Measuring Stress Among Diverse Adolescents

描述(由申请人提供)：这项拟议的R21探索性研究的目的是探索认同为性(女同性恋者、男同性恋者、双性恋者)和种族/少数民族的青少年的少数群体压力的交集，并开发和验证性少数群体青少年压力工具(SMASI)。通过更准确地评估这一高危人群中少数群体应激经历(社会过程)与负面心理和行为健康结果之间的关系，为这一群体提供有效的少数群体压力测量将对公共健康产生重大影响。根据美国国立卫生研究院对少数民族青少年进行的类似研究中使用的有效方法，拟议的研究将导致开发一种有效的少数民族压力测量方法，可用于临床评估和制定有效的有针对性的行为健康干预措施。这些目标将通过两个具体目标来实现，其中包括：a)通过与专家小组一起采用改进的德尔菲法编制初步的少数族裔青少年性压力问卷(SMASI)；b)改进该工具，并在对种族和族裔多样性的少数族裔青少年(N=410)的横断面研究中评估其可靠性和初步标准效度。本研究将混合方法、多阶段设计应用到SMASI的开发中。在第一年期间，将利用改进的德尔菲程序和一个跨学科的专题专家小组制定初步的SMASI，随后将进行青年认知访谈(n=20)，以确保对措施草案的理解。第二阶段将在研究的第二年进行，届时将招募种族和族裔多样化的SMA(n=410)，使用受访者驱动的抽样来完成措施草案。第二阶段的分析将侧重于建立信度和初步标准效度，并编制最终的SMASI。在R21完成后，将进行一项为期多年的研究，以考察少数族裔应激经历与大样本不同种族和民族青年的心理和行为结果之间的纵向关系。

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.