Understanding ADHD in Low-Income Latino Children.

了解低收入拉丁裔儿童的多动症。

• 批准号: 7054640
• 负责人: Ricardo B Eiraldi
• 金额: $ 15.97万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-04-01 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7054640
• 关键词: Hispanic Americans; adolescence (12-20); attention deficit disorder; caucasian American; child (0-11); clinical research; comorbidity; health disparity; human subject; intelligence; intelligence tests; interview; low socioeconomic status; medically underserved population; patient oriented research; racial /ethnic difference; socioeconomics; urban poverty area

DESCRIPTION (provided by applicant): Most research on attention-deficit/hyperactivity disorder (ADHD) has been conducted with sample groups of white, middle class boys living in suburban settings. Very few studies related to ADHD have been conducted with Latino children despite the fact that Latinos will soon be the largest ethnic minority group in this country. Research is needed to identify culturally sensitive, valid, and clinically useful methods for diagnosing ADHD and for assessing clinical characteristics such as impairment level and comorbidity patterns among Latino children. Theoretical frameworks specifically developed to take into account the unique cultural, historical, and socio-economic characteristics of most Latinos in this country would greatly facilitate research on Latino children with ADHD. The research aims of this project are (1) to determine the optimum number of symptoms from the DSM-IV (American Psychiatric Association, 1994) needed for the diagnosis of ADHD in a sample of Latino and White children living in low income urban settings; (2) to determine the optimal cut off scores for Latino and White children with ADHD on the ADHD Rating Scale IV; (3) to determine whether Latino and White children living in low-income urban settings differ in comorbidity patterns for ADHD, Combined Type (ADHD/COM); (4) to explore the relationship between familism (a cultural value that involves strong identification with and attachment to members of nuclear and extended families), acculturation and level of impairment and comorbidity among Latino children. To test Aims (1) through (4), 100 teacher-referred Latino children, and 100 teacher-referred White children between the ages of 6 and 13 attending seven public schools in a low income area with predominantly Latino and White student population will be assessed. My goal for the next five years is to conduct independent research to investigate diagnostic and clinical issues arising in Latino children and families coping with ADHD. In order for me to become proficient in these areas, my mentors and I have developed an educational plan with four specific aims: 1. To become proficient in understanding the unique needs of Latino families coping with ADHD; 2. To develop knowledge and practical skills in the assessment of ADHD among Latino children; 3. To become knowledgeable about comorbid disorders among Latino children with ADHD; 4. To become more proficient in research design and statistics. In addition, I will receive training in the responsible conduct of research. In order to insure that all aspects of this research project are responsive to the values and needs of Latino families, I will assemble a stakeholder group composed of Latino parents, professionals, and paraprofessionals from the local Latino community. The completion of the proposed research and educational plans will enable me to become a skilled independent researcher and to develop empirically based, culturally sensitive assessment and intervention procedures for what is currently an under-served segment of children and families coping with ADHD.

描述（由申请人提供）：大多数关于注意力缺陷/多动障碍（ADHD）的研究都是以居住在郊区的白人中产阶级男孩为样本组进行的。尽管拉丁裔很快将成为这个国家最大的少数族裔群体，但针对拉丁裔儿童进行的与多动症相关的研究却很少。需要进行研究来确定文化敏感、有效且临床有用的方法来诊断 ADHD 并评估拉丁裔儿童的损伤水平和合并症模式等临床特征。专门考虑到​​该国大多数拉丁裔的独特文化、历史和社会经济特征而制定的理论框架将极大地促进对患有多动症的拉丁裔儿童的研究。该项目的研究目标是 (1) 确定 DSM-IV（美国精神病学协会，1994 年）中生活在低收入城市环境中的拉丁裔和白人儿童样本中诊断 ADHD 所需的最佳症状数量； (2) 确定患有 ADHD 的拉丁裔和白人儿童在 ADHD 评定量表 IV 上的最佳截止分数； (3) 确定生活在低收入城市环境中的拉丁裔和白人儿童的 ADHD 合并症模式（ADHD/COM）是否存在差异； (4) 探讨拉丁裔儿童的家庭主义（一种涉及对核心家庭和大家庭成员的强烈认同和依恋的文化价值观）、文化适应以及损伤和合并症水平之间的关系。为了测试目标 (1) 到 (4)，将在以拉丁裔和白人学生为主的低收入地区的 7 所公立学校就读 100 名教师推荐的拉丁裔儿童和 100 名教师推荐的 6 岁至 13 岁的白人儿童。评估。我未来五年的目标是进行独立研究，调查拉丁裔儿童和家庭应对多动症的诊断和临床问题。为了让我精通这些领域，我和我的导师制定了一个教育计划，有四个具体目标： 1. 熟练理解拉丁裔家庭应对多动症的独特需求； 2. 发展拉丁裔儿童多动症评估方面的知识和实践技能； 3. 了解拉丁裔多动症儿童的共病； 4. 更加精通研究设计和统计。此外，我还将接受负责任的研究行为方面的培训。为了确保该研究项目的各个方面都能满足拉丁裔家庭的价值观和需求，我将组建一个由拉丁裔家长、专业人士和当地拉丁裔社区的专业辅助人员组成的利益相关者小组。完成拟议的研究和教育计划将使我能够成为一名熟练的独立研究员，并为目前治疗多动症的儿童和家庭中服务不足的部分制定基于经验的、文化敏感的评估和干预程序。