Hispanic Stress Inventory-Adolescent Version Study

描述（由申请人提供）：拟议研究的长期目标是为西班牙裔青少年开发一种创新的压力评估工具。SBIR第一阶段研究将确定第二阶段研究的可行性，以进一步验证和规范西班牙裔压力量表（H.S.I.）的2个商业青少年版本：移民和非移民版本（HSI-A-I/NI）。本研究的具体目的是：1）确定突出的概念心理社会压力领域; 2）指定离散域特定的压力事件和他们的评估的临床和非临床样本，包括移民，语言和种族血统的亚组; 3）生成以李克特风格格式化的封闭式压力源和评估项目池，以包括在HSI-A草案工具中;（4）评估HSI-A量表在青少年概念压力领域的内容效度。将采用具有多中心、多方法和多测量特征的横截面、多阶段研究设计。第一阶段将电话采访一个专家小组，以确定概念和相关的压力领域。第二阶段将采用焦点小组访谈方法。将从特伦顿，NJ和San Fernando，CA的研究中心选择初中和高中学生和临床客户的分层样本（N=250）参加焦点小组（N=30）。第三阶段将对电话数据进行定性分析，以生成逻辑上相互关联的项目库。在第4阶段，将使用评分者间一致性的Cohen Kappa统计量和项目分析来评估内容效度。II期研究的可行性将通过多项标准确定，包括：获得目标受试者数量;种族人群亚组的充分代表性以及专家小组对HSI项目内容的共识（科恩Kappa值为0.70或更高）。最终，HSI-A将被宣传并提供给精神卫生保健领域，在那里它将作为早期预警精神健康筛查工具，以改善诊断制定。

DESCRIPTION (provided by applicant): The long-term objective of the proposed research is to develop an innovative stress assessment tool for Hispanic adolescents. A SBIR Phase I study will determine the feasibility of a Phase II study to further validate and norm 2 commercial adolescent versions of the Hispanic Stress Inventory (H.S.I.): The immigrant and non-immigrant versions (HSI-A-I/NI). The specific aims of this study of Hispanic early and late adolescents are to: 1) identify the salient conceptual psychosocial stress domains; 2) specify discrete domain-specific stressor events and their appraisal for clinical and non-clinical samples that include immigrant, language and ethnic origin subgroups; 3) generate a pool of closed-ended stressor and appraisal items formatted in a Likert style to be included in the HSI-A draft tool; 4) evaluate the content validity of the HSI-A for each adolescent conceptual stress domain. A cross-sectional, multi-stage research design with multisite, multimethod and multimeasure features will be applied. Stage 1 will telephone interview an expert panel to identify the conceptual and relevant stress domains. Stage 2 will use focus group interview methods. A stratified sample of middle and high school students and clinical clients will be selected (N=250) to participate in focus groups (N=30) from the research sites of Trenton, NJ and San Fernando, CA. Stage 3 will conduct qualitative analysis of the telephone data to generate a logically interconnected pool of items. In Stage 4 the content validity will be evaluated using Cohen's Kappa statistic of inter-rater agreement and an item analysis. The feasibility of the Phase II study will be determined by multiple criteria that include: obtaining targeted number of participants; adequate representation from the sub-groups of ethnic populations and consensus among expert panel on HSI item content as evidenced by a Cohen's Kappa of 0.70 or higher. Ultimately, the HSI-A will be advertised and supplied to the mental health care field where it will have relevance as an early warning mental health screening tool to improve diagnostic formulation.