Developing an Adolescent Relationship Abuse Prevention Intervention for Hispanic Immigrant Families

为西班牙裔移民家庭制定青少年关系虐待预防干预措施

• 批准号: 10904358
• 负责人: Maya Ragavan
• 金额: $ 10.76万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10904358
• 关键词: 14 year old; Acculturation; Address; Adolescent; Adult; Advisory Committees; Age; Applied Skills; Centers for Disease Control and Prevention (U.S.); Child; Childhood Injury; Clinical Trials Design; Code; Communication; Communities; Data; Development; Distress; Educational process of instructing; Enrollment; Environment; Epidemic; Family; Foundations; Funding; Future; Generations; Goals; HIV; Health; High Prevalence; Hispanic; Immigrant; Immigrant family; Institution; Interpersonal Relations; Intervention; K-Series Research Career Programs; Knowledge; Leadership; Link; Measures; Mental Depression; Mentors; Mentorship; Methods; Modeling; Monitor; National Institute of Child Health and Human Development; Outcome; Parents; Patient Self-Report; Performance; Physicians; Population; Prevention; Prevention strategy; Public Health; Research; Sampling; School-Age Population; Scientist; Sexual abuse; Strategic Planning; Stress; Structure; Techniques; Teenagers; Testing; Training; Trauma; Victimization; Video Recording; Violence; Youth; acceptability and feasibility; arm; career; community engagement; comparison group; eligible participant; experience; innovation; intimate partner violence; junior high school; marginalized community; multidisciplinary; novel; parental monitoring; pilot test; prevent; preventive intervention; primary outcome; programs; protective factors; psychologic; randomized, clinical trials; relationship abuse; satisfaction; sexual risk behavior; skills; social cognitive theory; substance use; suicidal; theories; therapy development; tool; treatment strategy; unintended pregnancy

Adolescent relationship abuse (ARA), defined as physical, psychological, sexual abuse, or stalking in the context of a teen dating relationship, is pervasive and associated with myriad negative health outcomes for youth. Parental monitoring of adolescents’ interpersonal relationships and activities is a powerful and modifiable protective factor to prevent ARA. However, for Hispanic immigrant families, parent-adolescent acculturation gaps (i.e., differences in acculturation) may create challenges in using parental monitoring as an ARA prevention tool. Less is known about which specific acculturation gaps are related to decreased parental monitoring and increased ARA. Furthermore, few parent-adolescent ARA prevention interventions exist, especially ones culturally tailored for Hispanic immigrant families. The goal of this mentored career development award is to identify specific acculturation gaps that create the most challenges to achieving optimal parental monitoring and address these acculturation gaps through development of a parent-adolescent ARA prevention intervention for Hispanic immigrant families. Dating Matters for Parents (DMP), a Centers for Disease Control developed ARA prevention intervention for middle school aged youth and their parents, will be used as a foundation for intervention development. Guided by an experienced, multidisciplinary mentorship team and with strong institutional support, Dr. Ragavan, who is the PI and an early career physician-scientist, will build upon a upon a descriptive research background to gain critical new skills in: 1) assessment of parent- adolescent interaction and the development of parent-adolescent relationships; 2) theory-based, stakeholder- involved intervention development; 3) clinical trial design and analysis; and 4) leadership and team management. These career goals are tightly linked to three research aims. In Aim 1, Dr. Ragavan will use observation-based techniques to examine, in a sample of 50 Hispanic parent-adolescent dyads, which acculturation gaps are related to parental monitoring and ARA and thus most important to target during intervention development. Informed by Aim 1 results and guided by a stakeholder advisory committee, in Aim 2 Dr. Ragavan will use the Method for Program Adaptation through Community Engagement framework to develop a novel parent-adolescent ARA prevention intervention for Hispanic immigrant families (called Juntos [“Together”]). In Aim 3, Dr. Ragavan will conduct a pilot two-armed randomized clinical trial of Juntos among middle school aged Hispanic adolescents and a first-generation immigrant parent. Primary outcomes of the pilot RCT include feasibility and acceptability; a secondary exploratory outcome will be descriptively assessing candidate outcomes for inclusion in the fully powered trial. By completing this K23, Dr. Ragavan will have the training, experience, and preliminary data needed to become an independent physician-scientist leading studies aligned with NICHD’s strategic priority of “exploring prevention and treatment strategies to address the leading causes of trauma and injury in children and adolescents.”

青少年关系虐待（ARA），被定义为身体，心理，性虐待或在 青少年约会关系的背景是普遍的，并且与无数的负面健康结果有关 青年。父母对青少年人际关系和活动的监测是一种强大的 可修改的保护因子以防止ARA。但是，对于西班牙裔移民家庭而言 适应差距（即适应的差异）可能会在使用父母监测作为一个挑战 ARA预防工具。关于哪些特定的培训差距与改善的父母有关 监视和增加ARA。此外，很少有父母预防干预措施， 尤其是为西班牙裔移民家庭量身定制的文化。这个重要职业的目标 发展奖是为了确定特定的培养差距，这为实现 最佳的父母监测并通过发展父母倒变来解决这些培养差距 西班牙裔移民家庭的ARA预防干预。父母的约会事项（DMP），一个中心 疾病控制为中学年龄及其父母开发了ARA预防干预措施，将是 用作干预开发的基础。在经验，多学科指导的指导下 团队并在机构的强烈支持下，Ragavan博士是PI，早期的职业身体科学家， 将以描述性研究背景为基础，以获得关键的新技能：1）父母评估 青少年互动和父母 - 青少年关系的发展； 2）基于理论的利益相关者 - 涉及干预开发； 3）临床试验设计和分析； 4）领导和团队 管理。这些职业目标与三个研究目标紧密相关。在AIM 1中，Ragavan博士将使用 基于观察的技术，可以在50个西班牙裔父母 - 成年二元组中进行检查，这 适应差距与父母的监测和ARA有关，因此对于在目标中的目标最为重要 干预开发。由AIM 1结果告知，并由利益相关者咨询委员会指导，在AIM 2 Ragavan博士将使用该方法通过社区参与框架进行程序适应 为西班牙裔移民家庭开发一种新颖的父母预防干预（称为Juntos） [“一起”]）。在AIM 3中，Ragavan博士将对Juntos进行两臂随机临床试验的飞行员 中学是西班牙裔青少年和第一代移民父母。主要结果 飞行员RCT包括可行性和可接受性；次级探索结果将是描述性评估的 候选结果纳入了全功率试验。通过完成此K23，Ragavan博士将拥有 培训，经验和初步数据需要成为独立的身体科学家领导者 研究与NICHD的战略优先事项一致，以“探讨预防和治疗策略来解决该问题 儿童和青少年的创伤和伤害的主要原因。”