Measuring Stress Among Diverse Adolescents

测量不同青少年的压力

• 批准号: 8822638
• 负责人: Jeremy Thomas Goldbach
• 金额: $ 26.48万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-25 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8822638
• 关键词: Adolescent; African American; Alcohol or Other Drugs use; Anxiety; Area; Behavioral; Bisexual; Caucasians; Caucasoid Race; Chronic; Clinical assessments; Cognitive; Communities; Cross-Sectional Studies; Depression and Suicide; Development; Ensure; Equipment and supply inventories; Ethnic Origin; Funding; Gays; Gender; HIV; Health; Heterosexuals; Hispanic Americans; Homophobia; Incidence; Institute of Medicine (U.S.); Institutes; Intervention; Interview; LGBT Health; Lesbian; Lesbian Gay Bisexual Transgender; Lesbian Gay Bisexual Transgender Intersex; Measurement; Measures; Mental Health; Meta-Analysis; Methods; Minority; Minority Groups; Mission; Not Hispanic or Latino; Outcome; Participant; Persons; Phase; Population; Process; Production; Psyche structure; Psychosocial Stress; Public Health; Race; Recruitment Activity; Relative (related person); Reporting; Research; Research Personnel; Respondent; Risk; Sampling; Self-Injurious Behavior; Sex Orientation; Stress; Suicide; United States National Institutes of Health; Youth; base; behavioral health; career; design; ethnic minority population; experience; health disparity; high risk; instrument; longitudinal design; meetings; minority health; peer; public health relevance; racial and ethnic; racial/ethnic difference; racism; sex risk; sexual minority; social; stressor; theories

DESCRIPTION (provided by applicant): The objective of this proposed R21 exploratory research is to explore the intersection of minority stress for adolescents who identify as sexual (lesbian, gay, bisexual) and racial/ethnic minority and to develop and validate a sexual minority adolescent stress instrument (SMASI). The production of a valid measure of minority stress for this population will have a significant public health impact by allowing for more precise assessment of the relationship between minority stress experiences (social processes) and negative mental and behavioral health outcomes in this higher risk population. Adapted from effective methods used in similar NIH research with ethnic minority adolescents, the proposed research will result in the development of a valid measure of minority stress that can be used to inform clinical assessment and the development of effective targeted behavioral health interventions. The objectives will be met through two specific aims, including: a) Create a preliminary Sexual Minority Adolescent Stress Inventory (SMASI) through a modified Delphi process with an expert panel; and b) Refine the instrument and assess its reliability and preliminary criterion validity in a cross- sectional study of racially and ethnically diverse sexua minority adolescents (N=410). This study will apply a mixed method, multi-phase design to the development of the SMASI. During the first year, a preliminary SMASI will be developed using a modified Delphi process with an interdisciplinary subject matter expert panel, followed by youth cognitive interviews (n=20) to ensure comprehensibility of the draft measure. Phase II will occur in the second year of the study, when a racially and ethnically diverse range of SMA (n=410) will be recruited using respondent driven sampling to complete the draft measure. Analysis of phase II will focus on establishing reliability and preliminary criterion validity, and the production ofa final SMASI. Upon completion of this R21, a multi-year study will be conducted to examine the longitudinal relationship between minority stress experiences and mental and behavioral outcomes in a large sample of racially and ethnically diverse youth.

描述（由申请人提供）：拟议的R21探索性研究的目的是探索为认同性（女同性恋，男同性恋，双性恋）和种族/种族少数群体的青少年压力的相交，并发展和验证和验证性少数族裔青少年压力工具（SMASI）。通过允许对较高风险人群的少数群体压力经历（社会过程）以及负面的心理和行为健康状况负面的关系，可以更精确地评​​估少数群体压力的有效度量，从而产生重大的公共卫生影响。根据与少数民族青少年类似的NIH研究中使用的有效方法，该研究将导致开发有效的少数族裔压力量度，可用于为临床评估和有效的有针对性的行为健康干预措施开发。这些目标将通过两个特定的目标来实现：a）通过与专家小组的修改后的Delphi进程创建初步的性少数青少年压力清单（SMASI）； b）在对种族和种族多样性的少数族裔青少年的横断面研究中，完善仪器并评估其可靠性和初步标准有效性（n = 410）。这项研究将对SMASI的发展应用混合方法多相设计。在第一年，将使用跨学科主题专家小组的修改后的Delphi流程开发初步的SMASI，然后进行青年认知访谈（n = 20），以确保措施草案的可理解性。第二阶段将在研究的第二年发生，当时将使用受访者驱动的采样来招募种族和种族多样的SMA（n = 410）以完成草案措施。第二阶段的分析将着重于建立可靠性和初步标准有效性，以及最终SMASI的产生。该R21完成后，将进行一项多年研究，以研究少数种族和种族多元化的年轻人样本中少数群体压力经历与心理和行为成果之间的纵向关系。