Developing an Adolescent Relationship Abuse Prevention Intervention for Hispanic Immigrant Families

为西班牙裔移民家庭制定青少年关系虐待预防干预措施

• 批准号: 10670049
• 负责人: Maya Ragavan
• 金额: $ 15.41万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10670049
• 关键词: 14 year old; Acculturation; Address; Adolescent; Adult; Advisory Committees; Age; Applied Skills; Centers for Disease Control and Prevention (U.S.); Child; Childhood Injury; Clinical Trials Design; Code; Communication; Communities; Data; Development; Distress; Educational process of instructing; Enrollment; Environment; Epidemic; Family; Foundations; Funding; Future; Generations; Goals; HIV; Health; High Prevalence; Hispanic; Immigrant; Immigrant family; Institution; Interpersonal Relations; Intervention; K-Series Research Career Programs; Knowledge; Leadership; Link; Measures; Mental Depression; Mentors; Mentorship; Methods; Modeling; Monitor; National Institute of Child Health and Human Development; Outcome; Parents; Patient Self-Report; Performance; Physicians; Population; Prevention; Prevention strategy; Public Health; Research; Sampling; School-Age Population; Scientist; Sexual abuse; Strategic Planning; Stress; Structure; Techniques; Teenagers; Testing; Training; Trauma; Victimization; Video Recording; Violence; Youth; acceptability and feasibility; arm; career; community engagement; comparison group; eligible participant; experience; innovation; intimate partner violence; junior high school; marginalized community; multidisciplinary; novel; parental monitoring; pilot test; prevent; preventive intervention; primary outcome; programs; protective factors; psychologic; randomized, clinical trials; relationship abuse; satisfaction; sexual risk behavior; skills; social cognitive theory; substance use; suicidal; theories; therapy development; tool; treatment strategy; unintended pregnancy

Adolescent relationship abuse (ARA), defined as physical, psychological, sexual abuse, or stalking in the context of a teen dating relationship, is pervasive and associated with myriad negative health outcomes for youth. Parental monitoring of adolescents’ interpersonal relationships and activities is a powerful and modifiable protective factor to prevent ARA. However, for Hispanic immigrant families, parent-adolescent acculturation gaps (i.e., differences in acculturation) may create challenges in using parental monitoring as an ARA prevention tool. Less is known about which specific acculturation gaps are related to decreased parental monitoring and increased ARA. Furthermore, few parent-adolescent ARA prevention interventions exist, especially ones culturally tailored for Hispanic immigrant families. The goal of this mentored career development award is to identify specific acculturation gaps that create the most challenges to achieving optimal parental monitoring and address these acculturation gaps through development of a parent-adolescent ARA prevention intervention for Hispanic immigrant families. Dating Matters for Parents (DMP), a Centers for Disease Control developed ARA prevention intervention for middle school aged youth and their parents, will be used as a foundation for intervention development. Guided by an experienced, multidisciplinary mentorship team and with strong institutional support, Dr. Ragavan, who is the PI and an early career physician-scientist, will build upon a upon a descriptive research background to gain critical new skills in: 1) assessment of parent- adolescent interaction and the development of parent-adolescent relationships; 2) theory-based, stakeholder- involved intervention development; 3) clinical trial design and analysis; and 4) leadership and team management. These career goals are tightly linked to three research aims. In Aim 1, Dr. Ragavan will use observation-based techniques to examine, in a sample of 50 Hispanic parent-adolescent dyads, which acculturation gaps are related to parental monitoring and ARA and thus most important to target during intervention development. Informed by Aim 1 results and guided by a stakeholder advisory committee, in Aim 2 Dr. Ragavan will use the Method for Program Adaptation through Community Engagement framework to develop a novel parent-adolescent ARA prevention intervention for Hispanic immigrant families (called Juntos [“Together”]). In Aim 3, Dr. Ragavan will conduct a pilot two-armed randomized clinical trial of Juntos among middle school aged Hispanic adolescents and a first-generation immigrant parent. Primary outcomes of the pilot RCT include feasibility and acceptability; a secondary exploratory outcome will be descriptively assessing candidate outcomes for inclusion in the fully powered trial. By completing this K23, Dr. Ragavan will have the training, experience, and preliminary data needed to become an independent physician-scientist leading studies aligned with NICHD’s strategic priority of “exploring prevention and treatment strategies to address the leading causes of trauma and injury in children and adolescents.”

青少年关系虐待 (ARA)，定义为身体、心理、性虐待或跟踪行为 青少年约会关系的背景是普遍存在的，并且与无数负面的健康结果相关 青年。父母对青少年的人际关系和活动的监督是一种强有力的、 可修改的保护因子来预防 ARA。然而，对于西班牙裔移民家庭来说，父母-青少年 文化适应差距（即文化适应方面的差异）可能会给使用父母监督作为一种手段带来挑战。 ARA 预防工具。对于哪些特定的文化适应差距与父母亲代减少有关，人们知之甚少。 监测并增加 ARA。此外，很少有父母-青少年 ARA 预防干预措施存在， 尤其是为西班牙裔移民家庭量身定制的文化。这个指导职业的目标 发展奖旨在确定对实现目标造成最大挑战的具体文化差距 最佳的父母监督并通过父母青少年的发展来解决这些文化适应差距 ARA 针对西班牙裔移民家庭的预防干预。父母约会事务 (DMP)，一个中心 疾病控制中心为中学生及其家长制定了 ARA 预防干预措施，将 用作干预开发的基础。由经验丰富的多学科导师指导 团队以及强大的机构支持，首席研究员、早期职业医师兼科学家 Ragavan 博士， 将建立在描述性研究背景的基础上，以获得以下方面的关键新技能：1）评估家长- 青少年互动和父母与青少年关系的发展； 2) 以理论为基础，利益相关者- 涉及干预措施的制定； 3）临床试验设计与分析； 4）领导力和团队 管理。这些职业目标与三个研究目标紧密相关。在目标 1 中，Ragavan 博士将使用 基于观察的技术在 50 个西班牙裔父母与青少年二人组的样本中进行检验， 文化适应差距与父母监督和 ARA 有关，因此最重要的是在 干预发展。在目标 2 中，以目标 1 结果为依据，并由利益相关者咨询委员会指导 Ragavan 博士将使用通过社区参与框架进行项目调整的方法 为西班牙裔移民家庭开发一种新颖的父母-青少年 ARA 预防干预措施（称为 Juntos [“一起”]）。在目标 3 中，Ragavan 博士将在以下人群中开展 Juntos 的试点双组随机临床试验 中学生西班牙裔青少年和第一代移民父母。主要成果 试点RCT包括可行性和可接受性；次要探索性结果将是描述性评估 候选结果纳入全功率试验。通过完成本 K23，Ragavan 博士将拥有 成为一名独立的医师科学家领导所需的培训、经验和初步数据 研究与 NICHD 的战略重点“探索预防和治疗策略以解决 儿童和青少年创伤和伤害的主要原因。”