JUNTOS (TOGETHER): Development of a family-based Latino youth use preventive intervention

JUNTOS（共同）：发展以家庭为基础的拉丁裔青少年使用预防性干预措施

• 批准号: 10456821
• 负责人: Elma I Lorenzo-Blanco
• 金额: $ 18.02万
• 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: 2020-08-05 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10456821
• 关键词: Acculturation; Address; Adolescence; Adolescent; African American; Age; Alcohol consumption; Alcoholism; Alcohols; Attitude; Automobile Driving; Award; Black Populations; Black race; Child Rearing; Clinical; Conflict (Psychology); Coping Skills; Data; Development; Discrimination; Drug usage; Drunk driving; Educational Curriculum; Emotional; Evaluation; Face; Family; Feasibility Studies; Feedback; Focus Groups; Goals; Health; High Prevalence; Homicide; Injury; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Latino; Latino Population; Learning; Life; Link; Manuals; Mediating; Mentored Research Scientist Development Award; Mentors; Methods; Minority Groups; National Institute on Alcohol Abuse and Alcoholism; Outcome; Parent-Child Relations; Parents; Phase; Prejudice; Prevention; Prevention Research; Prevention program; Productivity; Public Health; Publications; Publishing; Qualitative Methods; Reaction; Reporting; Research; Research Activity; Research Personnel; Research Training; Risk; Schools; Science; Scientist; Sex Behavior; Societies; Specific qualifier value; Strategic Planning; Stress and Coping; Student Dropouts; Substance of Abuse; Suicide; Surgeon; Theoretical model; Training; Training Programs; Treatment Efficacy; Unsafe Sex; Work; Youth; acceptability and feasibility; adolescent substance use; alcohol risk; base; career development; community engagement; coping; cost; design; deter alcohol use; drinking; evidence base; experience; experimental group; health disparity; high risk population; improved; meetings; pilot test; prevent; preventive intervention; programs; protective effect; racism; randomized trial; skills; social norm; stressor; substance use; symposium; therapy development; underage drinking; underage drinking reduction

Project Summary/Abstract: This K01 research and training award would advance my long-term goal of devel-oping and evaluating culturally and developmentally appropriate Latino youth alcohol use preventive interven-tions. Compared to Blacks and Whites, Latinos in middle adolescence (ages 14–16) are disproportionately at risk for alcohol use. Although by late adolescence (ages 18-20) rates of underage drinking for Latinos is similar to those for Whites, alcohol use risks (e.g., drunk driving, unplanned/unprotected sex) are more severe for Lati-nos. Normative adolescent stressors partly explain why many youth initiate alcohol use. Yet, Latino youth and families face additional stressors related to prejudice, discrimination, and racism, leaving Latino youth vulnera-ble to higher alcohol use/related risks. Many studies have documented the impact of prejudice, discrimination, and racism on Latino youth alcohol use. Yet, we know almost nothing of how to prepare Latino youth and fami-lies to live in a world in which prejudice, discrimination, and racism are part of their daily life. Evidence-based preventive interventions for Latinos have not targeted coping skills for prejudice, discrimination, and racism. Yet, it might be precisely these skills that youth and parents are lacking that are driving Latino youth alcohol use disparities. Although, evidence-based preventive interventions for Latinos exist, Latino youth continue to be at disproportionately higher alcohol use risk, suggesting that more preventive intervention development work is needed. The overarching goal of my K01 research plan is to develop and pilot test a family-based youth alcohol use preventive intervention that will equip youth and parents with coping skills to manage preju-dice, discrimination, and racism. My training plan will provide me with the skills necessary to become an inde-pendent youth alcohol use prevention scientist. I will acquire training in qualitative/mixed methods used in inter-vention development; the development and implementation of preventive interventions; and the evaluation of preventive intervention outcome data. My training plan is directly linked with my three research aims. For Aim 1, I will use qualitative methods to inform the development of intervention sessions that target coping with prej-udice, discrimination, and racism. For Aim 2, I will create intervention sessions that target coping with preju-dice, discrimination, and racism. I will draw from strategies used in existing interventions and from Aim 1 focus group data. I will seek feedback from youth and families before finalizing the curriculum. For Aim 3, I will pilot test the intervention among Latino families; assess intervention feasibility and acceptability; and determine pre-liminary effect size estimates for the intervention’s promise to improve coping skills, family functioning, parent-ing behaviors, and youth alcohol outcomes. The proposed research will contribute to the first family-based La-tino youth alcohol use preventive intervention targeting coping skills for prejudice, discrimination, and racism. It will provide me with the training, experience, and pilot data necessary for a fully powered randomized trial (R01), facilitating the leap to independent investigator and Latino youth alcohol use prevention scientist.

项目摘要/摘要：这个 K01 研究和培训奖将推进我的长期目标，即开发和评估适合文化和发展的拉丁裔青少年饮酒预防干预措施。与黑人和白人相比，青春期中期（14-16 岁）的拉丁美洲人 饮酒的风险。尽管到青春期后期（18-20 岁）拉丁裔未成年人饮酒率相似 对于白人来说，拉丁裔的饮酒风险（例如醉酒驾驶、无计划/无保护的性行为）更为严重。规范的青少年压力源部分解释了为什么许多青少年开始酗酒。然而，拉丁裔青年和 家庭面临与偏见、歧视和种族主义有关的额外压力，使拉丁裔青年更容易遭受更高的饮酒/相关风险。许多研究记录了偏见、歧视、 以及对拉丁裔青少年饮酒的种族主义。然而，我们对如何让拉丁裔青年和家庭做好准备生活在一个偏见、歧视和种族主义成为日常生活一部分的世界一无所知。循证 针对拉丁裔的预防性干预措施并未针对偏见、歧视和种族主义的应对技能。 然而，可能正是年轻人和父母缺乏的这些技能导致了拉丁裔青少年酗酒 利用差异。尽管存在针对拉丁裔的循证预防干预措施，但拉丁裔青年仍继续 饮酒风险不成比例地较高，这表明需要制定更多的预防性干预措施 需要工作。我的 K01 研究计划的总体目标是开发和试点测试基于家庭的 青少年酗酒预防干预措施将使青少年和家长掌握应对偏见、歧视和种族主义的技能。我的培训计划将为我提供成为一名独立的青少年饮酒预防科学家所需的技能。我将接受定性/混合方法的培训 干预措施的发展；预防性干预措施的制定和实施；和评价 预防性干预结果数据。我的培训计划与我的三个研究目标直接相关。为了目标 1，我将使用定性方法来指导旨在应对偏见、歧视和种族主义的干预会议的制定。对于目标 2，我将创建针对应对偏见、歧视和种族主义的干预课程。我将从现有干预措施中使用的策略和目标 1 重点中汲取教训 组数据。在最终确定课程之前，我将征求青少年和家庭的反馈。对于目标 3，我将进行试点 测试对拉丁裔家庭的干预；评估干预措施的可行性和可接受性；并确定干预措施改善应对技能、家庭功能、养育行为和青少年酗酒结果的初步效果大小估计。拟议的研究将有助于第一个基于家庭的 拉美裔青少年饮酒预防干预措施，旨在提高应对偏见、歧视和种族主义的技能。它 将为我提供全动力随机试验所需的培训、经验和试验数据 （R01），促进了向独立调查员和拉丁裔青年饮酒预防科学家的飞跃。