Culturally-Sensitive School-Home Behavioral Program for Latino Children with ADHD

描述(由申请人提供)：拟议的研究和培训计划旨在为申请者提供实施和分析注意力缺陷/多动-冲动障碍(ADHD)临床试验的经验，利用定性方法确定有意义的主题，并为需要心理健康服务的不同家庭制定对文化敏感的指南，扩大多元文化能力和敏感度，并提高作为临床研究人员的独立性。ADHD是各种文化中最常见的儿童心理健康障碍之一，持续增长的拉丁裔青年人口显示出患ADHD的风险很大或更大。拉美裔儿童遭遇不幸的心理健康差距，这使得他们不太可能寻求和接受适当的ADHD服务，这可以防止与ADHD相关的学习、社会和家庭功能领域的长期和广泛的损害。为了减少拉美裔儿童的心理健康差距，该领域需要经过培训的对文化敏感的临床心理学家，以进行干预研究，并为适合文化的ADHD服务制定指导方针。目前计划中提议的培训将为申请者的职业生涯奠定基础，成为一名独立的临床研究人员，专注于为ADHD儿童开发、调查和传播适合文化的评估和治疗实践。这些目标不仅是申请者的优先事项，而且也吸引了目前四个国家中的两个 精神卫生研究所(NIMH)的目标(即，开发新的更好的干预措施，纳入精神病患者的不同需求和情况，并加强NIMH支持的研究对公共卫生的影响)。发起人Linda Pfiffner博士是一位知名的临床研究人员，曾担任多项ADHD临床试验的首席研究员，包括目前由教育部(DOE)资助的协作生活技能(CLS)计划的疗效试验--当前建议的干预措施 研究/培训计划。联合发起人Patricia Arean博士在多元文化临床心理学方面拥有丰富的经验，包括与拉美裔美国人的临床/研究工作。赞助商的指导，以及加州大学旧金山分校现有的培训资源，为申请者提供了完成拟议的研究和培训计划并实现以下具体目标的理想机会：目的1)比较招募并参与ADHD服务的拉丁裔和非拉丁裔家庭在求助行为模式的所有级别。目的2)对参与CLS的拉丁裔家庭进行混合方法调查，并制定对文化敏感的ADHD行为治疗指南。

DESCRIPTION (provided by applicant): The proposed research and training plan aims to provide the applicant with experience implementing and analyzing Attention-Deficit/Hyperactivity-Impulsivity Disorder (ADHD) clinical trials, utilizing qualitative methodolog to determine meaningful themes and develop culturally sensitive guidelines for diverse families in need of mental health services, expanding multicultural competence and sensitivity, and advancing independence as a clinical researcher. ADHD is one of the most common childhood mental health disorders across cultures, with the continuously growing Latino youth population displaying as great or greater risk for ADHD. Latino children experience unfortunate mental health disparities leaving them less likely to seek and receive appropriate ADHD services, which can prevent long-lasting and widespread impairment in the areas of academic, social, and familial functioning related to ADHD. In order to reduce mental health disparities for Latino children, the field is in need of culturally-sensitive clinical psychologists trained to conduct intervention research and develop guidelines for culturally appropriate ADHD services. The training proposed in the current plan will set the stage for the applicant's career as an independent clinical researcher focused on developing, investigating, and disseminating culturally-appropriate assessment and treatment practices for children with ADHD. These goals not only serve as priorities for the applicant, but also appeal to two of the four current National Institute of Mental Health (NIMH) objectives (i.e., developing new and better interventions that incorporate the diverse needs and circumstances of people with mental illnesses and strengthening the public health impact of NIMH-supported research). The sponsor, Dr. Linda Pfiffner, is an established clinical researcher who has served as the principal investigator of multiple ADHD clinical trials, including the current Department of Education (DOE) funded efficacy trial of Collaborative Life Skills (CLS) Program- the intervention proposed in the current research/training plan. The co-sponsor, Dr. Patricia Arean, has extensive experience with multicultural clinical psychology, including clinical/research work with Latino Americans. The mentorship of the sponsors, as well as the training resources available at UCSF, provide the ideal opportunity for the applicant to complete the proposed research and training plan and achieve the following specific aims: Aim 1) Compare Latino and non-Latino families recruited for and participating in ADHD services at all levels of the help-seeking behavior model. Aim 2) Conduct mixed-method investigation with Latino families participating in CLS and develop culturally- sensitive guidelines for ADHD behavioral treatment.