JUNTOS (TOGETHER): Development of a family-based Latino youth use preventive intervention

JUNTOS（共同）：发展以家庭为基础的拉丁裔青少年使用预防性干预措施

• 批准号: 10671676
• 负责人: Elma I Lorenzo-Blanco
• 金额: $ 18.02万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-05 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10671676
• 关键词: Acculturation; Adolescence; Adolescent; African American; Age; Alcohol consumption; Alcoholism; Alcohols; Attitude; Automobile Driving; Award; Black Populations; Black race; Child Rearing; Conflict (Psychology); Coping Skills; Data; Development; Discrimination; Disparity; Drug usage; Drunk driving; Educational Curriculum; Emotional; Evaluation; Face; Family; Feasibility Studies; Feedback; Focus Groups; Goals; Health; High Prevalence; Homicide; Injury; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Latino; Latino Population; Learning; Life; Link; Manuals; Mediating; Mentored Research Scientist Development Award; Mentors; Methods; Minority Groups; National Institute on Alcohol Abuse and Alcoholism; Outcome; Parent-Child Relations; Parents; Phase; Prejudice; Prevention; Prevention Research; Prevention program; Productivity; Public Health; Publications; Publishing; Qualitative Methods; Reaction; Reporting; Research; Research Activity; Research Personnel; Risk; School Drop-Outs; Schools; Science; Scientist; Sex Behavior; Societies; Specific qualifier value; Strategic Planning; Stress and Coping; Student Dropouts; Substance of Abuse; Suicide; Surgeon; Theoretical model; Training; Training Programs; Treatment Efficacy; Unsafe Sex; Work; Youth; acceptability and feasibility; adolescent substance use; alcohol risk; alcohol use initiation; career development; clinical training; community engagement; coping; cost; design; deter alcohol use; drinking; efficacy evaluation; empowerment; evidence base; experience; experimental group; health disparity; high risk population; improved; intervention refinement; meetings; pilot test; prevent; preventive intervention; programs; protective effect; racism; randomized trial; skills; social norm; stressor; substance use; symposium; therapy development; underage drinking; underage drinking reduction

Project Summary/Abstract: This K01 research and training award would advance my long-term goal of devel-oping and evaluating culturally and developmentally appropriate Latino youth alcohol use preventive interven-tions. Compared to Blacks and Whites, Latinos in middle adolescence (ages 14–16) are disproportionately at risk for alcohol use. Although by late adolescence (ages 18-20) rates of underage drinking for Latinos is similar to those for Whites, alcohol use risks (e.g., drunk driving, unplanned/unprotected sex) are more severe for Lati-nos. Normative adolescent stressors partly explain why many youth initiate alcohol use. Yet, Latino youth and families face additional stressors related to prejudice, discrimination, and racism, leaving Latino youth vulnera-ble to higher alcohol use/related risks. Many studies have documented the impact of prejudice, discrimination, and racism on Latino youth alcohol use. Yet, we know almost nothing of how to prepare Latino youth and fami-lies to live in a world in which prejudice, discrimination, and racism are part of their daily life. Evidence-based preventive interventions for Latinos have not targeted coping skills for prejudice, discrimination, and racism. Yet, it might be precisely these skills that youth and parents are lacking that are driving Latino youth alcohol use disparities. Although, evidence-based preventive interventions for Latinos exist, Latino youth continue to be at disproportionately higher alcohol use risk, suggesting that more preventive intervention development work is needed. The overarching goal of my K01 research plan is to develop and pilot test a family-based youth alcohol use preventive intervention that will equip youth and parents with coping skills to manage preju-dice, discrimination, and racism. My training plan will provide me with the skills necessary to become an inde-pendent youth alcohol use prevention scientist. I will acquire training in qualitative/mixed methods used in inter-vention development; the development and implementation of preventive interventions; and the evaluation of preventive intervention outcome data. My training plan is directly linked with my three research aims. For Aim 1, I will use qualitative methods to inform the development of intervention sessions that target coping with prej-udice, discrimination, and racism. For Aim 2, I will create intervention sessions that target coping with preju-dice, discrimination, and racism. I will draw from strategies used in existing interventions and from Aim 1 focus group data. I will seek feedback from youth and families before finalizing the curriculum. For Aim 3, I will pilot test the intervention among Latino families; assess intervention feasibility and acceptability; and determine pre-liminary effect size estimates for the intervention’s promise to improve coping skills, family functioning, parent-ing behaviors, and youth alcohol outcomes. The proposed research will contribute to the first family-based La-tino youth alcohol use preventive intervention targeting coping skills for prejudice, discrimination, and racism. It will provide me with the training, experience, and pilot data necessary for a fully powered randomized trial (R01), facilitating the leap to independent investigator and Latino youth alcohol use prevention scientist.

项目摘要/摘要：这项 K01 研究和培训奖将推进我的长期目标，即开发和评估适合文化和发展的拉丁裔青少年饮酒预防干预措施，与黑人和白人相比，青春期中期的拉丁裔（14 岁）。 –16) 不成比例地 尽管到了青春期后期（18-20 岁）拉丁裔的未成年人饮酒率相似。 对于白人来说，饮酒的风险（例如酒后驾车、无计划/无保护的性行为）对于拉丁裔来说更为严重，规范的青少年压力源在一定程度上解释了为什么许多青少年开始饮酒。 家庭面临与偏见、歧视和种族主义有关的额外压力，使拉丁裔青年容易遭受更高的饮酒/相关风险。许多研究记录了偏见、歧视和种族主义的影响。 然而，我们对如何让拉丁裔青年和家庭谎言做好准备生活在一个偏见、歧视和种族主义成为他们日常生活一部分的世界几乎一无所知。 针对拉丁裔的预防性干预措施并未针对偏见、歧视和种族主义的应对技能。 然而，可能正是年轻人和父母缺乏的这些技能导致了拉丁裔青少年酗酒 尽管存在针对拉丁裔的基于证据的预防干预措施，但拉丁裔青年仍在继续 饮酒风险不成比例地较高，这表明需要制定更多的预防性干预措施 我的 K01 研究计划的总体目标是开发和试点测试基于家庭的系统。 青少年酗酒预防干预措施将使青少年和家长掌握应对偏见、歧视和种族主义的技能。我的培训计划将为我提供成为一名独立的青少年酗酒预防科学家所需的技能。定性/混合方法的培训 干预措施的制定；预防措施的制定和实施以及评估； 预防干预结果数据。我的培训计划与我的三个研究目标直接相关。 1，我将使用定性方法来指导针对应对偏见、歧视和种族主义的干预会议的制定。对于目标 2，我将创建针对应对偏见、歧视和种族主义的干预会议。借鉴现有干预措施中使用的策略和目标 1 重点 在最终确定目标 3 之前，我将征求青少年和家庭的反馈。 测试拉丁裔家庭的干预措施；评估干预措施的可行性和可接受性；并确定干预措施对改善应对技能、建议的家庭功能、养育行为和青少年酗酒结果的初步效果估计。第一家庭为基础 拉美裔青少年饮酒预防干预措施，旨在提高应对偏见、歧视和种族主义的技能。 将为我提供全动力随机试验所需的培训、经验和试验数据 （R01），促进向独立调查员和拉丁裔青年饮酒预防科学家的飞跃。

项目成果

Cultural stressors, internalizing symptoms, and parent-child alienation among Mexican-origin adolescents.

墨西哥裔青少年的文化压力、内化症状和亲子疏远。

• DOI: 10.1111/fare.12775
• 发表时间: 2022
• 期刊: Family relations
• 影响因子: 2.2
• 作者: Wen,Wen;Chen,Shanting;Hazen-Swann,Nancy;Lorenzo-Blanco,ElmaI;Shen,Yishan;Kim,SuYeong
• 通讯作者: Kim,SuYeong

Cultural stress, daily well-being, and internalizing and externalizing symptoms among Hispanic college students.

• DOI: 10.1037/cou0000604
• 发表时间: 2022-07
• 期刊: JOURNAL OF COUNSELING PSYCHOLOGY
• 影响因子: 3.9
• 作者: Schwartz, Seth J;Waterman, Alan S;Cobb, Cory L;Cano, Miguel Angel;Scaramutti, Carolina;Meca, Alan;Ozer, Simon;Ward, Colleen;Puente-Duran, Sofia;Lorenzo-Blanco, Elma I;Unger, Jennifer B;Duque, Maria C;Vos, Saskia R;Zeledon, Ingrid;Garcia, Maria Fernanda;Martinez, Charles R
• 通讯作者: Martinez, Charles R

Distinct co-occurrence patterns of acculturation and perceived context of reception between weekdays and weekends among Hispanic college students.

• DOI: 10.1002/jclp.23444
• 发表时间: 2023-03
• 期刊: JOURNAL OF CLINICAL PSYCHOLOGY
• 影响因子: 3
• 作者: Lee, Tae Kyoung;Meca, Alan;Schwartz, Seth J.;Cobb, Cory L.;Song, Hana;Duque, Maria;Stuart, Jaimee;Lorenzo-Blanco, Elma, I
• 通讯作者: Lorenzo-Blanco, Elma, I