Supporting Student Health and Resiience

支持学生的健康和抵抗力

• 批准号: 10678823
• 负责人: MYRIAM FORSTER
• 金额: $ 33.19万
• 依托单位: CALIFORNIA STATE UNIVERSITY NORTHRIDGE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-10 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10678823
• 关键词: ACE2; Academic achievement; Achievement; Adolescent; Adolescent Development; Adult; Affect; Alaska; Anxiety; Behavior; California; Caring; Child; Communities; Competence; Creativeness; Criminal Justice; Data; Decision Making; Development; Disadvantaged; Divorce; Dose; Educational Curriculum; Emotional; Employment; Ethnic Origin; Etiology; Evaluation; Evaluation Research; Event; Exposure to; Family; Family member; Fostering; Funding; Gender; General Population; Goals; Growth; Health; Household; Impairment; Imprisonment; Intercept; Joints; Justice; Learning; Low income; Mental Depression; Mental Health; Mental disorders; Methods; Outcome; Pain; Parents; Participant; Pathogenicity; Play; Poetry; Population; Prevalence; Prevention; Prevention program; Prevention strategy; Primary Prevention; Prisons; Problem behavior; Process; Quasi-experiment; Reporting; Risk; Risk Behaviors; Role; Schools; Scientific Advances and Accomplishments; Self Management; Siblings; Standardization; Students; Suicide; Symptoms; System; Teacher Professional Development; Teenagers; Testing; Time; Withdrawal; Youth; adverse childhood events; anxiety symptoms; behavioral health; children of color; community engagement; comparison group; coping; depressive symptoms; design; emerging adult; ethnic identity; evidence base; experience; high school; intimate partner violence; learning ability; longitudinal design; meetings; novel; peer; perceived discrimination; physical abuse; prevent; process evaluation; programs; promote resilience; protective factors; psychosocial; public health priorities; randomized effectiveness trial; research study; resilience; response; social; social emotional learning; social relationships; sociocultural determinant; socioeconomics; stressor; student participation; substance use; supportive environment; teacher; trend; urban setting; verbal

Household incarceration (parent, sibling, extended relative) is an adverse childhood experience (ACE) that is strongly correlated with other family stressors and impacts over 2.5 million US children; predominantly youth of color and youth living in low income communities. Youth whose families interact with the criminal justice system can experience upward of 3 ACE and are more likely to use substances, have behavioral problems, and interact with the justice system themselves, differences that remain even in comparison to children who experience other disruptive events and conditions that increase vulnerability for risky behavior. The 2- to 7-fold increase in risk for substance use, substance use related risky behaviors, and school withdrawal among youth exposed to even one ACE, and the dose-response relationship between accumulated ACE and health threatening behaviors and compromised mental health, underscores the critical need to identify effective prevention strategies. “Supporting Student Health and Resilience (SHARE)” is a four-year quasi-experimental process and outcome evaluation of a prevention program tailored to meet the needs of adolescents whose families are involved in the criminal justice system. Pain of the Prison System (POPS) is a school-based program that embeds foundational socio-emotional competencies in creative, artistic self-expression and community engagement activities and fosters meaningful connections to peers and caring adults (key ingredients of resilience). The proposed project uses a longitudinal design to determine whether a) participation in the POPS program encourages growth in key developmental assets and socio-emotional competencies that promote healthy development; b) compares relative change over six time points in hypothesized protective factors (e.g., social connectedness, socioemotional competencies) across POPS, matched comparison, and general population students; and c) assesses whether participating in the POPS program curtails substance use, symptoms of depression and anxiety, and promotes positive school outcomes (GPA, standardized test scores, disciplinary events). In year 1, the proposed project will collect baseline data and conduct a process evaluation of POPS program delivered in 3 high schools in AK, 8 in CA, and 8 in GA. In years 2-3 the study will assess change in risk behavior, mental health, and school outcome trajectories of POPS participants, matched comparison group, and general population students. The study will also explore the role of sociocultural factors (e.g., perceived discrimination and ethnic identity) in developmental trajectories and program outcomes and assess potential program moderators (e.g., gender, ethnicity, SES). Promoting healthy behaviors and school achievement among youth impacted by household incarceration and associated ACE is a public health priority. This multipronged evaluation research study will: yield information about a) programmatic strengths and deficits; b) risk and resilience processes; and support the development of c) evidence-based prevention programming for vulnerable youth and d) a randomized effectiveness trial.

家庭监禁（父母、兄弟姐妹、远亲）是一种不良的童年经历（ACE）， 与其他家庭压力因素密切相关，影响了250多万美国儿童，主要是年轻人 黑人和年轻人生活在低收入社区。家庭与刑事司法有互动的青年 系统可以经历3个以上的ACE，更有可能使用物质，有行为问题， 并与司法系统本身互动，即使与那些 经历其他破坏性事件和条件，增加风险行为的脆弱性。2- 7倍 青少年使用药物、与药物使用有关的危险行为和退学的风险增加 暴露于一种ACE，以及累积的ACE与健康之间的剂量反应关系 威胁行为和损害心理健康，强调迫切需要确定有效的 预防战略。“支持学生健康和弹性（共享）”是一个为期四年的准实验 对预防方案进行过程和结果评估，以满足青少年的需要， 家庭被卷入刑事司法系统。监狱系统的痛苦（POPS）是一个以学校为基础的 该计划将基本的社会情感能力嵌入创造性，艺术性的自我表达中， 社区参与活动，并促进与同龄人和有爱心的成年人的有意义的联系（关键 弹性的组成部分）。拟建项目采用纵向设计，以确定a） 参与持久性有机污染物计划，鼓励关键发展资产和社会情感的增长 促进健康发展的能力; B）比较六个时间点的相对变化， 假设的保护因素（例如，社会联系，社会情感能力）， 匹配比较，和一般人群的学生;和c）评估是否参与了持久性有机污染物 该计划减少了物质使用，抑郁和焦虑症状，并促进了积极的学校成果 (GPA、标准化考试成绩、纪律事件）。在第一年，拟议项目将收集基线数据， 并对阿肯色州3所高中、加利福尼亚州8所高中和佐治亚州8所高中提供的POP计划进行过程评估。在 第2-3年，研究将评估风险行为，心理健康和学校结果轨迹的变化， POPS参与者，匹配的对照组，和一般人群的学生。该研究还将探讨 社会文化因素的作用（例如，歧视和种族认同）的影响 和计划结果并评估潜在的计划主持人（例如，性别、种族、社会经济地位）。促进 健康行为和学校成绩的影响，家庭监禁和相关的青年 ACE是公共卫生优先事项。这项多管齐下的评价研究将： 方案的优势和不足; B）风险和复原力过程;以及支持c）的发展 针对弱势青年的循证预防方案; d）随机有效性试验。