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

项目摘要/摘要：这个K01研究和培训奖将推进我的长期目标，即开发和评估文化上和发展上适宜的拉丁裔青年酒精使用预防性干预。与黑人和白人相比，处于青春期中期(14-16岁)的拉美裔人 饮酒的风险。尽管到了青春期后期(18-20岁)，拉美人的未成年饮酒率相似 对于白人来说，饮酒风险(例如，酒后驾车、计划外/无保护的性行为)对拉丁裔更严重。标准的青春期应激源部分解释了为什么许多年轻人开始饮酒。然而，拉美裔青年和 家庭面临着与偏见、歧视和种族主义有关的额外压力，使拉美裔青年更容易受到更高的酒精使用/相关风险的影响。许多研究记录了偏见、歧视、 以及针对拉丁裔青年饮酒的种族主义。然而，我们几乎不知道如何让拉美裔青年和家庭做好准备，以适应一个偏见、歧视和种族主义成为他们日常生活一部分的世界。循证的 针对拉美裔人的预防性干预措施没有针对针对偏见、歧视和种族主义的应对技能。 然而，可能正是年轻人和父母所缺乏的这些技能推动了拉美裔年轻人酗酒 使用差异。尽管存在针对拉美裔人的循证预防干预措施，但拉美裔青年继续 处于不成比例的高酒精使用风险，这表明更多的预防性干预措施的发展 工作是需要的。我的K01研究计划的总体目标是开发和试运行基于家庭的 青少年酗酒使用预防性干预措施，使青少年和父母掌握应对技巧，以应对宿醉、歧视和种族主义。我的培训计划将为我提供必要的技能，使我成为一名独立的青年酒精使用预防科学家。我将接受以下方面的定性/混合方法培训 制订干预措施；制定和实施预防性干预措施；以及评价 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。为了达到目标 1、我将使用定性的方法来介绍针对应对偏见、歧视和种族主义的干预会议的发展情况。对于目标2，我将创建旨在应对先决、歧视和种族主义的干预会议。我将借鉴现有干预措施中使用的策略和目标1的重点 组数据。在课程定稿前，我会征询青少年和家庭的意见。对于目标3，我将试飞 在拉丁裔家庭中测试干预措施；评估干预措施的可行性和可接受性；并确定干预措施承诺改善应对技能、家庭功能、父母行为和青少年饮酒结果的预审效果大小估计。拟议的研究将有助于第一个以家庭为基础的 La-Tino青少年酗酒使用预防性干预，针对偏见、歧视和种族主义的应对技能。它 将为我提供全功率随机试验所需的培训、经验和试验数据 (R01)，促进跃升为独立调查员和拉丁裔青年酒精使用预防科学家。

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.