A Culturally Informed Tele-Intervention for Minority High Risk Youth and Parents

针对少数族裔高危青少年和家长的文化知情远程干预

• 批准号: 7835462
• 负责人: DANIEL A. SANTISTEBAN
• 金额: $ 49.92万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-24 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7835462
• 关键词: 15 year old; Access to Information; Acquired Immunodeficiency Syndrome; Address; Adolescent; African American; Age; Area; Behavior; Behavioral; Cellular Phone; Characteristics; Child; Clinical; Collaborations; Communities; Computer software; Conflict (Psychology); Control Groups; Cultural Characteristics; Data; Depression and Suicide; Development; Discrimination; Drug usage; Economics; Educational process of instructing; Failure; Family; Family Practice; Focus Groups; HIV; Health; Health system; Hispanics; Immigration; Individual; Intervention; Lead; Life; Location; Manuals; Minority; Occupations; Parenting behavior; Parents; Pattern; Prevention; Professional counselor; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Research; Research Personnel; Risk; Risk Factors; Sampling; Schools; Science; Services; Stress; Suicide attempt; System; Technology; Testing; Text; Time; Waiting Lists; Wireless Technology; Youth; base; cost; design; flexibility; health disparity; high risk; high risk sexual behavior; innovation; meetings; programs; psychosocial; response; satisfaction; skills; stressor; telehealth; tool; user-friendly; web-enabled

DESCRIPTION (provided by applicant): This application addresses broad Challenge Area (01) Behavior, Behavioral Change, and Prevention and specific Challenge Topic, 06-MD-101* Development of Telehealth Tools to Promote Health and Connect At-Risk Youth to the Health System via Low-Cost, Mobile, and Wireless Technologies. The proposed study is designed to enhance, refine, and test a culturally informed and flexible/tailored intervention for high risk minority adolescents and their parents that is delivered primarily via a mobile/wireless system. This study focuses on high risk African American and Hispanic adolescents and their parents. Rates of HIV, AIDS, STIs, depression and suicide attempts, point to some of the major health disparities that result from an untreated high risk developmental trajectory. The proposed research brings together two teams with strong programs of innovation and research, one with expertise in the use of technology to deliver psychosocial interventions and the PI who has expertise in the development and testing of culturally informed treatments for high risk minority youth. This unique collaboration promises to accelerate each team's individual trajectories and converge on a high innovative tele-intervention for high risk youth. The study: 1) refines and enhances the original Culturally Informed and Flexible Family-Based Treatment for Adolescents (CIFFTA) to meet the needs of African American and Hispanic high risk youth, 2) refines an innovative wireless mobile technology to deliver the intervention in a multi-media format that includes text, audio, video and graphics, 3) pilot tests the new intervention and its delivery system by implementing the intervention with 10 families and conducting focus groups to identify refinements, and 4) conducts a medium-sized randomized trial of 80 African American and Hispanic adolescents ages 12-15 to test for feasibility, acceptability, and to obtain preliminary effect size estimates on key risk factors (conduct problems, academic failure, risky sexual behavior, family conflict). The original CIFFTA was designed to address unique stressors faced by minority youth in a flexible format that leads to the selection of interventions that best "fit" the clinical needs and cultural characteristics of the youth. It targets: 1) reducing family risk (e.g., poor parenting practices, family conflict) and increasing protective factors (e.g., Parent-child attachment), 2) teaching adolescent and parents skills, 3) delivering culturally congruent material (e.g., handling discrimination), and 4) using a flexible treatment manual to tailor of the treatment to the unique characteristics and needs of minority families (Santisteban & Mena, in press). By modifying and enhancing the original CIFFTA that has shown promising preliminary data, and adapting it for a wireless and mobile technology that is user friendly for adolescents, the intervention has the potential to mitigate issues of underutilization of services and the inability of interventions to be accessible to youth in the moments they need them most. The intervention will seek to identify the high risk people, times of the day, and locations in the adolescents' lives so that contact is made with youth at those most vulnerable times and interventions can be tailored. Rates of HIV, AIDS, STIs, depression and suicide attempts among African American and Hispanic adolescents, point to some of the major health disparities that can result from an untreated high risk developmental trajectory. The proposed research brings together two teams with strong programs of innovation and research, one with expertise in the use of technology to deliver psychosocial interventions and the PI with expertise in the development and testing of culturally informed and tailored treatments for high risk minority youth. The proposed study is designed to enhance, refine, and test using a randomized trial, a culturally informed and tailored intervention for high risk minority adolescents and their parents that will be delivered primarily via a mobile/wireless system using a multi-media format that includes text, audio, video and graphics.

描述（由申请人提供）：此申请解决了广泛的挑战领域（01）行为，行为改变以及预防和特定挑战主题，06-MD-101*开发远程医疗工具，以通过低成本，移动和无线技术来促进健康和将高风险的青年与卫生系统联系到卫生系统。拟议的研究旨在增强，完善和测试主要通过移动/无线系统交付的高风险少数族裔青少年及其父母的文化知情和量身定制的干预措施。这项研究的重点是高风险非裔美国人和西班牙裔青少年及其父母。艾滋病毒，艾滋病，性传播感染，抑郁和自杀率的率指向未经治疗的高风险发展轨迹造成的一些主要健康差异。拟议的研究汇集了两个团队，具有强大的创新和研究计划，其中一个在使用技术提供社会心理干预措施方面具有专业知识，而PI则在为高风险少数族裔青年开发和测试文化知情治疗方面具有专业知识。这种独特的合作有望加快每个团队的个人轨迹，并融合高风险青年的高创新性电视干预。研究：1）完善并增强并增强了针对青少年（CIFFTA）的最初的文化知情和灵活的基于家庭的治疗，以满足非裔美国人和西班牙裔高风险青年的需求，2）完善创新的无线移动技术，以在包括文本，视频和图形的范围内实施的多个中等格式的多人组中提供干预，并以新的介入方式进行介入，3），并进行了新的介入，并进行了新的介入，3）介入，3）介入，3）识别改进，4）对80名非裔美国人和西班牙裔青少年进行12-15岁的青少年进行中型随机试验，以测试可行性，可接受性，并获得对关键风险因素的初步效果估计（行为问题，危险失败，风险的性行为行为，家庭冲突）。最初的CIFFTA旨在以灵活的格式解决少数族裔青年面临的独特压力源，从而选择了最适合青年临床需求和文化特征的干预措施。 It targets: 1) reducing family risk (e.g., poor parenting practices, family conflict) and increasing protective factors (e.g., Parent-child attachment), 2) teaching adolescent and parents skills, 3) delivering culturally congruent material (e.g., handling discrimination), and 4) using a flexible treatment manual to tailor of the treatment to the unique characteristics and needs of minority families (Santisteban & Mena, in press).通过修改和增强原始的CIFFTA，该CIFFTA显示出了有希望的初步数据，并将其调整为对青少年对用户友好的无线和移动技术，该干预措施有可能减轻服务不足的问题，并且无法在最需要的时刻无法在年轻人中无法获得干预措施。干预措施将寻求确定一天中的时间以及青少年生活中的地点，以便可以在最脆弱的时期与青年进行接触。非裔美国人和西班牙裔青少年中艾滋病毒，艾滋病，性传播感染，抑郁症和自杀率的发生率指出了一些主要的健康差异，这可能是由于未经治疗的高风险发展轨迹造成的。拟议的研究汇集了两个团队，具有强大的创新和研究计划，其中一支在使用技术提供社会心理干预措施方面具有专业知识，以及在对高风险少数青年的文化知情和量身定制治疗方面的专业知识方面具有专业知识。拟议的研究旨在使用随机试验来增强，完善和测试，这是针对高风险少数族裔青少年及其父母的文化知情和量身定制的干预措施，这些干预措施将主要使用包括文本，音频，视频和图形的多媒体格式通过移动/无线系统进行交付。