Leveraging Implementation Outcomes to Evaluate and Elucidate the Core and Adaptable Components of the Cultivating Resilience Intervention for Latinx/Hispanic Immigrants: A Mixed Methods Study

Abstract

This study sought to assess and optimize the acceptability, appropriateness, and feasibility of the Cultivating Resilience (Cultivando Fortaleza, in Spanish) intervention for Latinx immigrants/Hispanics. To this end, the present mixed methods study leveraged existing theoretical implementation frameworks and a community-engaged approach in the pursuit of three aims. We first aimed to analyze quantitative data (e.g., ratings along implementation outcomes) derived from a multimedia survey administered to a national, multidisciplinary panel of individuals (N=74) with experience working in Latinx communities or expertise in the field of acculturative stress and/or implementation science. Second, in line with an explanatory mixed methods (QUAN → qual) design, we analyzed qualitative data extracted from two subsequent focus groups with members of our research team’s Community Advisory Board (N=10) and the survey’s open-ended feedback. Third, we relied on a pillar-building integration process to extract overarching themes. Results indicated high acceptability and appropriateness across Cultivating Resilience components as well as high feasibility across different modes and methods of delivery. Findings shed light on methodological considerations for refining core and adaptable intervention components to aid subsequent implementation efforts.