Browsing by Author "Garcia-Huidobro, Diego"

Now showing 1 - 11 of 11
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    A mixed-methods evaluation of the Vamos por Mas! parenting program implementation in Chile
    (2023) Meyer, Jessica K. V.; Diaspro, Gabriela; Munoz, Ivan; Burmeister, Catalina; Garcia-Huidobro, Diego
    Introduction and aims: Substance use is a significant global concern. Strengthening parenting in families with adolescents has been shown to reduce substance use initiation. The Vamos por Mas! (VxM!) program is a positive-parenting program developed in Chile to improve family relations and reduce adolescent substance use that combines in-person school workshops, multimedia messaging and personalized support. This manuscript reports a mixed-methods evaluation of the pilot implementation of the VxM! program utilizing the Consolidated Framework for Implementation Research and Proctor's taxonomy for process outcomes.
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    A typology of school-based mentoring relationship quality: Implications for recruiting and retaining volunteer mentors
    (2018) McMorris, Barbara J.; Doty, Jennifer L.; Weiler, Lindsey M.; Beckman, Kara J.; Garcia-Huidobro, Diego
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    Bi-National Cross-Validation of an Evidence-Based Conduct Problem Prevention Model
    (2018) Porta, Carolyn M.; Bloomquist, Michael L.; Garcia-Huidobro, Diego; Gutierrez, Rafael; Vega, Leticia; Balch, Rosita; Yu, Xiaohui; Cooper, Daniel K.
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    Can a healthy youth development clinic serving latino families be youth friendly and family oriented? A mixed-methods evaluation
    (2016) Svetaz, M. V.; Garcia-Huidobro, Diego; Hurtado, G. A.; Trebs, L.; Hernandez, S.; Bartels, A.; Garzon, B.; Allen, M.
    Background: Parenting adolescents poses challenges that are exacerbated by immigration. Aqui Para Ti [Here for You] (APT) is a clinic-based, healthy youth development program that provides family-centered care for Latino youth and their families who are mostly immigrants from Mexico and Latin America. Objectives: To present the APT model of care and report the experiences of youth and their parents. Subjects: APT patients between 11 and 24 years (n=30) and parents (n=15). Most youth patients were female, between 11 and 17 years, and from Mexico. Most parents were female, 40 years or younger, and from Mexico. Methods: Youth participants completed a survey and participated in an individual semi-structured interview, and parent participants attended focus groups. Descriptive statistics summarized survey data. Interviews and focus groups were transcribed and analyzed in Spanish using content analysis by two independent coders. Quantitative and qualitative findings were integrated using side-by-side comparisons. Researchers not involved in the coding process contributed with the interpretation of the findings. Results: Youth and parents were satisfied with the services received at APT. Youth felt listened to by their providers (100%), felt they could trust them (100%) and valued comprehensive care. Eighty-seven percent reported that their experiences at APT were better than at other clinics. Parents valued the family parallel care, confidentiality, family-centeredness, and the cultural inclusivity of the APT services. Conclusion: Patients and parents were satisfied with the services offered at APT. Family parallel care could be a positive alternative to deliver confidential and family-centered services to immigrant families.Background: Parenting adolescents poses challenges that are exacerbated by immigration. Aqui Para Ti [Here for You] (APT) is a clinic-based, healthy youth development program that provides family-centered care for Latino youth and their families who are mostly immigrants from Mexico and Latin America. Objectives: To present the APT model of care and report the experiences of youth and their parents. Subjects: APT patients between 11 and 24 years (n=30) and parents (n=15). Most youth patients were female, between 11 and 17 years, and from Mexico. Most parents were female, 40 years or younger, and from Mexico. Methods: Youth participants completed a survey and participated in an individual semi-structured interview, and parent participants attended focus groups. Descriptive statistics summarized survey data. Interviews and focus groups were transcribed and analyzed in Spanish using content analysis by two independent coders. Quantitative and qualitative findings were integrated using side-by-side comparisons. Researchers not involved in the coding process contributed with the interpretation of the findings. Results: Youth and parents were satisfied with the services received at APT. Youth felt listened to by their providers (100%), felt they could trust them (100%) and valued comprehensive care. Eighty-seven percent reported that their experiences at APT were better than at other clinics. Parents valued the family parallel care, confidentiality, family-centeredness, and the cultural inclusivity of the APT services. Conclusion: Patients and parents were satisfied with the services offered at APT. Family parallel care could be a positive alternative to deliver confidential and family-centered services to immigrant families.
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    Different perceptual worlds: Parent and youth perspectives on parenting outcome trajectories from a Latino family-based program
    (2024) Hurtado Choque, Ghaffar Ali; Kim, HaeDong; Epstein, Norman B.; Garcia-Huidobro, Diego; Svetaz, Maria Veronica; Allen, Michele L.
    Discrepancies between parent and youth perceptions of their relationship are a common aspect of generational acculturation gaps influencing immigrant families. Programs designed to strengthen parenting practices among immigrant Latino families commonly address immigration stresses, including differences between parent and youth perceptions, but little is known about discrepancies in their appraisals of program effects on parenting behavior. A randomized trial was conducted examining effects on parent behavior of a program for immigrant families with youth aged 10-14, developed through community-based participatory research principles. Families (346 parents and youth) were recruited by organizations serving Latino families in a Midwestern metropolitan area and randomly assigned to the eight-session psychoeducation and skill-building program or a waitlist control. Parents and youth completed self-report measures at pre-intervention, post-intervention (4 months), and a 6-month follow-up regarding parents' expression of acceptance, efforts to solicit information about the child's experiences, and consistency of discipline, key foci of the program. Based on social cognition theory, the study focused on possible differences in parents' and youths' perceptions of change in parenting behavior. Parents in the treatment group reported pre-post improved acceptance, consistent discipline, and solicitation, whereas youth reported improvement only in parental solicitation, a pattern maintained at follow-up. In the control group, the only change was youth-reported reduction in parental acceptance. Parents' perceptions of improvement are encouraging, but overall lack of improvements from the youth perspective poses a potential problem for impact on parent-child relations. Interventions may need to target both parent and youth cognitions about behavior changes directly.
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    Latinx Mental Health Scholars' Experiences with Cultural Adaptation and Implementation of Systemic Family Interventions
    (2020) Cooper, D. K.; Wieling, E.; Domenech Rodríguez, M. M.; Garcia-Huidobro, Diego; Baumann, A.; Mejia, A.; Le, H. N.; Cardemil, E. V.; Acevedo Polakovich, I. D.
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    Learning Together to Work Together: Interprofessional Education for Students in a Primary Care Setting in Chile
    (2013) Garcia-Huidobro, Diego; Skewes, Samantha; Barros, Ximena; Pizarro, Claudia; Gawinski, Barbara A.
    BACKGROUND AND OBJECTIVES: Interprofessional teamwork and collaboration are considered key elements for improving patient outcomes; however, few reports of interprofessional education experiences in primary care directed to students are found in the literature. We describe an educational program in primary care for medical, nursing, and psychology students and report the findings of their perceptions of learning.
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    Model of comprehensive care in family and community health in primary care in Chile
    (2018) Garcia-Huidobro, Diego; Barros, X; Quiroz Vallverdu, Alonso Ingmar; Barria, M; Soto, G; Vargas, I
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    Reconciling research and community priorities in participatory trials: application to Padres Informados/Jovenes Preparados
    (2017) Allen, Michele L.; Garcia-Huidobro, Diego; Bastian, Tiana; Hurtado, G. Ali; Linares, Roxana; Svetaz, María Verónica
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    Safety, tolerability, and immunogenicity of an adult pneumococcal conjugate vaccine, V116 (STRIDE-3) : a randomised, double-blind, active comparator controlled, international phase 3 trial
    (2024) Platt, Heather L.; Bruno, Christopher; Buntinx, Erik; Pelayo, Enrique; Garcia-Huidobro, Diego; Barranco-Santana, Elizabeth A.; Sjoberg, Folke; Song, Joon Young; Grijalva, Carlos G.; Orenstein, Walter A.; Morgan, Leslie; Fernsler, Doreen; Xu, Weifeng; Waleed, Muhammad; Li, Jianing; Buchwald, Ulrike K.
    Background The same pneumococcal conjugate vaccines (PCVs) have been used in adults and children in many settings. Differences in the epidemiology of pneumococcal disease between populations necessitates an adult-specific PCV. We aimed to assess the safety, tolerability, and immunogenicity of V116, an investigational 21-valent PCV designed for adults. Methods This randomised, double-blind, active comparator controlled, international phase 3 trial enrolled adults with or without stable chronic medical conditions at 112 clinical sites in 11 countries or territories. Random assignment was performed using a central electronic interactive response technology system. Cohort 1 (>= 50 years) was stratified by age (50-64, 65-74, 75-84, and >= 85 years) and randomised 1:1 to receive one intramuscular dose of V116, or the active comparator, PCV20. Cohort 2 (18-49 years) was randomised 2:1 to receive one intramuscular dose of V116 or PCV20. Pneumococcal serotype-specific opsonophagocytic activity (OPA) and IgG responses were measured before (day 1) and after vaccination (day 30). Four primary immunogenicity outcomes were assessed per-protocol. First, in cohort 1, non-inferiority of V116 to PCV20 was tested using serotype-specific OPA geometric mean titres (GMT) ratios for serotypes common to both vaccines; the lower bound of the 95% CI had to be greater than 05 for non-inferiority. Second, superiority of V116 to PCV20 was tested for OPA GMT ratios for the serotypes unique to V116; the lower bound of the 95% CI had to be greater than 20 for superiority. Third, superiority of V116 to PCV20 was evaluated by the proportions of participants with a four-fold or greater rise from day 1 to day 30 for serotypes unique to V116; the lower bound of the 95% CI of the differences in proportions (V116 - PCV20) had to be greater than 10% for superiority. Finally, in cohort 2, immunobridging was assessed for all 21 serotypes in V116 for adults aged 18-49 years to 50-64 years; the lower bound of the 95% CI for the OPA GMTs had to be greater than 05 for non-inferiority. The safety analysis included all randomly assigned participants who received study vaccine. The primary safety outcome was the proportion of participants with solicited injection site and solicited systemic adverse events until day 5 and vaccine-related serious adverse events up to 6 months after vaccination. This trial is registered at ClinicalTrials.gov (NCT05425732). Findings Between July 13, and Nov 22, 2022, 2754 individuals were screened and 2663 participants were randomly assigned. 2656 individuals were vaccinated (1179 in V116 cohort 1; 1177 in PCV20 cohort 1; 200 in V116 cohort 2; and 100 in PCV20 cohort 2). V116 met non-inferiority criteria compared with PCV20 for the ten serotypes common to both vaccines at day 30 in cohort 1 (p<00001 for each common serotype). V116 met superiority criteria compared with PCV20 in cohort 1 for ten of the 11 serotypes unique to V116 at day 30 (OPA GMT ratio: p<00001 for all unique serotypes except 15C, which was p=041; four-fold or greater rise in OPA from day 1-30: p<00001 for all serotypes except 15C, which was p=067). Immune responses in V116 participants aged 18-49 years were non-inferior compared with V116 participants aged 50-64 years for all V116 serotypes (p<00001 for all V116 serotypes). In cohort 1, 685 (582%) of participants in V116, and 778 (662%) of participants in PCV20 reported one or more adverse event.
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    Understanding Attendance in a Community-Based Parenting Intervention for Immigrant Latino Families
    (2016) Garcia-Huidobro, Diego; Allen, M.; Rosas-Lee, M.; Maldonado, F.; Gutierrez, L.; Svetaz, M. V.; Wieling, E.
    Community-based participatory research (CBPR) can help increase the attendance in community programs. Padres Informados, Jovenes Preparados (PIJP) is a program that aims to prevent tobacco and other substance use among Latino youth by promoting positive parenting. Although the trial used CBPR approaches, attendance was inconsistent. In the present study, factors associated with attendance and nonattendance and recommendations to maximize participation were explored in 12 brief feedback discussions (BFDs) with participants and in 10 in-depth interviews (IDIs) with facilitators who delivered PIJP. Content analysis guided two pairs of researchers, who independently coded emerging themes and categories (κ = .86 for BFDs and .73 for IDIs). Data from BFDs and IDIs were merged and interpreted together. We grouped factors that positively affected participation into three categories: individual and family (e.g., motivation), program (e.g., offering food and childcare and having facilitators who are trusted), and research (e.g., having incentives). Barriers to participation were grouped into four categories: individual and family (e.g., family conflicts), sociocultural (e.g., community and cultural beliefs), program (e.g., fixed schedules), and research (e.g., recruitment procedures). Participants provided recommendations to address all types of barriers. Although PIJP used CBPR, complete satisfaction of community needs is difficult. Effective community programs must address participants’ needs and preferences.