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

项目摘要 迈阿密/戴德县的海地青年成为少年司法系统的一部分， 文化上适当的补救或康复的关注。本研究将修改 具体的各种干预措施，文化知情和灵活的家庭为基础的治疗， 青少年（CIFFTA）在迈阿密的海地文化背景下的适当性。根据我们先前的 在佛罗里达以家庭为基础的海地社区中进行了二十多年的研究， 针对青年人的综合个人导向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针对具体文化的综合 为海地人提供以家庭和个人为基础的减少吸毒、性风险和犯罪风险的方案 迈阿密戴德县13-17岁的青少年首先，将对干预手段进行预先测试 与10名海地青年及其家人进行了访谈，然后根据文化可接受性访谈进行了改进， 焦点小组数据。第二，我们将对88名高危海地青年及其父母进行一项试点随机试验。 家庭分析80（由于估计减员）。我们将测试CIFFTA模型对 迈阿密-戴德郡青少年服务部（J- DAP）在他们的转移计划海地青少年。主要研究结果包括：持续 物质使用的节制;家庭功能;性风险行为;和行为障碍。二次 成果包括：降低累犯率和同伴/帮派参与率。研究结果将 用于修改干预内容和交付格式，这将为 在未来发展一个完整的RO 1 CIFFTA研究。将使用人种学方法收集 在基线和CIFFTA完成后的随访点处理数据沿着结局数据， 补充结局分析，监测试验干预，并形成 解释其主要影响。这里提议的研究活动将包括征聘海地人， 家庭的青年在J-DAP计划，参与观察家庭的招募 家庭，修改CIFFTA以供海地家庭使用， 青年及其家庭人数有限，对这些干预措施的过程和成果进行评价， 分析这些活动产生的数据，并设计一项干预措施， 项目完成后的规模。

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.