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两种商业青少年版本的西班牙裔压力量表（H.S.I.）：移民版本和非移民版本（hsia -I/NI）。本研究对西班牙早期和晚期青少年的具体目的是：1)确定显著的概念性心理社会压力域；2)对临床和非临床样本（包括移民、语言和种族亚群）明确离散的特定领域压力源事件及其评估；3)生成以Likert格式格式化的封闭压力源和评估项目池，以纳入HSI-A草稿工具；4)评估青少年概念压力域的内容效度。将采用具有多地点、多方法和多措施特点的横断面、多阶段的研究设计。第一阶段将电话采访一个专家小组，以确定概念和相关的应力域。第二阶段将采用焦点小组访谈的方法。将从新泽西州特伦顿和加利福尼亚州圣费尔南多的研究地点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池。在第四阶段的内容效度将评估使用科恩的Kappa统计间的协议和项目分析。II期研究的可行性将由多个标准确定，包括：获得目标数量的参与者；来自种族人口子群体的充分代表以及专家小组对恒生指数项目内容的共识，科恩Kappa为0.70或更高。最终，精神健康指数- a将被宣传并提供给精神保健领域，在那里它将作为一种早期预警精神健康筛查工具，以改善诊断方案。

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.