Refugees frequently experience histories of trauma and stress of acculturation, which place them at a high risk for mental health and substance use problems. Although recently arrived foreign-born youths report lower rates of substance use than their American peers, substance use rates for children in refugee families often increase as acculturation occurs. We describe the adaptation of the Familias: Preparando a la Nueva Generación (Families: Preparing the New Generation; FPNG) parenting skills curriculum to prevent adolescent substance use among Burmese refugee families. The adapted curriculum introduces parents of newly acculturating adolescents to the problem of substance use and teaches them how to effectively communicate with their children to target specific adolescent risk factors. We conducted a pilot study of 10 FPNG sessions with 14 Burmese mothers at an urban community center. Pretest and posttest data and fidelity measures were collected to assess the effects of the adapted curriculum and the pilot study. We describe these measures and present a 3-phase cultural adaptation process model that details the study’s background and plans for future intervention adaptations. We also discuss challenges in adaptation and implementation of the FPNG intervention with Burmese refugee communities.

中文翻译：

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为新一代做准备的家庭：针对缅甸难民家庭的青少年物质使用干预措施的改编

难民经常经历创伤和适应压力的历史，这使他们处于精神健康和药物使用问题的高风险中。尽管最近到达的外国出生的年轻人报告的吸毒率低于美国同龄人，但随着文化的适应，难民家庭中儿童的吸毒率通常会增加。我们描述了家庭的改编：家庭准备课程（家庭：准备新生； FPNG），以防止缅甸难民家庭中使用青少年物质。改编的课程向刚适应青少年的父母介绍了使用毒品的问题，并教他们如何与孩子进行有效沟通以针对特定的青少年危险因素。我们在一个城市社区中心与14名缅甸母亲一起进行了10次FPNG会议的试点研究。收集了测试前和测试后的数据以及保真度评估方法，以评估改编的课程和试点研究的效果。我们描述了这些措施，并提出了一个三阶段的文化适应过程模型，该模型详细介绍了研究背景和未来干预适应的计划。我们还将与缅甸难民社区讨论适应和实施FPNG干预措施方面的挑战。