Evaluation of Link for Equity: A Program to Reduce Racial/Ethnic School Violence Disparities

公平链接评估：减少种族/民族学校暴力差异的计划

基本信息

批准号：
10540740
负责人：
Marizen Ramirez
金额：
$ 79.4万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-04-12 至 2024-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10540740
关键词：
Adult Affect Awareness Behavior Biometry Black Populations Caring Child Civil Rights Color Communities Control Groups Data Discipline Discrimination Disparity Early-life trauma Education Empathy Enrollment Epidemiology Equity Ethics Ethnic Origin Evaluation Exposure to First Aid Future Future Teacher Geography Goals Health Hispanic Hispanic Populations Individual Inequity Integrated Health Care Systems Intervention Law Enforcement Leadership Link Measures Mediating Mediator Methods Minnesota Population Positioning Attribute Post-Traumatic Stress Disorders Prevention Procedures Race Randomized Records Research Risk Risk Factors Rural Sampling Schools Stress Student Selections Students Support System Surveys Training Translating Trauma Trust Violence Waiting Lists Youth children of color control trial demographics design early life adversity ethnic disparity ethnic diversity ethnic minority experience fighting group intervention health equity high risk high school injured innovation junior high school metropolitan microaggression minority children minority student multidisciplinary multiple data sources pediatric trauma peer post-traumatic stress prevent preventive intervention programs psychologic racial bias racial discrimination racial disparity racial diversity racial minority racism reduce school violence reduce symptoms school district school environment school health school violence school violence prevention secondary outcome stress symptom teacher traumatic stress weapons youth violence

项目摘要

PROJECT SUMMARY/ABSTRACT Despite overall reductions in youth violence, rates of school violence remain alarmingly high among racial and ethnic minority children compared to white children. Exposure to adverse child experiences (ACEs), which include racial discrimination, place children of color at high risk for school violence. One of the most prevalent forms of racial discrimination in schools is overly harsh disciplinary practices with students of color. Intervening on ACEs, particularly racial discrimination in school discipline, is key to preventing school violence. We propose a nested randomized waitlist control trial of Link for Equity, a culturally responsive system of support for ACE-impacted children, composed of Tier 1 universal trauma-informed care and cultural humility training and Tier 2 Psychological First Aid and racial discrimination prevention. The aims of this study are to: 1) adapt, implement and evaluate the effect of Link for Equity on school violence disparities, 2) evaluate the effect of Link for Equity on reducing teacher-to-student racial discrimination and determine if the effects of Link for Equity on school violence are mediated through racial discrimination, and 3) explore how the effects of Link for Equity on school violence are mediated through stress and connectedness mechanisms. We have partnerships with 6 districts who demonstrate significant school violence and discipline disparities and paired them by comparable demographics, school violence, discipline disparities and geography. Both a high school and a feeder middle school from these districts will participate for a total of 12 schools. We will first adapt materials to the unique trauma experiences of each school and community. Then, we will conduct a nested randomized waitlist control trial with 12 schools. Each pair of districts will be randomized to either an immediate intervention group to receive Link for Equity or a waitlist control group to receive intervention two years later. At the school-level, during intervention years, we will enroll about 1200 students of color exposed to 4+ ACEs or who screen positive for posttraumatic stress to receive Tier 2 psychological first aid. These students will also be individually randomized to receive immediate Tier 2 intervention or to another waitlist control group to receive intervention one semester later. We will employ these procedures for two consecutive school years, which is critical for sustained impacts on our primary (i.e., school violence, racial discrimination) and secondary outcomes (i.e., mediators including stress and connectedness). Our research is highly innovative in that we will use a rigorous nested randomized design, community-engaged methods to tailor our intervention materials, and multiple sources of data to pursue our study aims. Further, we have assembled a multi-disciplinary team of experts (in childhood trauma, health equity, epidemiology, interventions and biostatistics) and community liaisons with deep ties to our schools and leadership positions in education. If Link for Equity proves to be effective, our team is poised to take actionable steps towards sustainability and statewide implementation.

项目概要/摘要尽管青少年暴力总体减少，但种族和种族群体中的校园暴力发生率仍然高得惊人。少数民族儿童与白人儿童相比。接触不良儿童经历（ACE），包括种族歧视，使有色人种儿童面临校园暴力的高风险。最流行的之一学校中的种族歧视形式是对有色人种学生过于严厉的纪律处分。介入 ACE，特别是学校纪律中的种族歧视，是预防校园暴力的关键。我们提出 Link for Equity 的嵌套随机候补对照试验，这是一种文化响应支持系统针对受 ACE 影响的儿童，包括一级普遍创伤知情护理和文化谦逊培训二级心理急救和种族歧视预防。本研究的目的是：1）适应，实施并评估 Link for Equity 对校园暴力差异的影响，2) 评估 Link for Equity 对减少教师对学生的种族歧视的影响，并确定 Link for Equity 是否会产生影响校园暴力的公平性是通过种族歧视来调节的，3) 探讨 Link for 的影响如何校园暴力的公平性是通过压力和联系机制来调节的。我们有与 6 个表现出严重校园暴力和纪律差异的学区建立伙伴关系并配对他们通过可比较的人口统计数据、校园暴力、纪律差异和地理位置来比较。都是高中这些地区的一所支线中学将参加，共有 12 所学校参加。我们首先会适应每个学校和社区独特的创伤经历的材料。然后，我们将进行嵌套 12 所学校的随机候补对照试验。每对地区将被随机分配到立即干预组接受公平链接或候补对照组两年后接受干预。在在学校层面，在干预期间，我们将招收约 1200 名有色人种学生，接受 4 个以上 ACE 或创伤后应激筛查呈阳性的人接受二级心理急救。这些学生还将单独随机接受立即第 2 级干预或另一个候补名单对照组一学期后接受干预。我们将连续两个学年采用这些程序，这对于我们的小学（即校园暴力、种族歧视）和中学的持续影响至关重要结果（即包括压力和联系在内的中介因素）。我们的研究具有高度创新性，因为我们将使用严格的嵌套随机设计、社区参与的方法来定制我们的干预材料，以及多种数据源来实现我们的研究目标。此外，我们还组建了一支多学科团队专家（儿童创伤、健康公平、流行病学、干预措施和生物统计学）和社区与我们的学校和教育领域的领导职位有着深厚的联系。如果股权链接被证明是有效的，我们的团队准备采取可行的步骤来实现可持续发展和全州范围内的实施。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Link for Equity, a community-engaged waitlist randomized controlled trial of a culturally responsive trauma-informed care program for BIPOC students: Design features and characteristics of baseline sample.

Link for Equity，一项针对 BIPOC 学生的文化响应式创伤知情护理计划的社区参与候补随机对照试验：基线样本的设计特征和特征。

DOI：
10.1016/j.cct.2023.107090
发表时间：
2023
期刊：
Contemporary clinical trials
影响因子：
2.2
作者：
Ramirez,MarizenR;Ryan,Andrew;Harding,AlysonB;Renfro,Tiffaney;Church,TimothyR;Rosebush,Christina;Trotter,AlexisGrimes;Xiong,BaoNhia;Gonzalez,John;Woods-Jaeger,Briana
通讯作者：
Woods-Jaeger,Briana

Barriers and Facilitators to the Online Delivery of a School-Based Intervention to Reduce Racial Trauma.

在线提供基于学校的干预措施以减少种族创伤的障碍和促进因素。

DOI：
10.1007/s10488-023-01281-y
发表时间：
2023
期刊：
Administration and policy in mental health
影响因子：
0
作者：
Ash,MarciaJ;Knutzen,KristinE;Ogbeide,Ighedosa;Renfro,TiffaneyL;Ramirez,MarizenR;Woods-Jaeger,Briana
通讯作者：
Woods-Jaeger,Briana

Impacts of COVID-19 on Stress in Middle School Teachers and Staff in Minnesota: An Exploratory Study Using Random Forest Analysis.