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的酒精、烟草和毒品使用：初步测试 ¡ Unidos Se Puede 计划 抽象的 青少年酒精、烟草和其他药物 (ATOD) 的使用是一个主要的公共卫生问题，拉丁裔的比例较高 中学生青少年使用 ATOD 的比例高于其他族裔群体，这是公认的先兆之一。 在拉丁裔移民青年中，与移民相关的压力与 ATOD 相关。 即使在考虑了社会经济指标之后，使用、抑郁症状和反社会行为 尽管已经制定了一些计划来解决拉丁裔 ATOD 使用问题，但它们依赖于双语。 越来越多拥有硕士学位或更高学位的专业人员来执行该计划。 他们自己所在的新定居点缺乏双语 ATOD 顾问，无法提供适当的服务 这表明如果没有新的、有效的 ATOD 使用，健康差距将会扩大。 Unidos 针对拉丁裔青少年的干预措施是一项有效的积极青年发展计划。 与拉丁裔父母及其青春期的孩子一起通过增加父母的教育来推迟或减少 ATOD 的使用 参与孩子的学业和青少年的学业成就，因为 Unidos 可以通过以下方式实现。 基于社区的“promotoras”而不是大师级别的封建，它解决了实施问题， 与现有 ATOD 预防计划相关的可扩展性和可持续性问题。 工发组织对加强拉丁裔青少年成功能力的影响是积极的，但其影响 尚未对减少 ATOD 使用量进行评估。拟议的研究预计了 Unidos 的初步效果。 减少新定居点拉丁裔青年对 ATOD 的使用 本次功效试验的目标是 通过实现两个具体目标来实现：（1）评估干预措施延迟启动的潜力 促进或减少第一代至第二代移民拉丁裔青年的 ATOD 使用；以及 (2) 评估 干预措施能够加强已知的保护因素，防止青少年使用 ATOD，特别是 为了实现这些目标，我们建议儿童个人代理以及亲子、同伴和学校关系。 注意力安慰剂随机对照试验 在这项试验中，我们将招募青少年及其父母作为样本。 （N=120 组）从塔尔萨公立学校的拉丁裔七年级学生中随机抽取。 纳入/排除标准和同意参与将在随机之前提供基线数据 分配给治疗或对照条件（每组 n = 60 组），将跟踪 32 名参与者。 基线后几个月，在此期间，我们将每年在每个月结束时收集心理社会测量数据 三个学年（七年级、八年级和九年级）将被检验的两个主要假设是： (1) 青少年。 与对照组中的青少年相比，Unidos 计划将延迟开始使用 ATOD；以及 (2) 对照组中的青少年； 与对照组的青少年相比，Unidos 计划的 ATOD 使用量较少。