Cultural Pride Reinforcement for Early School Readiness: Pilot Randomized Controlled Trial of a Clinic-Based Intervention for Young African American Children

强化文化自豪感，为早期入学做好准备：对非裔美国幼儿进行临床干预的随机对照试验

• 批准号: 10664763
• 负责人: Ashaunta Tumblin Anderson
• 金额: $ 17.2万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-21 至 2028-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10664763
• 关键词: 4 year old; Address; Adherence; Affect; African American; African American population; Age; Area; Automobile Driving; Behavior; Books; Buffers; Child; Child Care; Child Development; Child Rearing; Childhood; Chronic; Clinic; Clinical Trials; Communities; Complement; Development; Distal; Early Intervention; Enrollment; Equation; Evaluation; Exclusion; Exhibits; Failure; Family; Federally Qualified Health Center; Goals; Health; Healthcare; Implementation readiness; Inequity; Intervention; Interview; K-Series Research Career Programs; Language Development; Latino; Latino Population; Leadership; Learning; Life Cycle Stages; Los Angeles; Mediating; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methods; Modeling; Outcome; Parents; Pathway interactions; Patient Recruitments; Pediatric Hospitals; Physicians; Policies; Population; Process; Provider; Psychological reinforcement; Race; Randomized, Controlled Trials; Readiness; Reporting; Research; Research Personnel; Review Literature; Sampling; Schools; Social Development; Socialization; Societies; Stress; Supervision; System; Testing; Training; United States; Visit; Work; acceptability and feasibility; adverse childhood events; behavioral health; career; design; dissemination science; early childhood; evidence base; experience; externalizing behavior; feasibility trial; follow-up; implementation science; improved; improved outcome; intervention refinement; literacy; minority children; minority health; minority health disparity; pilot test; primary care clinic; primary outcome; programs; racial bias; racism; recruit; secondary outcome; skill acquisition; skills; statistics

PROJECT SUMMARY/ABSTRACT This career development award will establish Dr. Ashaunta Anderson, MD, MPH, MSHS, as an independent investigator with a focus on the development, implementation, and dissemination of evidence-based racial socialization interventions for young African American children, using experimental and mixed-method approaches. This K23 award will provide her with the support she needs to develop expertise in 4 areas: 1) randomized controlled trials, 2) structural equation modeling, 3) mixed methods in dissemination and implementation science, and 4) leadership and professional development. African American children disproportionately experience racism, which is associated with behavioral health problems and school failure. Behavioral health problems impede learning and are more likely to be chronic, severe, disabling, and untreated in African Americans compared to Whites. Clinic-based interventions that boost cultural pride may improve outcomes related to behavioral health in young African American children. However, little is known about cultural pride interventions in this population. It is important to understand these processes in young children because early childhood is a period during which racial bias may develop and stymie behavioral health and learning, and cultural pride may support it. This project will recruit patients from AltaMed primary care clinics affiliated with Children’s Hospital Los Angeles. AltaMed is the United States’ largest system of Federally Qualified Health Centers. The project will pilot a cultural pride intervention (Cultural Pride Reinforcement for Early School Readiness (CPR4ESR)) in young African American children using experimental and mixed methods. CPR4ESR provides culturally themed children’s books and advice at health supervision visits of children enrolled at ages 2-4 years. It is based on a well-established national program called Reach Out and Read (ROR). ROR provides children’s books and book-sharing advice at health supervision visits with reports of increased book-sharing behaviors and literacy. The specific aims of the proposed project are to: 1) assess the feasibility and acceptability of CPR4ESR implementation among parents and providers, 2) evaluate the capacity of CPR4ESR to improve cultural pride reinforcement and book-sharing behaviors in parents of young African American children, and 3) evaluate the capacity of CPR4ESR to improve behavioral health and literacy in young African American children. The interviews conducted in Aim 1 will guide refinement of the intervention tested in Aims 2 and 3. The qualitative assessment will be complemented by quantitative trial statistics (e.g., recruitment rate) that inform trial feasibility and acceptability. Finally, the mechanism by which CPR4ESR impacts the primary outcome, behavioral health, and the secondary outcome, literacy, will be evaluated by structural equation modeling. This project will inform the development and implementation of early childhood interventions that address the deleterious health-related effects of racism among African Americans.

项目摘要/摘要 该职业发展奖将建立Ashaunta Anderson博士，医学博士，MPH，MSHS，作为独立 研究人员着重于发展，实施和传播循证种族 使用实验和混合方法，对非裔美国儿童的社会化干预措施 方法。该K23奖将为她提供在4个领域发展专业知识所需的支持：1） 随机对照试验，2）结构方程建模，3）传播中的混合方法 实施科学以及4）领导力和专业发展。非洲裔美国儿童 不成比例地经历种族主义，这与行为健康问题和学校失败有关。 行为健康问题阻碍了学习，更有可能是慢性，严重，残疾和未经治疗的 与白人相比，在非裔美国人中。促进文化自豪感的基于诊所的干预措施可能会改善 与非裔美国儿童的行为健康有关的结果。但是，对 该人群中的文化自豪干预措施。重要的是要了解幼儿的这些过程 因为童年是种族偏见可能发展并阻碍行为健康和 学习和文化自豪可能会支持它。该项目将招募来自高级初级保健诊所的患者 隶属于洛杉矶儿童医院。 Altamed是美国最大的联邦制系统 合格的卫生中心。该项目将试行一种文化自豪感（文化自豪感的增强 非洲裔美国儿童的早期学校准备就绪（CPR4ESR））使用实验和混合 方法。 CPR4ESR在健康监督访问中提供以文化为主题的儿童书籍和建议 2-4岁的儿童入学。它基于一项公认的国家计划，称为Guse Out和 阅读（ROR）。 ROR在健康监督访问中提供儿童读物和书籍共享建议，并提供报告 增加书本共享行为和识字能力。拟议项目的具体目的是：1）评估 父母和提供者中CPR4ESR实施的可行性和可接受性，2）评估 CPR4ESR的能力改善年轻父母的文化自豪感和书籍共享行为 非洲裔美国儿童和3）评估CPR4ESR提高行为健康和识字能力的能力 在年轻的非洲裔美国儿童中。在AIM 1中进行的访谈将指导干预的改进 在目标2和3中进行了测试。定性评估将通过定量试验统计（例如， 招聘率）为审判的可行性和可接受性提供了信息。最后，CPR4ESR的机制 影响主要结果，行为健康和次要结果，识字率，将由 结构方程建模。该项目将为幼儿期的发展和实施提供信息 解决非裔美国人种族主义有害健康相关的影响的干预措施。