Hispanic Stress Inventory Adolescent Immigrant and Non-Immigrant (HSI-A I/NI)

描述(由申请者提供)：西班牙裔青少年精神健康和相关行为问题的风险增加。文化上的特定压力与这些问题的风险有关。这项拟议的研究的目的是为西班牙裔青少年开发一份压力评估表。这项第二阶段研究以第一阶段可行性研究的结果为基础。该研究将进一步验证和规范西班牙裔青少年压力问卷(HSI-A)的移民和非移民版本。采用横断面研究设计，采用嵌套测试-重测组件和多点、多测量特征。将在4个代表美国拉美裔人口多样性的研究地点选择(N=400)分层的初中生和高中生样本(N=1600)和被诊断为行为健康问题的青少年的临床样本(N=400)：洛桑吉尔斯、迈阿密、达拉斯和波士顿。在第一阶段研究中开发的160个条目将与标准测量和分析一起对青少年进行自我管理，并将确定HSI-A的标准化版本。本研究对西班牙裔早期(13-15岁)和晚期(15-17岁)青少年的六个目标是：1)通过一系列探索性因素分析，确定HSI-A移民和非移民版本的总体结构效度和因素结构；2)通过分析学生样本和临床定义的对照组在量表和分量表得分上的异同来评估最终的HSI-A的结构效度；3)使用同时测量的方法评估HSI-A的标准相关效度；4)通过使用内部一致性、分半和重测程序评估HSI-A的可靠性；5)利用来自全国西班牙裔青少年样本的调查数据，生成HSI-A的国家规范数据和精算概况；6)评估HSI-A的可靠性，其中包括作为商业化计划组成部分的基于网络的管理和评分特征。HSI-A将通过商业化计划进行销售，并将提供一种筛查工具，用于精神卫生专业人员及早发现压力升高和预防精神健康障碍的发生。总统的新自由委员会建议，精神障碍的筛查和早期发现以及缩小健康差距是国家精神卫生系统转型的优先事项。拟议的研究将通过西班牙裔压力清单--青少年的开发和商业化来满足这两个国家的公共心理健康需求。这一新的临床筛查工具将显著提高心理健康专业人员的能力，通过有效评估异常压力水平，预防和降低西班牙裔青少年这一脆弱且快速增长的人口中严重心理健康和行为问题的风险。

DESCRIPTION (provided by applicant): Hispanic adolescents are at elevated risk for mental health and related behavioral problems. Culturally specific stress is associated with the risk for these problems. The objective of the proposed research is to develop a stress assessment inventory for Hispanic adolescents. This Phase II study builds upon the results of the Phase I feasibility study. The study will further validate and norm immigrant and non-immigrant versions of the Hispanic Stress Inventory-Adolescent (HSI- A.). A cross-sectional research design with a nested test-retest component and multisite, multimeasure features will be applied. A stratified sample of middle and high school students (N=1600) and clinical sample of adolescents with a diagnosed behavioral health problem will be selected (N=400) in 4 research sites representing the diversity of the United States Hispanic population: LosAngeles, Miami, Dallas and Boston. The 160 items developed in the Phase I study will be self administered to the adolescents along with the criterion measures and analysis will determine the standardized version of the HSI-A. The six objectives of this study of Hispanic early (13-15 years) and late adolescents (15-17 years) are: 1) To determine, through a series of exploratory factor analyses, the global construct validity and factor structures of the HSI-A immigrant and non- immigrant versions; 2) Estimate the construct validity of the final HSI-A by analyzing the similarities and differences in scale and subscale scores between the student sample and the clinically defined contrast group; 3) Assess the HSI-A for criterion-related validity using concurrent measures; 4) Assess the reliability of the HSI-A through the use of internal consistency, split-half and test-retest procedures; 5) Using survey data from a national sample of Hispanic adolescents, generate national normative data and actuarial profiles of the HSI-A; 6)Assess the reliability of the HSI-Athat includes web-based administration and scoring features as an integral part of the commercialization plan. The HSI-A will be marketed through a commercialization plan and will provide a screening tool for early detection of elevated stress and the prevention of the onset of mental health disorders by mental health professionals. The President's New Freedom Commission has recommended that the screening and early detection of mental disorders and the reduction of health disparities be priorities in the transformation of the nation's mental health system. The proposed research will address these two national public mental health needs through the development and commercialization of the Hispanic Stress Inventory - Adolescent. This new clinical screening tool will significantly increase the capacity of mental health professionals to prevent and reduce the risk in the vulnerable and rapidly growing population of Hispanic adolescents of serious mental health and behavioral problems through effective assessment of abnormal levels of stress.