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| Culturally-based Family Intervention
for Mexican Americans (CFIMA) |
| Principal Investigators: Concepcion
Barrio
Funding: NIMH (03/01/2006 - 11/30/2008; $606,150)
The purpose of this grant is to develop a new culturally-based
intervention model for Spanish-speaking Mexican American families
with a relative diagnosed with schizophrenia. Intervention
development has been informed by our extensive clinical experience
with Latinos, the literature on protective factors, and our
recent in-depth ethnographic research with Spanish-speaking
Mexican origin Latinos. The CFIMA employs a family group format
guided by the heuristic model of family-provider cultural
exchange we have developed. It cultivates cultural resources
that can play an influential role in improving family and
patient outcomes within three sequential treatment stages:
cultural assessment, cultural accommodation, and cultural
integration. Based on a stage model for intervention development
and intervention literature on the development of culturally
congruent services, we propose to (1) further develop, standardize,
and manualize the CFIMA for families with a relative with
schizophrenia and to (2) evaluate its preliminary effectiveness
in a controlled trial (CFIMA vs. usual care) with Spanish-speaking
families in real-world settings. The results will provide
preliminary evidence on whether the manualized CFIMA is effective
for Mexican Americans. This work will provide a model for
how to integrate cultural factors into other intervention
services and enhance these in real-world settings for culturally
diverse groups.
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May 18, 2007
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