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

为南佛罗里达州的海地青年及其家庭提供基于文化的改良家庭疗法

基本信息

批准号：
9931938
负责人：
LOUIS HERNS MARCELIN
金额：
$ 0.85万
依托单位：
UNIVERSITY OF MIAMI CORAL GABLES
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-01 至 2021-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9931938
关键词：
Abstinence Acculturation Adolescent Age Alcohol or Other Drugs use American Assessment tool Attention Behavioral Clinical Trials Communities Complement Conduct Disorder County Data Data Analyses Development Drug usage Ecology Effectiveness of Interventions Ethnography Evaluation Face Family Family Process Family psychotherapy Florida Focus Groups Foundations Future Goals Group Interviews Haitian Household Human Development Individual Intervention Intervention Trial Interview Justice Juvenile Delinquency Knowledge Lawyers Mediating Modeling Modification Monitor Motivation Outcome Outcome Study Participant Pilot Projects Population Populations at Risk Preventive Intervention Process Rehabilitation therapy Research Research Activity Research Personnel Risk Risk Factors Risk Reduction Services Shapes System Testing Vulnerable Populations Youth aged base design effective intervention efficacy trial ethnographic method family influence family structure flexibility follow-up gang high risk sexual behavior human model improved instrument intervention effect juvenile justice system peer prevent programs protective factors randomized trial recidivism recruit reduced substance use secondary outcome sexual risk behavior standard of care therapy design

项目摘要

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.

项目摘要