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问卷(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)。这项针对西班牙裔早期和晚期青少年的研究的具体目的是：1)确定显著的概念性心理社会应激域；2)为包括移民、语言和种族亚群在内的临床和非临床样本指定离散的特定领域应激源事件及其评估；3)生成封闭式应激源和评估项目池，并将其纳入HSI-A草案工具；4)评估HSI-A针对每个青少年概念应激域的内容有效性。将采用多点、多方法、多测量特征的横断面、多阶段研究设计。第一阶段将与专家小组进行电话面谈，以确定概念上和相关的压力域。第二阶段将采用焦点小组访谈的方法。将从初中生和临床客户中分层抽样(N=250)，参加来自新泽西州特伦顿和加利福尼亚州圣费尔南多研究地点的焦点小组(N=30)。第三阶段将对电话数据进行定性分析，以产生一个逻辑上相互关联的项目池。在第四阶段，内容效度将使用Cohen的Kappa统计量的评分者间协议和项目分析来评估。第二阶段研究的可行性将视乎多项准则而定，其中包括：获得指定的参与人数；各族裔人口是否有足够的代表性，以及科恩的Kappa指数达0.70或以上所证明的人类安全倡议项目内容专家小组的共识。最终，HSI-A将被宣传并供应给精神卫生保健领域，在那里它将作为一种早期预警精神健康筛查工具来改进诊断方法。

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.