Reducing Alcohol, Tobacco, and Drug Use Among Latino Immigrant Youth: A Preliminary Test of the ¡Unidos Se Puede! Program

减少拉丁裔移民青年的酒精、烟草和毒品使用：¡Unidos Se Puede 的初步测试！

• 批准号: 9813216
• 负责人: Ronald Blake Cox
• 金额: $ 44.48万
• 依托单位: OKLAHOMA STATE UNIVERSITY STILLWATER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9813216
• 关键词: Academic achievement; Accounting; Address; Adolescent; Adult; Affect; Alcohols; Area; Attention; Child; Child Rearing; Communities; Community Health Aides; Competence; Control Groups; Data; Data Analyses; Data Collection; Development; Drug Exposure; Drug Prevention Program; Drug Use Disorder; Drug usage; Ethnic group; Evaluation; Evidence based intervention; Exclusion Criteria; Experimental Designs; Exposure to; Family; Fright; Future; Generations; Goals; Growth; Health; Immigrant; Institution; Intervention; Latino; Manuscripts; Master' s Degree; Measures; Outcome; Parents; Participant; Pharmaceutical Preparations; Pilot Projects; Placebo Control; Placebos; Population; Population Growth; Preparation; Prevention; Prevention program; Preventive Intervention; Problem Solving; Professional counselor; Program Development; Program Effectiveness; Psychosocial Stress; Public Health; Randomized; Reporting; Resources; Risk; Sampling; Schools; Self Efficacy; Social Behavior; Socioeconomic Status; Stress; Students; Testing; Time; Tobacco; Tobacco use; Underrepresented Groups; Work; Youth; adolescent alcohol risk; adolescent alcohol, tobacco and other drug use; adolescent drug use; aged; alcohol use initiation; alcohol, tobacco, and other drug use; anti social; base; bilingualism; cohesion; control trial; coping; cost; data management; depressive symptoms; design; efficacy testing; efficacy trial; eighth grade; emotion regulation; follow-up; foster child; graduate student; health disparity; innovation; junior high school; meetings; migration; ninth grade; novel; parental involvement; peer; positive youth development; prevent; programs; protective factors; psychosocial; recruit; reduced alcohol use; seventh grade; skills; stressor; success; symposium; trend; undergraduate student

Reducing Alcohol, Tobacco, and Drug Use Among Latino Immigrant Youth: A Preliminary Test of the ¡Unidos Se Puede! Program ABSTRACT Adolescent alcohol, tobacco, and other drug (ATOD) use is a major public health concern, with rates for Latino middle school youth higher than other ethnic groups. One well-established precursor of adolescent ATOD use is psychosocial stress. Among Latino immigrant youth, stress related to migration is associated with ATOD use, depressive symptoms, and anti-social behavior, even after accounting for indicators of socio-economic status. Although several programs have been developed to address Latino ATOD use, they rely on bilingual professionals with a master's degree or higher to field the program. Latino families are increasingly locating themselves in new settlement areas that lack bilingual ATOD counselors equipped to provide appropriate prevention or treatment. This suggests that health disparities will widen without novel and effective ATOD use interventions targeting young Latino adolescents. Unidos is a positive youth development program that works with Latino parents and their adolescent children to delay or reduce ATOD use by increasing parental involvement in their child's schooling and youth academic achievement. Because Unidos can be delivered by community-based "promotoras" rather than masters level clinicians, it addresses the implementation, scalability and sustainability problems associated with existing ATOD prevention programs. Initial evaluations of Unidos' impact on strengthening Latino adolescents' ability to succeed are positive, but its impact on reducing ATOD use has not been evaluated. The proposed project examines the preliminary efficacy of Unidos to decrease ATOD use among Latino youth in new settlement areas. The goals of this efficacy trial will be achieved by accomplishing two specific aims: (1) Evaluate the potential of the intervention to delay the initiation into or reduce ATOD use among Latino youth who are 1st to 2nd generation immigrants; and (2) Evaluate the intervention’s ability to strengthen known protective factors against ATOD use among adolescents–specifically child personal agency and parent-child, peer, and school relationships. To accomplish these aims, we propose an attention placebo randomized control trial. For this trial, we will recruit a sample of youth and their parents (N=120 dyads) from a random sample of Latino 7th graders in Tulsa Public Schools. Those meeting the inclusion/exclusion criteria and agreeing to participate will provide baseline data before being randomly assigned to either the treatment or control condition (n=60 dyads each). Participants will be followed for 32 months post-baseline, during which time we will collect psychosocial measures annually near the end of each of three school years (7th, 8th, and 9th grades). The two primary hypotheses that will be tested are: (1) Youth in the Unidos program will delay initiation of ATOD use compared to youth in a control group; and (2) Youth in the Unidos program will have less ATOD use compared to youth in a control group.

减少拉丁裔移民青年中的酒精，烟草和吸毒： âunidos se puede！程序 抽象的 青少年酒精，烟草和其他药物（ATOD）使用是一个主要的公共卫生问题，拉丁裔的利率 中学青年高于其他族裔。青少年ATOD使用的一个完善的先驱 是社会心理压力。在拉丁裔移民青年中，与移民有关的压力与ATOD有关 即使考虑到社会经济指标，使用，抑郁症状和反社会行为 状态。尽管已经开发了几个程序来解决拉丁裔ATOD使用，但它们依赖双语 具有硕士学位或更高学位的专业人士来实施该计划。拉丁裔家庭越来越多地定位 自己在缺乏双语ATOD数量的新环境区域，配备了适当的 预防或治疗。这表明，没有新颖有效的ATOD使用，健康差异将扩大 针对年轻拉丁裔青少年的干预措施。 UNIDOS是一项积极的青年发展计划 与拉丁裔父母及其青春期的孩子一起，通过增加父母来延迟或减少ATOD的使用 对孩子的学业和青年学术成就进行调查。因为Unidos可以由 基于社区的“促销”而不是硕士级临床医生，它解决了实施， 与现有ATOD预防计划相关的可伸缩性和可持续性问题。初始评估 Unidos对增强拉丁裔青少年成功能力的影响是积极的，但其影响 尚未评估减少ATOD的使用。拟议的项目考试UNIDOS的初步效率 减少拉丁裔青年在新定居区的使用。这项高效试验的目标将是 通过完成两个具体目标来实现：（1）评估干预措施的潜力延迟开始 在第1至第二代移民的拉丁裔青年中使用或减少使用ATOD； （2）评估 干预能够增强已知的受保护因素，以防止青少年（特别是） 儿童个人代理和亲子，同伴和学校关系。为了实现这些目标，我们建议 注意安慰剂随机控制试验。在此试验中，我们将招募一个青年样本及其父母 （n = 120个二元组）来自塔尔萨公立学校的拉丁裔七年级学生的随机样本。那些遇到的人 包含/排除标准和同意参加的标准将提供基线数据 分配给治疗或对照条件（n = 60个二元组）。参与者将遵循32 基线后的月份，在此期间，我们每年都会在每年结束时收集社会心理措施 在三年级（7年级，8年级和9年级）中。将要测试的两个主要假设是：（1）青年 与对照组的青年相比，UNIDOS计划将推迟使用ATOD使用的计划； （2）青年 与对照组的青年相比，UNIDOS计划的ATOD使用量较低。