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

描述（由申请人提供）：西班牙裔青少年的心理健康和相关行为问题的风险较高。特定文化的压力与这些问题的风险有关。这项研究的目的是为西班牙裔青少年开发一个压力评估清单。第二阶段研究是在第一阶段可行性研究结果的基础上进行的。这项研究将进一步验证和规范移民和非移民版本的西班牙裔压力清单-青少年（HSI-A）。一个横断面研究设计与嵌套重测组件和多站点，多措施的功能将被应用。将在代表美国西班牙裔人群多样性的4个研究中心（洛杉矶、迈阿密、达拉斯和波士顿）选择初中和高中学生分层样本（N=1600）和确诊有行为健康问题的青少年临床样本（N=400）。在第一阶段研究中开发的160个项目将与标准测量一起沿着给青少年自我管理，分析将确定HSI-A的标准化版本。这项研究的六个目标，西班牙裔早期（13-15岁）和青少年晚期（15-17岁）的主要任务是：（1）通过一系列探索性因素分析，确定HSI-A移民版和非移民版的总体结构效度和因素结构; 2）估计最终HSI的结构效度-通过分析学生样本和临床定义的对照组之间的量表和子量表得分的异同; 3）使用同步测量评估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）使用来自西班牙裔青少年的全国样本的调查数据，生成HSI-A的全国规范数据和精算概况; 6）评估HSI-A的可靠性，包括基于网络的管理和评分功能，作为商业化计划的一个组成部分。HSI-A将通过一项商业化计划销售，并将提供一种筛查工具，供心理健康专业人员早期发现压力升高和预防心理健康障碍的发生。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减少健康差距是国家精神卫生系统改革的优先事项。拟议的研究将通过开发和商业化的西班牙裔压力清单-青少年来解决这两个国家公共心理健康需求。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，预防和减少脆弱和快速增长的西班牙裔青少年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.