Culturally Modified Family Based Therapy for Haitian Youth and Their Families in South Florida

项目摘要摘要 迈阿密/戴德县的海地青年成为少年司法系统的一部分，尚未收到 通过该系统进行文化上适当的补救或恢复关注。这项研究将修改一个 特定种类的干预，文化知识和灵活的基于家庭的治疗 青少年(CIFFTA)，以表彰其在迈阿密海地文化背景下的适当性。根据我们之前的记录 佛罗里达州海地社区二十多年来以家庭为基础的研究 融合以个人为导向的青年方法的干预措施更适合海地人 美国社会文化背景。这项研究将制定和实施一项具有文化针对性的、综合的 海地以家庭和个人为基础的药物使用、性风险和犯罪风险减少方案 迈阿密-戴德县13-17岁的青少年。首先，将对干预工具进行预先测试 与10名海地青年及其家人一起，然后根据文化可接受性采访和 焦点组数据。第二，我们将对88名海地高危青年及其 分析80个家庭(因为估计的自然减员)。我们将对CIFFTA模型进行测试 目前由迈阿密-戴德青少年服务部提供的护理标准(SOC)(J- DAP)向海地青少年提供娱乐方案。主要研究结果包括：持续 禁食物质；家庭功能；性危险行为；以及品行障碍。次要的 结果包括：降低了累犯率和同伴/帮派的参与率。该研究的结果将 用于修改干预内容和交付格式，这将为 未来开展完整的RO1 CIFFTA研究。将使用人种学方法收集 在CIFFTA完成后，将数据与基线和跟踪点的结果数据一起处理，以 补充结果分析，监测试验的干预情况，并为 解释它的主要影响。这里提议的研究活动将包括招募海地人。 青少年参加J-DAP计划的家庭，招募的家庭的参与者观察 家庭，修改CIFFTA以供海地家庭使用，在海地实施试点干预 青年及其家庭人数有限，这些干预措施的进程和结果评价， 分析这些活动产生的数据，并设计将应用于更大规模的干预 在本项目完成后扩大规模。

Project Summary abstract Haitian youth in Miami/Dade County who become part of the juvenile justice system have not received culturally appropriate remediating or rehabilitative attention by that system. This study will modify a specific variety of intervention, the Culturally Informed and Flexible Family-Based Treatment for Adolescents (CIFFTA) for appropriateness in Miami's Haitian cultural contexts. Based on our prior studies from more than two decades of research among Haitian communities in Florida family-based interventions that integrate individually-oriented approaches for youth are better suited to the Haitian American sociocultural context. This study will develop and implement a culturally specific, integrated family and individual-based, drug use, sexual risk and delinquency risk reduction program for Haitian adolescents aged 13-17 in Miami-Dade County. First, instruments for the intervention will be pretested with 10 Haitian youth and their families and then refined based on cultural acceptability interviews and focus group data. Second, we will conduct a pilot randomized trial with 88 at-risk Haitian youth and their families to analyze 80 (because of estimated attrition). We will test the CIFFTA model against the Standard of Care (SOC) currently being offered by the Miami-Dade's Juvenile Service Department (J- DAP) to Haitian adolescents in their diversionary program. Primary study outcomes include: sustained abstinence in substance use; family functioning; sexual risk behavior; and conduct disorder. Secondary outcomes includes: reduce rates in recidivism and peer/gang involvement. The results of the study will be used to modify the intervention content and delivery format which will provide the foundation for the development of a full RO1 CIFFTA study in the future. Ethnographic methods will be used to collect process data along with outcome data at baseline and follow-up points after CIFFTA completion, to complement analysis of outcomes, monitor the intervention of the trial and form a context for interpreting its primary effects. Research activities proposed here will include recruitment of Haitian families whose youths are in the J-DAP program, participant observation in households of recruited families, modification of CIFFTA for use in Haitian families, implementation of a pilot intervention in a limited number of youth and their families, process and outcome evaluation of those interventions, analysis of data resulting from these activities, and design of an intervention to be applied on a larger scale after completion of the present project.