Link for Equity, a community-engaged waitlist randomized controlled trial of a culturally responsive trauma-informed care program for BIPOC students: Design features and characteristics of baseline sample.
Link for Equity, a community-engaged waitlist randomized controlled trial of a culturally responsive trauma-informed care program for BIPOC students: Design features and characteristics of baseline sample.
复制标题
Link for Equity，一项针对 BIPOC 学生的文化响应式创伤知情护理计划的社区参与候补随机对照试验：基线样本的设计特征和特征。
DOI：
10.1016/j.cct.2023.107090
复制
发表时间：
2023
影响因子：
2.2
通讯作者：
Woods-Jaeger,Briana
中科院分区：
文献类型：
--
作者：
Ramirez,MarizenR;Ryan,Andrew;Harding,AlysonB;Renfro,Tiffaney;Church,TimothyR;Rosebush,Christina;Trotter,AlexisGrimes;Xiong,BaoNhia;Gonzalez,John;Woods-Jaeger,Briana
公平联系是一个多层次的，以学校为基础的创伤知情护理和文化谦卑计划，旨在减少黑人土著和其他有色人种儿童（BIPOC）不良儿童经历的影响。本报告介绍了该计划，其试验设计，和研究参与者的基线characteristics.MethodsWe设计了一个嵌套的waitlist对照试验，以评估链接公平的有效性，减少校园暴力BIPOC学生。在黑人/非裔美国人、西班牙裔/拉丁裔和美洲印第安人/阿拉斯加原住民儿童的停学率和入学率上相匹配的三对学区被随机分为干预组或延迟干预组（等待名单对照组）。社区参与的方法指导了协议的制定。干预网站内，BIPOC学生谁筛选阳性ACE或创伤后应激反应也被随机分配到一个即时和候补对照组，接受额外的一对一的支持，从训练有素的学校staff.ResultsThe试验实施了2019年至2021年，这与明尼苏达州的大流行和内乱重叠。在基线时，444名工作人员和188名学生参加了研究。超过四分之一的美国印第安人/阿拉斯加原住民学生，18%的多种族，12%的黑人/非洲裔美国人，14%的西班牙裔/拉丁裔学生报告了4+ ACE。在研究中，44%到53%的BIPOC学生有PTSD的症状。入学的学生，78.7%的资格为一对一的链接support.ConclusionWe实施了一个多层次的等待名单控制的试验，链接公平使用社区参与的方法。尽管在大流行期间学校关闭，但该研究仍坚持其方法，目前正在扩大中学队列中使用。registrationClinicalTrials.gov
BackgroundLink for Equity is a multi-tiered, school-based program of trauma-informed care and cultural humility designed to reduce the impact of Adverse Child Experiences among Black Indigenous and other children of color (BIPOC). This report describes the program, its trial design, and the study participants' baseline characteristics.MethodsWe designed a nested waitlist-controlled trial to evaluate Link for Equity's effectiveness in reducing school violence among BIPOC students. Three pairs of school districts, matched on suspension rates and enrollment of Black/African American, Hispanic/Latinx, and American Indian/Alaska Native children, were randomized into either an intervention or delayed intervention (waitlist control) group. A community-engaged approach guided the development of protocols. Within intervention sites, BIPOC students who screened positive for ACEs or posttraumatic stress were also randomized into an immediate and waitlist control group to receive additional one-on-one support from trained school staff.ResultsThe trial was implemented from 2019 to 2021, which overlapped with the pandemic and civil unrest in Minnesota. At baseline, 444 staff and 188 students enrolled in the study. Over a quarter of American Indian/Alaska Native students, 18% of multiple race, 12% of Black/African American, 14% of Hispanic/Latinx students reported 4+ ACEs. Between 44 and 53% of all the BIPOC students in the study were symptomatic for PTSD. Of the enrolled students, 78.7% qualified for one-on-one Link support.ConclusionWe implemented a multilevel waitlist-controlled trial of Link for Equity using community-engaged methods. Despite school closures during the pandemic, the study persisted with its methods now being employed in an expanded cohort of middle schools.Trial registrationClinicalTrials.gov (NCT04026477, NCT04026490).