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: 10055484
• 负责人: Elma I Lorenzo-Blanco
• 金额: $ 18.01万
• 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/10055484
• 关键词: Acculturation; Address; Adolescence; Adolescent; African American; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcoholism; Alcohols; Attitude; Automobile Driving; Award; Child Rearing; Clinical; Communities; Conflict (Psychology); Coping Skills; Data; Development; Discrimination; 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; Learning; Life; Link; Manuals; Mediating; Mentored Research Scientist Development Award; Mentors; Methods; Minority; National Institute on Alcohol Abuse and Alcoholism; Outcome; Parent-Child Relations; Parents; Phase; Population; Prejudice; Prevention; Prevention Research; Prevention program; Preventive Intervention; Productivity; Public Health; Publications; Publishing; Qualitative Methods; Reaction; Reporting; Research; Research Activity; Research Personnel; Research Training; Risk; Schools; Science; Scientist; Sex Behavior; Societies; Specific qualifier value; Strategic Planning; Stress and Coping; Student Dropouts; Substance of Abuse; Suicide; Surgeon; Testing; Theoretical model; Training; Training Programs; Treatment Efficacy; Unsafe Sex; Work; Youth; adolescent substance use; alcohol risk; base; career development; coping; cost; design; deter alcohol use; drinking; evidence base; experience; experimental group; health disparity; high risk population; improved; meetings; prevent; programs; protective effect; racism; randomized trial; skills; social norm; stressor; 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：这个 K01 研究和培训奖将推进我的长期发展目标 开展和评估适合文化和发展的拉丁裔青少年酒精使用预防干预措施 与黑人和白人相比，青春期中期（14-16 岁）的拉丁美洲人的比例不成比例。 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，拉丁裔的饮酒风险（例如醉酒驾驶、无计划/无保护的性行为）更为严重 规范的青少年压力源部分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，使拉丁裔青年更容易受到伤害。 许多研究已经记录了偏见、歧视、 然而，我们对如何让拉丁裔青年和家庭做好准备几乎一无所知。 生活在一个偏见、歧视和种族主义成为日常生活一部分的世界。 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。 青少年饮酒预防干预措施将使青少年和家长掌握应对技能，以管理青少年饮酒的预 我的培训计划将为我提供成为独立人士所需的技能。 待定的青少年酒精使用预防科学家我将接受用于间质/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预案的干预会议的制定 对于目标 2，我将创建针对应对偏见的干预课程。 我将从现有干预措施中使用的策略和目标 1 重点中汲取教训。 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； 对干预措施改善应对技能、家庭功能、父母亲的承诺的初步效应大小估计 拟议的研究将有助于第一个以家庭为基础的 La- 蒂诺青少年酗酒预防干预措施的目标是应对偏见、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。