Implementing a church-based parenting intervention to promote NIDA prevention science among Hispanics

实施基于教会的育儿干预措施，在西班牙裔中推广 NIDA 预防科学

• 批准号: 10356540
• 负责人: Jose Ruben Parra-Cardona
• 金额: $ 2.22万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-15 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10356540
• 关键词: Address; Adolescent; Affect; Alcohol consumption; Child; Child Rearing; Church; Communities; Conflict (Psychology); County; Data Analytics; Discrimination; Drug Compounding; Educational Curriculum; Educational Intervention; Ethnic group; Exposure to; Family; Feasibility Studies; Foundations; Funding; Future; Generations; Goals; Gold; Health Promotion; Health Services Accessibility; Healthcare; Hispanics; Illicit Drugs; Immigrant; Interdisciplinary Study; Intervention; Investigation; Low income; Measures; Michigan; Monitor; National Institute of Drug Abuse; Outcome; Parents; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Population Heterogeneity; Poverty; Preparation; Prevention; Prevention Services Research; Prevention program; Prevention trial; Problem behavior; Procedures; Public Health; Randomized Controlled Trials; Research; Risk; Science; Services; Strategic Planning; Testing; Texas; Training; Underserved Population; Uninsured; United States; United States National Institutes of Health; Universities; Youth; alcohol and other drug; alcohol prevention; austin; base; care systems; cigarette smoking; effectiveness implementation study; effectiveness trial; efficacy testing; ethnic minority population; evidence base; experience; health care service organization; health disparity; high risk; implementation framework; implementation outcomes; implementation science; implementation strategy; member; prevent; preventive intervention; programs; protective factors; public health relevance; response; service gap; stressor; sustainability framework; underserved community

PROJECT SUMMARY Hispanic populations in the United States (US) continue to be seriously impacted by persistent health disparities. According to the 2017 Monitoring the Future Study, Hispanic adolescents had the highest rates of use of most illicit drugs compared to other ethnic groups. When considering differential risks among Hispanics, US-born youth in low-income first-generation immigrant families are at high risk for experiencing poverty, discrimination, and barriers to access services. These adolescents can also be exposed to deleterious parent- youth cultural conflicts, which may increase their risk for behavioral problems, including the use of alcohol and other drugs. Contextual stressors also have a negative impact on the quality of parenting practices of immigrant parents, with associated deleterious consequences for their adolescent children. Although parent training (PT) interventions constitute the gold standard for strengthening parenting practices that are effective protective factors in the lives of adolescents, the availability of efficacious culturally adapted PT interventions in underserved Hispanic communities remains scarce throughout the US. Thus, there is an urgent need in the implementation science (IS) field to identify implementation strategies aimed at addressing service gaps affecting Hispanic populations. A promising alternative consists of relying on third sector organizations, such as faith-based organizations, to integrate prevention programs in underserved communities. The current R34 investigation will consist of the implementation and modest refinements of a culturally adapted version of the evidence-based PT intervention known as GenerationPMTO.© Our rationale is that implementing efficacious prevention interventions in faith-based organizations constitutes a key alternative to address service barriers experienced by underserved populations. We also propose that by training lay members of target communities as prevention interventionists, the sustainment of prevention programs can be significantly enhanced. This study has relevance as we focus on a population that remains understudied in the IS field. Our research team is composed of the largest faith-based organization serving Hispanics in Travis County, Texas, as well as a core research team affiliated with the University of Texas at Austin, expert IS consultants, and community- based organizations serving Hispanic populations. The research aims of this R34 investigation are: (a) To implement a pilot study aimed at refining the CAPAS-Youth curriculum and study procedures, (b) to implement a randomized controlled trial, aimed at empirically testing the efficacy of the CAPAS-Youth intervention with first-generation low-income Hispanic families in Travis County, (c) to measure barriers and facilitators associated with the implementation of the CAPAS-Youth prevention intervention in the target context, and (d) to measure relevant implementation outcomes to inform a future R01 effectiveness trial. The investigation has high

项目摘要 美国的西班牙裔人口继续受到持续健康的严重影响 差距。根据2017年监测未来研究，西班牙裔青少年的发病率最高， 与其他种族群体相比，使用大多数非法药物。当考虑西班牙裔之间的差异风险时， 出生在低收入第一代移民家庭的美国年轻人面临贫困的高风险， 歧视以及获得服务的障碍。这些青少年也可能接触到有害的父母- 青年文化冲突，这可能会增加他们的行为问题，包括使用酒精和 其他药物。背景压力也对父母的养育质量产生负面影响， 移民父母，对其青春期子女造成相关的有害后果。尽管父母 培训（PT）干预是加强有效育儿实践的黄金标准 青少年生活中的保护因素，有效的文化适应PT干预措施的可用性， 服务不足的西班牙裔社区在美国仍然很少。因此，迫切需要 实施科学领域，以确定旨在解决服务差距的实施战略 影响西班牙裔人口一个有希望的替代办法是依靠第三部门组织，如 宗教组织，将预防方案纳入服务不足的社区。目前R34 调查将包括实施和适度改进的文化适应版本的 基于证据的PT干预被称为GenerationPMTO。©我们的理由是，实施有效的 信仰组织的预防干预是解决服务障碍的一个重要替代方案 所经历的痛苦。我们还建议，通过培训目标社区的非专业人员， 作为预防干预者，预防方案的可持续性可得到显著加强。这 这项研究具有相关性，因为我们关注的是在IS领域仍然研究不足的人群。我们的研究团队 由德克萨斯州特拉维斯县最大的为拉美裔人服务的信仰组织组成， 核心研究团队隶属于得克萨斯大学奥斯汀分校，专家是顾问，和社区- 为西班牙裔人口服务的组织。这项R34研究的目的是： 开展一项旨在完善CAPAS-青年课程和学习程序的试点研究，（B）实施 一项随机对照试验，旨在实证检验CAPAS-青年干预的有效性， 特拉维斯县第一代低收入西班牙裔家庭，（c）衡量障碍和促进因素 （d）与在目标范围内实施CAPAS-青年预防干预措施有关，以及 衡量相关的实施结果，为未来的R 01有效性试验提供信息。调查已经 高