The objective of this study is to harness digital technology to bring to scale a culturally adapted and evidence-based parenting intervention for Latinos (Nuestras Familias: Andando Entre Culturas). The Latino Youth and Family Empowerment - III study (LYFE-III) proposed here will adapt, scale, and evaluate the efficacy of an online version of Nuestras Familias with Latino parents and youth in a randomized controlled trial (RCT). The specific aims are as follows:
Aim 1. To adapt the Nuestras Familias intervention to an online format that can be widely accessed by underserved Latino families. This process includes intervention refinement, enhancing efficiency, and manualization of intervention content
Aim 2. Conduct a small randomized controlled pilot trial to (a) test the online program's promise while evaluating changes in target mechanisms of action (i.e., parenting practices) and their subsequent effects on youth mental health outcomes; and (b) to evaluate the feasibility, appropriateness, and acceptability of the online version of the Nuestras Familias intervention.
The family identifies as Latino or Hispanic.
The family includes a child in the sixth or seventh grade.
The child is newly enrolled in or has recently begun receiving services through Breakthrough Central Texas.
At least one parent or primary caregiver speaks Spanish.
The parent or primary caregiver is currently participating in another parenting education or parent-training program.
A participating parent or child has an active, severe mental health condition, such as schizophrenia or another psychotic disorder, that would make participation in a preventive parenting program inappropriate.
A participating parent or child has mental health or substance-use needs that, after review by a study psychologist, require a higher level of care than the LYFE-III prevention program provides.
The parent or child is unable or unwilling to complete the study procedures or participate in the assigned study condition.
Parallel
Parenting Intervention
BehavioralLYFE-III is a culturally adapted, self-guided online parenting intervention delivered to parents of Latino youth over approximately four months. Parents receive sequential access to one digital module per week. Modules address parental involvement, monitoring, positive reinforcement and skill encouragement, consistent discipline, family communication, problem solving, and culturally relevant experiences such as familismo, respeto, parent-youth differences in acculturation, discrimination, and structural barriers. Modules include brief presentations, video demonstrations and role plays, interactive activities, summaries, and home-practice exercises. Engagement supports include weekly program-related messages, progress tracking, periodic contact from the research team, and an online discussion forum where parents can discuss their practice experiences and receive feedback.
Change in Parent-Reported and Youth-Reported General Parenting Scale Mean Score From Baseline to Immediately Post-Intervention
The 9-item General Parenting Scale assesses parents' perceived ability to use effective parenting practices, including communication, problem solving, encouragement, limit setting, monitoring, positive involvement, consistent discipline, and implementation of consequences. Each item is scored from 1 to 5. The mean score ranges from 1 to 5, with higher scores indicating more effective parenting practices.
Mean Acceptability of Intervention Measure Score Immediately Post-Intervention
The 4-item Acceptability of Intervention Measure assesses the extent to which participants perceive LYFE-III as agreeable, appealing, and satisfactory. Items are scored from 1 (completely disagree) to 5 (completely agree), and responses are averaged. Mean scores range from 1 to 5, with higher scores indicating greater intervention acceptability. This outcome is assessed among participants assigned to the LYFE-III intervention.
Mean Intervention Appropriateness Measure Score Immediately Post-Intervention
The 4-item Intervention Appropriateness Measure assesses the perceived fit, relevance, suitability, and applicability of LYFE-III. Items are scored from 1 (completely disagree) to 5 (completely agree), and responses are averaged. Mean scores range from 1 to 5, with higher scores indicating greater perceived appropriateness. This outcome is assessed among participants assigned to the LYFE-III intervention.
Mean Feasibility of Intervention Measure Score Immediately Post-Intervention
The 4-item Feasibility of Intervention Measure assesses the extent to which participants perceive LYFE-III as implementable, possible, doable, and easy to use. Items are scored from 1 (completely disagree) to 5 (completely agree), and responses are averaged. Mean scores range from 1 to 5, with higher scores indicating greater perceived feasibility. This outcome is assessed among participants assigned to the LYFE-III intervention.
Change in Parent-Reported General Parenting Scale Mean Score From Baseline to 3-Month Follow-Up
The 9-item General Parenting Scale assesses parents' perceived ability to use effective parenting practices, including communication, problem solving, encouragement, limit setting, monitoring, positive involvement, consistent discipline, and implementation of consequences. Each item is scored from 1 to 5. The mean score ranges from 1 to 5, with higher scores indicating more effective parenting practices.
Change in Youth-Reported Depressive Symptoms From Baseline to Immediately Post-Intervention
Youth depressive symptoms are assessed with the 9-item Patient Health Questionnaire Modified for Teens. Each item is scored from 0 (not at all) to 3 (nearly every day) and summed. Total scores range from 0 to 27, with higher scores indicating greater depressive symptom severity.
Change in Youth-Reported Anxiety Symptoms From Baseline to Immediately Post-Intervention
Youth anxiety symptoms are assessed with the 7-item Generalized Anxiety Disorder scale. Each item is scored from 0 (not at all) to 3 (nearly every day) and summed. Total scores range from 0 to 21, with higher scores indicating greater anxiety symptom severity.
Change in Youth-Reported Anxiety Symptoms From Baseline to 3-Month Follow-Up
Youth anxiety symptoms are assessed with the 7-item Generalized Anxiety Disorder scale. Each item is scored from 0 (not at all) to 3 (nearly every day) and summed. Total scores range from 0 to 21, with higher scores indicating greater anxiety symptom severity.
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Texas A&M University
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator
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