Investigating Adverse Effects of Adolescent Group Interventions

调查青少年团体干预的不利影响

• 批准号: 8312311
• 负责人: Jessie J. Wong
• 金额: $ 3.28万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8312311
• 关键词: Accounting; Address; Adolescence; Adolescent; Adolescent Behavior; Adolescent Development; Adverse effects; Age; Clinic; Clinical; Communities; Competence; Data; Development; Diagnosis; Disruptive Behavior Disorder; Ethnic group; Evaluation Studies; Face; Family; Funding; Growth; Intervention; Latino; Lead; Link; Long-Term Effects; Low income; Mediating; Mediator of activation protein; Mental Health; Methods; Mexican Americans; Minority Groups; Modeling; Morphologic artifacts; Mothers; National Institute of Mental Health; Outcome; Participant; Patient Self-Report; Peer Group; Prevention; Prevention program; Prevention strategy; Preventive Intervention; Problem behavior; Process; Program Evaluation; Public Health; Randomized Controlled Trials; Research; Research Design; Research Personnel; Research Support; Risk; Safety; Sampling; Site; Societies; Solutions; Symptoms; Testing; Time; Underserved Population; United States National Institutes of Health; Youth; base; clinically significant; design; deviant; experience; externalizing behavior; follow-up; group intervention; health disparity; high school; innovation; intervention effect; mental disorder diagnosis; middle school; peer; prevent; programs; randomized trial; response; teenage mother; universal prevention

DESCRIPTION (provided by applicant): The proposed project seeks to examine adverse effects of group interventions on adolescents' externalizing behavior. Group interventions represent one of the most economical, convenient, and common solution to adolescent behavior problems, a major dilemma for our society that accounts for the greatest number of referrals to mental health clinics. Findings from program evaluation studies have begun to suggest that these groups unexpectedly increase the externalizing behaviors that they were designed to reduce or prevent. However, research has yet to verify whether these unexpected findings represent a meaningful, significant, and lasting adverse effect on adolescent participants rather than a methodologically-driven empirical artifact. Further research based on a strong research design and longitudinal data is necessary to make this important distinction. This project integrates clinical, developmental, and quantitative approaches to investigate a previously discovered adverse effect of an adolescent group intervention. The current study will draw data from a longitudinal, multi-site randomized controlled trial of the Bridges to High School / Puentes a La Secund¿ria Program, a culturally competent, multicomponent prevention program designed to reduce risk during the middle school transition, which has demonstrated positive effects across an array of outcomes. Data were collected at the beginning of 7th grade, with follow-up data collected at the end of the 7th,8th, 9th, and 12th grade from a sample of primarily low-income Mexican American adolescents and their mothers. These data will allow the opportunity to examine intervention effects on long-term outcomes, trajectories of externalizing behaviors across adolescence, and potential mediators of observed effects, each of which provide critical and unique information on the development and prevention of externalizing problems among adolescents. PUBLIC HEALTH RELEVANCE: This study will examine whether adverse effects of adolescent group interventions, which have been found in 24-29% of evaluation studies, are lasting and clinically significant and seeks to identify the processes that explain them. In addition, this stuy reflects the current priority among researchers to refine innovative prevention strategies that are personalized for optimal use among underserved populations, such as Mexican Americans (MAs), the fastest growing US minority group who face substantial health disparities. Investigating the risk and cultural factors that might influence intervention responses among MA youth is necessary to reduce these disparities and their long-term personal and public health burden and strengthen the public health impact of NIMH-supported research.

描述（由申请人提供）：拟议的项目旨在研究小组干预对青少年外化行为的不良影响。小组干预是解决青少年行为问题最经济、最方便、最常见的方法之一，这是我们社会的一个主要困境，也是转介到精神卫生诊所的最多的原因。项目评估研究的结果已经开始表明，这些团体出乎意料地增加了他们旨在减少或防止的外化行为。然而，研究尚未验证这些意想不到的发现是否对青少年参与者产生了有意义的，显著的和持久的不利影响，而不是方法论驱动的经验性人工制品。为了做出这一重要区分，有必要在强有力的研究设计和纵向数据的基础上进行进一步研究。该项目整合了临床，发展和定量的方法来调查以前发现的青少年群体干预的不良影响。目前的研究将从桥梁到高中/普恩特的纵向、多地点随机对照试验中获取数据。 拉塞孔德ria方案是一个文化上有能力的、多方面的预防方案，旨在减少中学过渡期间的风险，该方案已在一系列成果中显示出积极的效果。数据收集在7年级的开始，在7日，8日，9日和12日年级结束时，从主要是低收入的墨西哥裔美国青少年和他们的母亲的样本收集的后续数据。这些数据将使我们有机会研究干预对长期结果的影响，整个青春期的外化行为轨迹，以及观察到的影响的潜在中介，每一个都提供了关于青少年外化问题的发展和预防的关键和独特的信息。 公共卫生相关性：这项研究将检查青少年群体干预的不良影响，这已经发现在24-29%的评估研究，是持久的和临床意义，并试图确定解释他们的过程。此外，这项研究反映了研究人员目前的优先事项，以完善创新的预防战略， 个性化的最佳使用服务不足的人群，如墨西哥裔美国人（MA），增长最快的美国少数民族群体谁面临着巨大的健康差距。调查的风险和文化因素，可能会影响MA青年的干预反应是必要的，以减少这些差距和长期的个人和公共卫生负担，并加强NIMH支持的研究对公共卫生的影响。