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：这项K01研究和培训奖将促进我的长期目标，即开发和评估在文化和发展上适当的拉丁裔青少年酒精使用预防干预措施。与黑人和白人相比，处于青春期中期（14-16岁）的拉美裔人在这方面的比例不成比例