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

项目概要/摘要：这个K 01研究和培训奖将推进我的长期目标，发展和评估文化和发展适当的拉丁美洲青年酒精使用预防干预。与黑人和白人相比，处于青春期中期（14-16岁）的拉美裔人在 酒精使用的风险。尽管到了青春期后期（18-20岁），拉美裔人未成年饮酒的比例与 对于白人，酒精使用风险（例如，酒后驾车，无计划/无保护的性行为）对非正常人来说更为严重。规范的青少年压力源部分解释了为什么许多青少年开始饮酒。然而，拉丁美洲青年和 家庭面临着与偏见，歧视和种族主义有关的额外压力，使拉丁美洲青年容易遭受更高的酒精使用/相关风险。许多研究都记录了偏见，歧视， 和种族主义的影响然而，我们几乎不知道如何准备拉丁美洲青年和家庭生活在一个世界中，偏见，歧视和种族主义是他们日常生活的一部分。循证 针对拉丁美洲人的预防性干预措施没有针对偏见、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美洲青年的酗酒 使用差异。尽管存在针对拉丁美洲人的循证预防干预措施，但拉丁美洲青年继续 酒精使用风险不成比例地高，这表明更多的预防性干预措施的发展， 工作是必要的。我的K 01研究计划的首要目标是开发和试点测试一个基于家庭的 青少年酒精使用预防性干预，这将使青少年和家长掌握应对技能，以管理偏见，歧视和种族主义。我的培训计划将为我提供必要的技能，成为一个独立的青年酒精使用预防科学家。我将接受定性/混合方法的培训， 预防性干预措施的制定和实施;以及 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。为宗旨 1，我将使用定性的方法来告知干预会议的发展，目标是应对偏见，歧视和种族主义。对于目标2，我将创建针对偏见、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战略和目标1的重点 组数据。在最后确定课程之前，我将征求青年和家庭的反馈意见。目标3由我来驾驶 在拉丁美洲家庭中测试干预措施;评估干预措施的可行性和可接受性;并确定干预措施改善应对技能，家庭功能，父母行为和青少年酒精结果的承诺的阈前效应大小估计。这项研究将有助于第一个以家庭为基础的 拉蒂诺青年酒精使用预防干预针对偏见，歧视和种族主义的应对技能。它 我将为我提供一个充分的随机试验所需的培训、经验和试点数据 (R01)，促进了独立调查员和拉丁美洲青年酒精使用预防科学家的飞跃。

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.