Disseminating early interventions for disaster mental health response using the ECHO model.

Extension for Community Healthcare Outcomes (ECHO)-based telementoring was evaluated for disseminating early disaster interventions, Psychological First Aid (PFA) and Skills for Psychological Recovery (SPR), to school professionals throughout rural, disaster-affected communities further affected by COVID-19. PFA and SPR complemented their Multitiered System of Support: PFA complemented tier 1 (universal) and SPR tier 2 (targeted) prevention. We evaluated the outcomes of a pretraining webinar (164 participants, January 2021) and four-part PFA training (84 participants, June 2021) and SPR training (59 participants, July 2021) across five levels of Moore's continuing medical education evaluation framework: (1) participation, (2) satisfaction, (3) learning, (4) competence, and (5) performance, using pre-, post-, and 1-month follow-up surveys. Positive training outcomes were observed across all five levels, with high participation and satisfaction throughout, and high use at the 1-month follow-up. ECHO-based telementoring may successfully engage and train community providers in these underused early disaster response models. Recommendations regarding training format and using evaluation to improve training are provided.

Effects of a brief parenting intervention on Latinx mothers and their children.

Parent-Child Interactions (PCI) is a home visit parenting intervention designed to promote positive parenting and deter punitive approaches to child behavior management. With attention to the importance of providing efficacious interventions for families from diverse backgrounds, this study used a subsample from a larger randomized controlled trial (RCT) to examine the efficacy of PCI intervention among Latinx participants. PCI was offered to 170 at-risk Latinx mother-child dyads, of whom the majority were primarily Spanish speaking. Dyads were randomly assigned to an intervention or a wait-list control condition. Path analysis modeling was used to examine parenting outcomes as a mediator of program efficacy between group assignment and children's long-term functioning. Results suggest that Latinx parent and child functioning benefited from PCI intervention 6 months following intervention. Specifically, model results indicated significant indirect effects of the PCI intervention on (1) cooperative child behavior and (2) children's externalizing behaviors 6-months posttreatment via parenting at post test, with mother-child dyads assigned to the treatment condition, relative to the control, demonstrating better functioning 6-months posttreatment. Overall, findings contribute to increased understanding of parenting intervention implementation among Latinx families. Recommendations for future study are discussed.

Interacciones entre padres e hijos (Parent-Child Interactions, PCI) es una intervención en la crianza con visitas a los hogares diseñada para promover la crianza positiva y desalentar los métodos correctivos de manejo del comportamiento infantil. Con atención a la importancia de ofrecer intervenciones eficaces para las familias de distintos orígenes, en este estudio se utilize una submuestra de un ensayo controlado aleatorizado más grande para analizar la eficacia de una intervención de PCI entre participantes latinas. Se ofreció la PCI a 170 díadas de madres e hijas latinas en riesgo, de las cuales la mayoría eran principalmente hispanohablantes. Las díadas se asignaron aleatoriamente a un grupo de intervención o de control en lista de espera. Se utilizó el modelo de análisis de ruta para analizar los resultados de la crianza como mediadora de la eficacia del programa entre la distribución a los grupos y el funcionamiento a largo plazo de las niñas. Los resultados sugieren que el funcionamiento de las madres latinas y las niñas se benefició de la intervención de PCI seis meses después de la intervención. Específicamente, los resultados del modelo indicaron efectos indirectos significativos de la intervención de PCI en (1) el comportamiento cooperativo de las niñas y (2) las conductas de exteriorización de las niñas seis meses después del tratamiento mediante la crianza en la evaluación posterior, donde las díadas madre e hija asignadas al grupo de tratamiento, respecto del de control, demostraron un major funcionamiento seis meses después del tratamiento. En general, los resultados contribuyen a una mayor comprensión de la implementación de intervenciones en la crianza entre las familias latinas. Se comentan las recomendaciones para futuros estudios.