Computer Assisted Family Intervention to Treat Self-Harm Disparities in Latinas and Sexual/Gender Minority Youth

计算机辅助家庭干预治疗拉丁裔和性/性别少数青少年的自残差异

基本信息

批准号：
10178964
负责人：
DANIEL A. SANTISTEBAN
金额：
$ 7.64万
依托单位：
UNIVERSITY OF MIAMI CORAL GABLES
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-10 至 2022-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10178964
关键词：
18 year old AIDS/HIV problem Acculturation Address Adolescent Affect Age Alcohol or Other Drugs use Area Behavior Categories Cause of Death Clinical Communities Computer Assisted Conflict (Psychology)Depressed mood Development Discrimination Disease Ethnic Origin Ethnic group Face Family Family Process Feeling Female Future Gender Health High Prevalence High School Student Hispanics Hybrids Immigration Intervention Latina Latino Lesbian Gay Bisexual Transgender Lesbian Gay Bisexual Transgender Queer Life Life Style Link Logistics Measures Mental Depression Mentors Minority Minority Groups Office Visits Online Systems Parents Population Race Reporting Research Research Personnel Research Project Grants Risk Risk Factors Self-Injurious Behavior Sexual and Gender Minorities Stress Students Substance abuse problem Suicide Suicide attempt System Technology Testing Time Trauma Treatment Efficacy Violence Work Youth adaptive intervention base boys comparative efficacy coping depressive symptoms design efficacy testing emotion dysregulation emotion regulation experience flexibility health disparity high risk high risk sexual behavior male multi-component intervention non-suicidal self injury peer programs psychoeducational racial and ethnic service utilization social exclusion stressor suicide rate trauma exposure treatment as usual web site

项目摘要

Abstract Project 2 Suicide is the second leading cause of death in youth ages 10-24 and self-harm, which includes nonfatal suicide attempts (SA) and non-suicidal self-injury (NSSI) are prevalent and are risk factors for future suicide attempts and suicide completion. Self-harm behavior is a disparity for Latinas as well as for sexual/gender minority youth. This study seeks to refine and test the efficacy of a computer assisted culturally informed and flexible/adaptive intervention (CA CIFFTA) to address this disparity and to reduce the logistical barriers that may contribute to underutilization of treatment. We focus the research on Latinas and Latino LGBT youth (both males and females) because both groups show significantly higher risk for self-harm behaviors and can experience unique stressors (e.g., trauma, minority status, family-related stress, and marginalization) that if addressed using a tailored and adaptive intervention, can contribute to health disparities. We seek to refine the multicomponent CA CIFFTA treatment so that it includes new psycho-educational modules designed to serve sexual/gender minority youth. CIFFTA was designed to address the full continuum of unique culture-related stressor (e.g., acculturation, immigration, discrimination due to race, ethnicity), family conflict and substance use, and will be enhanced to address unique life stressors (e.g., family and peer rejection due to LGBT lifestyle, exposure to trauma, and marginalization), and clinical profiles (e.g., depression, emotion dysregulation). The study investigates the efficacy of a hybrid intervention (face to face and web-based interventions) delivered to both adolescents and parents when compared to treatment as usual. The adaptive framework allows the treatment to be systematically tailored to the unique needs of the adolescent/family. The use of technology helps to avoid some of the logistical barriers to service utilization and makes the intervention more engaging. The intervention will be refined (content and technology) and then pilot tested with 100 Latino adolescents 12-18 years of age and their families. Analyses will investigate: 1) the efficacy of the intervention compared to Treatment As Usual, 2) the linkages between co-existing problem areas (e.g., self-harm, risky sexual behavior, substance use) to see if there is evidence for a syndemic; and 3) the relationship of culture- related variables (e.g., acculturation, familism, and Hispanic Stress) to the key factors hypothesized to contribute to self-harm behavior (i.e., depression, family conflict, substance use, and emotion dysregulation). The study will utilize a number of measures that are shared across CLaRO studies and will serve as a context for the mentoring of a young investigator (Dr. Gattamorta) who is seeking to advance her program of research on family process among Latino gender/minority youth.

摘要项目2 自杀是 10-24 岁青少年死亡和自残的第二大原因，其中包括非致命性死亡自杀未遂（SA）和非自杀性自残（NSSI）很普遍，是未来自杀的危险因素尝试和自杀完成。自残行为对于拉丁裔和性/性别来说都是不同的少数民族青年。本研究旨在完善和测试计算机辅助文化信息和灵活/适应性干预（CA CIFFTA）来解决这种差异并减少后勤障碍可能导致治疗利用不足。我们的研究重点是拉丁裔和拉丁裔 LGBT 青年（均为男性和女性），因为这两个群体都表现出明显更高的自残行为风险，并且可以经历独特的压力源（例如创伤、少数群体身份、与家庭有关的压力和边缘化）使用量身定制的适应性干预措施来解决可能会导致健康差异。我们力求完善多成分 CA CIFFTA 治疗，使其包含旨在服务的新心理教育模块性/性别少数青年。 CIFFTA 旨在解决与独特文化相关的完整连续体压力源（例如文化适应、移民、种族歧视）、家庭冲突和物质使用，并将得到增强，以解决独特的生活压力源（例如，由于 LGBT 原因而受到家人和同伴的拒绝）生活方式、遭受创伤和边缘化）和临床特征（例如抑郁、情绪失调）。该研究调查了混合干预措施（面对面和基于网络的干预措施）的有效性与通常的治疗相比，向青少年和家长提供的干预措施）。适应性框架允许根据青少年/家庭的独特需求系统地定制治疗。这技术的使用有助于避免服务利用的一些后勤障碍，并使得干预更有吸引力。干预措施将得到完善（内容和技术），然后对 100 名拉丁裔进行试点测试 12-18岁的青少年及其家人。分析将调查：1) 干预措施的有效性与常规治疗相比，2) 共存问题领域之间的联系（例如自残、危险）性行为、药物使用）以查看是否有证据表明存在综合症； 3）文化的关系- 相关变量（例如文化适应、家庭主义和西班牙裔压力）与假设的关键因素导致自残行为（即抑郁、家庭冲突、药物滥用和情绪失调）。该研究将利用 CLaRO 研究中共享的许多措施，并将作为背景为一位正在寻求推进研究计划的年轻研究者（Gattamorta 博士）提供指导关于拉丁裔性别/少数族裔青年的家庭进程。