Prospective intergenerational mixed-methods investigation of the short- and long-term impact of COVID-19 on adolescent mental, social, and behavioral health

关于 COVID-19 对青少年心理、社会和行为健康的短期和长期影响的前瞻性代际混合方法调查

• 批准号: 10587378
• 负责人: Jeff R Temple
• 金额: $ 73.15万
• 依托单位: UNIVERSITY OF TEXAS MED BR GALVESTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-12-01 至 2023-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10587378
• 关键词: 21 year old; Academic achievement; Adolescent; African American; Age; Anxiety; Asian; Award; Behavioral; Black race; COVID-19 impact; COVID-19 pandemic; COVID-19 pandemic effects; Climate; Communities; Conflict (Psychology); Consumption; Coping Skills; Data; Development; Dropout; Economics; Education; Educational Curriculum; Educational Status; Equity; Event; Exposure to; Family; Female; Food Access; Future; Health; Health behavior; Health behavior and outcomes; Hostility; Housing; Hybrids; Income; Individual; Instruction; Interruption; Intervention; Interview; Investigation; Job loss; Latinx; Learning; Link; Longitudinal Studies; Measurement; Measures; Mental Depression; Mental Health; Methods; Modeling; National Institute of Mental Health; Natural Disasters; Neighborhoods; Occupations; Outcome; Parent-Child Relations; Parents; Participant; Performance; Persons; Prevention program; Psyche structure; Randomized; Randomized, Controlled Trials; Risk; Risk Behaviors; Risk Factors; Schools; Sex Behavior; Social isolation; Socioeconomic Status; Source; Stress; Students; Surveys; Texas; War; Well in self; Youth; adolescent health; behavioral health; career; cohort; college; conflict resolution; coping; coronavirus disease; cyberbullying; dating violence; design; digital; economic disparity; educational atmosphere; experience; follow up assessment; follow-up; future pandemic; help-seeking behavior; housing instability; improved; intergenerational; intervention program; junior high school; long term consequences of COVID-19; mass shooting; mental development; neighborhood disadvantage; neighborhood safety; pandemic disease; parental role; partner violence; post-pandemic; programs; prospective; protective factors; racial disparity; recruit; risk sharing; school disruption; social; stay-at-home order; stressor; substance misuse; substance use; suicidal; teacher; twelfth grade; vaccine acceptance

Abstract To better understand the short- and long-term impact of the COVID-19 pandemic on youth mental health and development, we will leverage our existing randomized controlled trial of a school-based healthy relationships program. In 2018, we randomized 24 Texas middle schools in disadvantaged communities in which students (n=2865; Mean age = 12.7; 50% female; 36% Black/African American, 26% Latinx; 14% Asian) received either standard health curriculum (n=12 control schools) or Fourth R (n=12 intervention schools). Participants completed baseline and three annual comprehensive follow-up assessments of their mental (e.g., depression, anxiety, hostility), social (e.g., living situation, socio-economic status, school climate, stress), and behavioral (e.g., dating violence, substance use, sexual behavior, (cyber)bullying, coping strategies) health. This longitudinal data, with relevant measures established prior to the COVID-19 pandemic and resulting stay-at- home orders, provides a powerful opportunity to understand the long-term impact of this global crisis on youth development, mental health, risk behaviors, and academic achievement and explore risk and protective factors moderating this impact. Thus, we will 1) administer an additional four years of annual follow-up surveys, beginning in the 12th grade and follow students until they are, on average, 21 years of age; 2) recruit and assess parents of participants; 3) augment our already extensive student-level data with comprehensive pandemic-related measures, as well as school-, neighborhood-, and environmental-level factors that may moderate impact; and 4) conduct qualitative interviews of educators (n=24), students (n=24), and parents (n=24) to obtain a richer understanding of factors that mitigated or exacerbated the impact of COVID-19 and resulting disruptions to school, family, mental health, and development. Specific aims are to 1) Determine the short- and long-term impact of the COVID-19 pandemic on adolescents' mental, behavioral, and social health, as well as their academic performance and career potential; 2) Examine the moderating impact of family and income stability, parent-child relationships, parent mental health, equity (access to education, digital divide), learning model (in-person, online, hybrid), school disruptions, and school and neighborhood climate on COVID- 19 impacts for youth; 3) Investigate whether and how pandemic-related stressors (individual/family COVID impacts of job interruption, food access, media consumption, and vaccine uptake) are linked to short- and long- term health behaviors and outcomes; and 4) Evaluate the secondary benefits of Fourth R in mitigating the negative impact of the COVID-19 pandemic. Given that the intervention targets mental wellbeing, conflict resolution, coping, and help-seeking, we hypothesize that students exposed to the intervention will evidence improved mental, social, and behavioral health relative to their counterparts in control schools. Our study will provide a rigorous and comprehensive understanding of the impact of COVID-19 – quantitatively by leveraging data from an ongoing cohort and contextually through qualitative investigation.

抽象的 为了更好地了解 COVID-19 大流行对青少年心理健康和心理健康的短期和长期影响 发展中，我们将利用现有的基于学校的健康关系的随机对照试验 2018 年，我们对学生所在弱势社区的 24 所德克萨斯州中学进行了随机分组。 （n=2865；平均年龄 = 12.7；50% 女性；36% 黑人/非裔美国人，26% 拉丁裔；14% 亚洲人）接受了 标准健康课程（n = 12 所对照学校）或 Fourth R（n = 12 所干预学校）参与者。 完成基线和三项年度综合心理评估（例如抑郁、 焦虑、敌意）、社会（例如生活状况、社会经济地位、学校氛围、压力）和行为 （例如，约会暴力、药物滥用、性行为、（网络）欺凌、应对策略） 健康 这。 纵向数据，以及在 COVID-19 大流行之前制定的相关措施以及由此产生的停留时间 家庭订单提供了一个强有力的机会来了解这场全球危机对青年的长期影响 发育、心理健康、危险行为和学业成绩，并探索风险和保护因素 因此，我们将 1) 进行额外四年的年度跟踪调查， 从 12 年级开始跟踪学生，直到他们平均年龄 21 岁； 评估参与者的家长；3）通过全面的内容扩充我们已经广泛的学生水平数据 与大流行相关的措施，以及可能会影响学校、社区和环境层面的因素 中等影响；4) 对教育工作者 (n=24)、学生 (n=24) 和家长进行定性访谈 (n=24) 更深入地了解减轻或加剧 COVID-19 影响的因素，以及 对学校、家庭、心理健康和发展造成的干扰具体目标是 1) 确定 COVID-19 大流行对青少年心理、行为和社会健康的短期和长期影响， 2) 检查家庭和家庭的调节影响 收入稳定性、亲子关系、父母心理健康、公平（受教育机会、数字鸿沟）、 学习模式（面对面、在线、混合）、学校中断以及有关新冠病毒的学校和社区氛围 19 对青少年的影响；3) 调查是否以及如何与流行病相关的压力源（个人/家庭新冠肺炎） 工作中断、食物获取、媒体消费和疫苗接种的影响）与短期和长期 长期健康行为和结果；以及 4) 评估 Fourth R 在减轻 鉴于干预措施针对的是心理健康和冲突，Covid-19 大流行的负面影响。 解决、应对和寻求帮助，我们勇敢地接受干预的学生将证明 与对照学校的同龄人相比，我们的研究将改善他们的心理、社交和行为健康。 通过利用定量方法，对 COVID-19 的影响提供严格、全面的了解 来自正在进行的队列的数据以及通过定性调查进行的上下文数据。