Urgent Revision to Creating Peace: community-level intervention to reduce youth violence (R01MD013797, PI: Miller)

紧急修订“创造和平”：减少青少年暴力的社区干预（R01MD013797，PI：米勒）

• 批准号: 10215711
• 负责人: Elizabeth Miller
• 金额: $ 32.5万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-24 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10215711
• 关键词: Address; Administrative Supplement; Adult; Area; Behavioral; COVID-19; Child; Child Health; Child Support; Communities; County; Disadvantaged; Discrimination; Economics; Environment; Family; Gender; Goals; Individual; Infrastructure; Intervention; Justice; Measures; Mental Health; Neighborhoods; Parents; Participant; Preparation; Prevention; Prevention program; Public Health; Research; Risk; Self Efficacy; Social Change; Social isolation; Social support; Structure; Symptoms; Testing; Translating; Trauma; Violence; Vulnerable Populations; Well in self; Work; Youth; adolescent health; arm; base; community intervention; community involvement; design; effectiveness evaluation; experience; gender equity; health disparity; improved; insight; interest; intervention effect; member; mindfulness intervention; novel; pandemic disease; participant retention; peace; prototype; racism; reduce youth violence; resilience; response; satisfaction; social; tool; virtual; young adult; youth violence; youth violence prevention; Address; Administrative Supplement; Adult; Area; Behavioral; COVID-19; Child; Child Health; Child Support; Communities; County; Disadvantaged; Discrimination; Economics; Environment; Family; Gender; Goals; Individual; Infrastructure; Intervention; Justice; Measures; Mental Health; Neighborhoods; Parents; Participant; Preparation; Prevention; Prevention program; Public Health; Research; Risk; Self Efficacy; Social Change; Social isolation; Social support; Structure; Symptoms; Testing; Translating; Trauma; Violence; Vulnerable Populations; Well in self; Work; Youth; adolescent health; arm; base; community intervention; community involvement; design; effectiveness evaluation; experience; gender equity; health disparity; improved; insight; interest; intervention effect; member; mindfulness intervention; novel; pandemic disease; participant retention; peace; prototype; racism; reduce youth violence; resilience; response; satisfaction; social; tool; virtual; young adult; youth violence; youth violence prevention

In response to NOT-MD-20-022 (Notice of Special Interest (NOSI): Competitive and Administrative Supplements for Community Interventions to Reduce the Impact of COVID-19 on Health Disparity and Other Vulnerable Populations), this urgent competitive revision (PA-18-935) aims to evaluate a novel community- based multi-level intervention focused on child and youth thriving to respond to the pressing need for behavioral supports for youth and adults in the context of COVID-19. Residents in oppressed neighborhoods who are predominantly Black and Latinx have increased vulnerability to COVID-19 and the economic and social consequences of public health mitigation measures. The pandemic has disrupted social supports and increased social isolation among youth in these communities. This community-partnered, multi-level intervention engages supportive adults and youth to envision child/youth thriving to increase collective self- efficacy, reduce social isolation, promote emotional well-being among supportive adults and youth, and reduce youth violence in urban, racially-segregated neighborhoods. This intervention involves community members and youth leaders assessing child and youth thriving in their neighborhood, using a community-developed Child/Youth Thriving Matrix tool to engage in structured dialogue on neighborhood transformation, racial and gender equity, youth engagement, and organizing for social change. Findings from discussions will inform youth engagement in racial and gender justice activities in the context of this pandemic and offer a prototype for a community-level intervention to help mitigate the consequences of a pandemic, systemic racism, and structural inequities. This proposed study will assess feasibility of this Child/Youth Thriving Matrix tool as a community-based, multi-level intervention to promote neighborhood resilience and prevent youth violence. In Aim 1, we will evaluate feasibility of implementing Child/Youth Thriving Matrix within two neighborhoods (i.e., >80% retention of participants through all sessions; satisfaction scores > 4.0 (range 1-5); identification of at least three areas of focus for enhancing child thriving). Two other matched neighborhoods will be offered an individual mindfulness intervention as a control condition (final anticipated n = 80 participants/arm). Aim 2 will explore appropriateness of measures to evaluate intervention effects on individual- and neighborhood-level collective efficacy, emotional well-being (including mental health and social isolation), and youth violence, in preparation for a larger trial to test this community-level intervention. These research objectives build on infrastructure of the parent study (Creating Peace: community-based youth violence prevention to address racism and discrimination (R01MD013797, PI: Miller)). The goal of this urgent revision is to optimize a community-designed, community-level intervention to address structural inequities that have become all too apparent during this pandemic with an emphasis on neighborhood strengths and building resilience.

响应非MD-20-022（特殊利益通知（NOSI）：竞争和行政 社区干预措施的补充，以减少Covid-19对健康差异和其他其他差异的影响 脆弱的人群），这种紧急竞争性修订（PA-18-935）旨在评估一个新颖的社区 - 基于多层次干预措施着重于儿童和青年，以应对紧迫的需求 在Covid-19的背景下，行为支持青年和成人。被压迫社区的居民 主要是黑人和拉丁裔的人增加了对Covid-19和经济和经济和 公共卫生缓解措施的社会后果。大流行破坏了社会支持， 这些社区中青年人的社会隔离增加。这个社区合作的多层次 干预与支持成年人和青年的支持，以设想儿童/青年蓬勃发展以增加集体自我 功效，减少社会隔离，促进支持成年人和青年的情感幸福感，并减少 城市，种族隔离的社区中的青年暴力。这种干预涉及社区成员 以及评估儿童和青年在附近蓬勃发展的青年领袖，使用社区发展 儿童/青年蓬勃发展的矩阵工具，以进行有关邻里转型，种族和种族的结构化对话 性别平等，青年参与和组织社会变革。讨论的发现将告知 在这个大流行的背景下，青年参与种族和性别司法活动，并提供了原型 为了进行社区级别的干预措施，以减轻大流行，系统性种族主义和 结构不平等。这项拟议的研究将评估该儿童/青年繁荣矩阵工具的可行性 基于社区的多层干预措施，以促进社区的弹性并防止青年暴力。在 AIM 1，我们将评估在两个社区内实施儿童/青年繁荣矩阵的可行性（即 >通过所有会议，参与者保留80％；满意度得分> 4.0（范围1-5）; aT的识别 至少有三个重点以增强儿童繁荣）。将向另外两个匹配的社区提供 个人正念干预作为控制条件（最终预期n = 80参与者/ARM）。 AIM 2意志 探索措施的适当性，以评估干预对个人和社区层面的影响 集体疗效，情感健康（包括心理健康和社会孤立）以及青年暴力， 准备更大的试验来测试这一社区级干预。这些研究目标以 父母研究的基础设施（创造和平：基于社区的青年暴力预防以解决 种族主义与歧视（R01MD013797，PI：Miller）。紧急修订的目的是优化 社区设计的，社区级的干预措施，以解决也已经成为一切的结构性不平等 在这个大流行期间，显然是邻里优势和建立韧性。