Implementation of a culturally adapted treatment to reduce barriers for Latino parents.

Literature to date has not yet included a comprehensive examination of barriers to participation in treatment for Latino populations, incorporating the role of acculturation. This study reports on the process of developing and implementing a culturally adapted treatment for promoting parent involvement by Latino parents in Head Start preschool programs and examines engagement factors affecting participation in the treatment. Results show that Latino parents with higher native cultural competence perceived more benefits to the treatment and reported fewer barriers than parents with lower native cultural competence. Also, the total number of barriers to participation that parents perceived before treatment was negatively associated with treatment participation, above and beyond the influence of acculturation factors, parent perceptions of economic stress, and perceived program benefits. Results are discussed in terms of how to establish effective community-based mental health and educational outreach programs to promote engagement with Latino families. The importance of using bidimensional models of acculturation within research designs with Latino populations and ideas for future research are discussed.