Díaz, S. A. H., Villa, R. S., Fernández-Hermida, J. R., Carballo, J. L., & García-Rodríguez, O. (2009). Prevención familiar del consumo de drogas: El programa Familias que Funcionan. Psicothema, 21(1), 45–50 Retrieved from http://www.unioviedo.es/reunido/index.php/PST/article/view/8794.

Pfandenhauer, L. M., Gerhardus, A., Mozygemba, K., Lysdahl, K. B., Booth, A., Hofman, B., et al. (2017). Making sense of complexity in context and implementation: the context and implementation of complex interventions (CICI) framework. Implementation Science, 12, 21. https://doi.org/10.1186/s13012-017-0552-5.CrossRef

Pickett, K. E., & Wilkinson, R. G. (2015). Income inequality and health: a causal review. Social Science and Medicine, 128, 316–326. https://doi.org/10.1016/j.socscimed.2014.12.031.CrossRefPubMed

Roulette, J. W., Hill, L. G., Diversi, M., & Overath, R. (2017). Cultural adaptations of the Strengthening Families Programme 10-14 in the US Pacific Northwest: a qualitative evaluation. Health Education Journal, 76(2), 169–181. https://doi.org/10.1177/0017896916654726.CrossRef

Segrott, J., Holliday, J., Rothwell, H., Foxcroft, D., Murphy, S., Scourfield, J., Hood, K., & Moore, L. (2014). Cultural adaptation and intervention integrity: a response to Skärstrand, Sundell and Andréasson. The European Journal of Public Health, 24(3), 354–355. https://doi.org/10.1093/eurpub/cku039.CrossRefPubMedPubMedCentral

Shelton, R. C., Cooper, B. R., & Stirman, S. W. (2018). The sustainability of evidence-based interventions and practices in public health and health care. Annual Review of Public Health, 39, 55–76. https://doi.org/10.1146/annurev-publhealth-040617-014731.CrossRefPubMed

Skärstrand, E., Larsson, J., & Andréasson, S. (2008). Cultural adaptation of the Strengthening Families Programme to a Swedish setting. Health Education, 108(4), 287–300 Retrieved from https://www.researchgate.net/publication/228858903_Cultural_adaptation_of_the_Strengthening_Families_Programme_to_a_Swedish_setting.CrossRef

Stirman, S. W., Miller, C. J., Toder, K., & Calloway, A. (2013). Development of a framework and coding system for modifications and adaptations of evidence-based interventions. Implement Science, 8(65), 1–12. https://doi.org/10.1186/1748-5908-8-65.CrossRef

Stolle, M., Stappenbeck, J., Wendell, A., & Thomasius, R. (2011). Family-based prevention against substance abuse and behavioral problems: culture-sensitive adaptation process for the modification of the US-American Strengthening Families Program 10–14 to German conditions. Journal of Public Health, 19(4), 389–395 Retrieved from http://link.springer.com/article/10.1007%2Fs10389-011-0405-7?LI=true.CrossRef

Tronco, G. B., & Ramos, M. P. (2017). Linhas de pobreza no Plano Brasil Sem Miséria: análise crítica e proposta de alternativas para a medição da pobreza conforme metodologia de Sonia Rocha. Revista de Administração Pública, 51(2), 294–311. https://doi.org/10.1590/0034-7612162786.CrossRef

United Nations Educational, Scientific and Cultural Organization. (2016). Global education monitoring report (GEM Report). Retrieved from http://unesdoc.unesco.org/images/0024/002457/245752e.pdf

Van Ryzin, M. J., Roseth, C. J., Fosco, G. M., Lee, Y., & Chen, I. (2016). A component-centered meta-analysis of family-based prevention programs for adolescent substance use. Clinical Psychology Review, 45, 72–80. https://doi.org/10.1016/j.cpr.2016.03.007.CrossRefPubMedPubMedCentral

Vasquez, M., Mesa, L., Almandarez, O., Santos, A., Matute, R., Diaz, L., Saenz, K. (2010). Evaluation of a Strengthening Families (Familias Fuertes) Intervention for Parents and Adolescents in Honduras. The Southern Online Journal of Nursing Research, 10(3), 1–25. Retrieved from https://www.snrs.org/sites/default/files/SOJNR/2010/Vol10Num03Art01.pdf

Wang, M., & Lam, Y. (2017). Evidence-based practice in special education and cultural adaptations: challenges and implications for research. Research and Practice for Persons with Severe Disabilities, 42(1), 53–61. https://doi.org/10.1177/1540796916685872.CrossRef

Title: Local Adaptations to Implement the Strengthening Families Program in Northeastern Brazil
Authors: Jordana Calil Lopes de Menezes
Larissa de Almeida Nobre-Sandoval
Sheila Giardini Murta
Publication date: 01-04-2020
Publisher: Springer US
Published in: International Journal of Mental Health and Addiction / Issue 2/2020
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-019-00196-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Local Adaptations to Implement the Strengthening Families Program in Northeastern Brazil

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2020

An Exploration of the Relational Autonomy of People with Substance Use Disorders: Constraints and Limitations

Evaluation of Family Skills Training Programs to Prevent Alcohol and Drug Use: A Critical Review of the Field in Latin America

Parental Influences on Adolescent Major Depressive Symptoms and Marijuana Use

A Qualitative Analysis of the Perceived Advantages and Disadvantages of Continuing or Discontinuing Substance Use Among Mexicans Seeking Treatment

Evaluation of the Prevention Program “Brief Intervention Based on Motivational Interviewing” in Colombian Adolescents

Effect of Monitoring the Compliance of Banning Alcohol Sales to Minors in the Volume of Underage Acute Alcohol Intoxication Cases in Mexico: A Controlled ITSA Analysis