Novel Mixed-Method Research and Training in Racism-Related Trauma and Mental Health Disparities Among Black Youth

黑人青年种族主义相关创伤和心理健康差异的新型混合方法研究和培训

• 批准号: 10620297
• 负责人: Donte Bernard
• 金额: $ 18.2万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-21 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10620297
• 关键词: Acceleration; Address; Affect; African; Anxiety; Applications Grants; Attention; Behavior; Black race; Caregivers; Child Traumatic Stress; Chronic; Clinical; Cognitive; Competence; Cues; Data; Development; Dimensions; Educational workshop; Ensure; Environment; Evaluation; Event; Evidence based intervention; Exposure to; Foundations; Funding; Future; Goals; Health; Health Disparities Research; Individual; Intervention; Interview; Knowledge; Lead; Life Cycle Stages; Link; Longitudinal Studies; Longitudinal cohort; Manuals; Measurement; Mediating; Mental Depression; Mental Health; Mental health promotion; Mentors; Mentorship; Methods; Mission; National Institute of Mental Health; National Institute on Minority Health and Health Disparities; Negative Valence; Outcome; Pathway interactions; Physiological; Population; Positioning Attribute; Post-Traumatic Stress Disorders; Public Health; Qualitative Methods; Race; Reduce health disparities; Reporting; Research; Research Methodology; Research Personnel; Risk Reduction; Role; Scientist; Site; Symptoms; System; Taxes; Time; Training; Trauma; United States; Universities; Washington; Youth; career; child and adolescent victimization; design; ethnic minority; experience; health disparity; improve minority health; improved; insight; minority communities; novel; programs; promote resilience; psychologic; psychological distress; psychological outcomes; psychosocial; racial discrimination; racial health disparity; racial identity; racial minority; racism; resilience; response; rumination; skill acquisition; skills; stressor; symposium; therapy development; traumatic event; traumatic stress; vigilance

The overall objective of the proposed K23 is to support Dr. Donte Bernard in acquiring the skills necessary to become an independent health disparities investigator with a program of research focused on the explication and reduction of the mental health sequelae associated with racism-related trauma among Black youth. Racism- related trauma represents a significant public health concern that is ubiquitous in the lives of Black youth. Yet, there is a lack of research that has disentangled the unique effects of racism-related trauma relative to other traumatic experiences. Moreover, a gap remains in the identification of culturally relevant constructs that may underlie the link between racism-related trauma and negative mental health outcomes and may serve as malleable targets for interventions to promote resiliency in the aftermath of racism-related events. The need for this high impact research—and, as such, highly trained clinical scientists to lead this research—is significant and consistent with NIMHD priorities to scientifically understand the causes of health disparity in order to improve the lives of racial and ethnic minority communities. The proposed K23 directly addresses these limitations through a promising candidate (with a strong foundation in racial discrimination research but need for additional training), a comprehensive Training Plan that is supported by a team of highly successful mentors and renowned research environment, and novel, mixed methods research, leveraging an active NIMH R01-funded longitudinal study on child victimization and mental health, to better understand (a) experiences and responses to race- related trauma (via qualitative methods); (b) the unique effect of racism-related trauma—above and beyond other psychosocial traumatic events—on internalizing and externalizing mental health sequalae; and (c) how racism- related vigilance and racial identity influence the relationship between racism-related trauma and mental health outcomes cross sectionally and over time. Findings from these primary study aims will inform a preliminary outline for a treatment to promote mental health resiliency in the aftermath of racism-related trauma (Exploratory Aim). On-site mentors (Drs. Danielson, Hughes-Halbert, Moreland, and Mueller) have extensive knowledge in child traumatic stress research, including racism-related trauma, longitudinal and mixed-methods approaches, and intervention development and evaluation. An off-site mentor (Dr. Joe at Washington University in St. Louis) will provide additional guidance in race-related mechanisms and examinations of externalizing mental health in relation to racism-related experiences. The mentorship, coursework, seminars, workshops, and national conference attendance afforded by the K23 will ensure that the candidate achieves numerous training goals, such as enhancing knowledge of racism-related trauma; developing expertise in race-related mechanisms that may undergird the relationship between racism-related trauma and mental health; and developing competence in qualitative and mixed methods. The K23 activities will prepare Dr. Bernard to lead a program of high impact, rigorously designed mental health disparities research focusing on racism-related trauma among Black youth.

拟议 K23 的总体目标是支持 Donte Bernard 博士获得必要的技能， 成为一名独立的健康差异调查员，其研究计划侧重于解释 以及减少黑人青年中与种族主义相关的创伤相关的心理健康后遗症。 相关创伤是黑人青年生活中普遍存在的重大公共卫生问题。 缺乏研究来阐明种族主义相关创伤相对于其他创伤的独特影响 此外，在识别可能的文化相关结构方面仍然存在差距。 是种族主义相关创伤与负面心理健康结果之间联系的基础，可以作为 制定可调整的干预措施目标，以促进种族主义相关事件发生后的复原力。 这项高影响力的研究——以及因此，训练有素的临床科学家来领导这项研究——意义重大且 与 NIMHD 的优先事项保持一致，科学地了解健康差异的原因，以改善 拟议的 K23 直接解决了这些限制。 通过一位有前途的候选人（在种族歧视研究方面拥有坚实的基础，但需要额外的 培训），这是一项全面的培训计划，由非常成功的导师和知名人士组成的团队提供支持 研究环境和新颖的混合方法研究，利用 NIMH R01 资助的积极纵向研究 关于儿童受害和心理健康的研究，以更好地了解 (a) 对种族问题的经历和反应 相关创伤（通过定性方法）；(b) 种族主义相关创伤的独特影响——超越其他创伤 心理社会创伤事件——关于心理健康后遗症的内化和外化；以及(c)种族主义如何- 相关警惕性和种族认同影响种族主义相关创伤与心理健康之间的关系 这些主要研究目标的跨部门和长期结果将为初步结果提供信息。 种族主义相关创伤后促进心理健康复原力的治疗大纲（探索性 现场导师（Drs. Danielson、Hughes-Halbert、Moreland 和 Mueller）拥有丰富的知识。 儿童创伤应激研究，包括种族主义相关创伤、纵向和混合方法， 干预措施的制定和评估。一位场外导师（圣路易斯华盛顿大学的 Joe 博士） 将在种族相关机制和外化心理健康检查方面提供额外指导 与种族主义相关的经历的关系。 K23 提供的会议出席将确保候选人实现众多培训目标， 例如增强对种族主义相关创伤的了解；发展种族相关机制的专业知识， 可能会加强种族主义相关创伤与心理健康和能力发展之间的关系； K23 活动将为 Bernard 博士领导一个具有高影响力的项目做好准备， 严格设计的心理健康差异研究，重点关注黑人青年中与种族主义相关的创伤。