Urgent Revision to Creating Peace: community-level intervention to reduce youth violence (R01MD013797, PI: Miller)

紧急修订“创造和平”：减少青少年暴力的社区干预（R01MD013797，PI：米勒）

• 批准号: 10215711
• 负责人: Elizabeth Miller
• 金额: $ 32.5万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-24 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10215711
• 关键词: Address; Administrative Supplement; Adult; Area; Behavioral; COVID-19; Child; Child Health; Child Support; Communities; County; Disadvantaged; Discrimination; Economics; Environment; Family; Gender; Goals; Individual; Infrastructure; Intervention; Justice; Measures; Mental Health; Neighborhoods; Parents; Participant; Preparation; Prevention; Prevention program; Public Health; Research; Risk; Self Efficacy; Social Change; Social isolation; Social support; Structure; Symptoms; Testing; Translating; Trauma; Violence; Vulnerable Populations; Well in self; Work; Youth; adolescent health; arm; base; community intervention; community involvement; design; effectiveness evaluation; experience; gender equity; health disparity; improved; insight; interest; intervention effect; member; mindfulness intervention; novel; pandemic disease; participant retention; peace; prototype; racism; reduce youth violence; resilience; response; satisfaction; social; tool; virtual; young adult; youth violence; youth violence prevention

In response to NOT-MD-20-022 (Notice of Special Interest (NOSI): Competitive and Administrative Supplements for Community Interventions to Reduce the Impact of COVID-19 on Health Disparity and Other Vulnerable Populations), this urgent competitive revision (PA-18-935) aims to evaluate a novel community- based multi-level intervention focused on child and youth thriving to respond to the pressing need for behavioral supports for youth and adults in the context of COVID-19. Residents in oppressed neighborhoods who are predominantly Black and Latinx have increased vulnerability to COVID-19 and the economic and social consequences of public health mitigation measures. The pandemic has disrupted social supports and increased social isolation among youth in these communities. This community-partnered, multi-level intervention engages supportive adults and youth to envision child/youth thriving to increase collective self- efficacy, reduce social isolation, promote emotional well-being among supportive adults and youth, and reduce youth violence in urban, racially-segregated neighborhoods. This intervention involves community members and youth leaders assessing child and youth thriving in their neighborhood, using a community-developed Child/Youth Thriving Matrix tool to engage in structured dialogue on neighborhood transformation, racial and gender equity, youth engagement, and organizing for social change. Findings from discussions will inform youth engagement in racial and gender justice activities in the context of this pandemic and offer a prototype for a community-level intervention to help mitigate the consequences of a pandemic, systemic racism, and structural inequities. This proposed study will assess feasibility of this Child/Youth Thriving Matrix tool as a community-based, multi-level intervention to promote neighborhood resilience and prevent youth violence. In Aim 1, we will evaluate feasibility of implementing Child/Youth Thriving Matrix within two neighborhoods (i.e., >80% retention of participants through all sessions; satisfaction scores > 4.0 (range 1-5); identification of at least three areas of focus for enhancing child thriving). Two other matched neighborhoods will be offered an individual mindfulness intervention as a control condition (final anticipated n = 80 participants/arm). Aim 2 will explore appropriateness of measures to evaluate intervention effects on individual- and neighborhood-level collective efficacy, emotional well-being (including mental health and social isolation), and youth violence, in preparation for a larger trial to test this community-level intervention. These research objectives build on infrastructure of the parent study (Creating Peace: community-based youth violence prevention to address racism and discrimination (R01MD013797, PI: Miller)). The goal of this urgent revision is to optimize a community-designed, community-level intervention to address structural inequities that have become all too apparent during this pandemic with an emphasis on neighborhood strengths and building resilience.

根据NOT-MD-20-022（特别关注通知（NOSI）：竞争性和行政性 社区干预措施补充，以减少COVID-19对健康差距和其他的影响 弱势群体），这一紧急竞争修订（PA-18-935）旨在评估一个新的社区- 以儿童和青年茁壮成长为重点的多层次干预措施， 在COVID-19背景下为青年和成年人提供行为支持。受压迫社区的居民 主要是黑人和拉丁裔的人增加了对COVID-19的脆弱性， 公共卫生缓解措施的社会后果。这一流行病扰乱了社会支持， 这些社区青年的社会孤立程度加剧。这个社区合作的、多层次的 干预措施使支持性的成年人和青年人参与进来，设想儿童/青年茁壮成长，以提高集体自我， 有效性，减少社会孤立，促进支持性成年人和青年的情感健康， 城市种族隔离社区的青年暴力。这种干预涉及社区成员 和青年领袖评估儿童和青年在他们的社区蓬勃发展，使用社区开发的 儿童/青年蓬勃发展矩阵工具，就邻里改造、种族和 性别平等、青年参与和组织社会变革。讨论的结果将为 青年在这一流行病背景下参与种族和性别公正活动， 社区一级的干预措施，以帮助减轻流行病、系统性种族主义的后果， 结构性不平等。这项拟议的研究将评估这一儿童/青少年茁壮成长矩阵工具作为一项 以社区为基础的多层次干预，以促进邻里复原力和预防青年暴力。在 目标1，我们将评估在两个社区（即， 在所有课程中，参与者的保留率>80%;满意度得分> 4.0（范围1-5）;确定在 （三）加强对儿童成长的关注。另外两个匹配的社区将提供一个 个人正念干预作为控制条件（最终预期n = 80名参与者/手臂）。目标2将 探讨评估个人和社区干预效果的措施是否适当 集体效能、情感幸福（包括心理健康和社会孤立）和青年暴力， 为更大规模的试验做准备，以测试这种社区干预措施。这些研究目标建立在 家长研究的基础设施（创造和平：以社区为基础的青年暴力预防， 种族主义和歧视（R 01 MD 013797，PI：米勒））。这一紧急修订的目标是优化一个 社区设计的社区一级干预措施，以解决结构性不平等， 在这场大流行期间，强调邻里优势和建设复原力。