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: 10904358
• 负责人: Maya Ragavan
• 金额: $ 10.76万
• 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/10904358
• 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 青少年约会关系的背景是无处不在的，并与无数负面的健康后果有关 青春年华。父母对青少年人际关系和活动的监控是一种强大的 可修改的保护系数，以防止ARA。然而，对于西班牙裔移民家庭来说，父母和青少年 文化适应差距(即文化适应上的差异)在将父母监督作为一种 ARA预防工具。更少的人知道哪些特定的文化适应差距与父母人数减少有关 监测和增加ARA。此外，几乎没有亲子预防ARA的干预措施， 尤其是那些在文化上为西班牙裔移民家庭量身定做的。这个有指导的职业生涯的目标是 发展奖是确定具体的适应差距，造成最大的挑战，以实现 最佳的父母监督，并通过发展亲子关系来解决这些文化差异 对西班牙裔移民家庭的ARA预防干预。父母约会问题(DMP)，一个中心 疾病控制中心为中学生及其父母制定了ARA预防干预措施，将 作为干预性发展的基础。由经验丰富的多学科导师指导 在团队和机构的大力支持下，拉加万博士是PI，也是早期职业生涯中的内科科学家， 将以描述性研究背景为基础，在以下方面获得关键的新技能：1)评估父母- 青少年互动与亲子关系发展；2)以理论为基础，利益相关者- 参与干预开发；3)临床试验设计和分析；4)领导和团队 管理层。这些职业目标与三个研究目标紧密相连。在Aim 1中，Ragavan博士将使用 基于观察的技术来检查，在50个西班牙裔父母-青少年二人组的样本中， 文化适应差距与父母监督和ARA有关，因此最重要的是在 干预性发展。由目标1的结果提供信息，并由目标2中的利益攸关方咨询委员会指导 Ragavan博士将使用通过社区参与框架进行计划适应的方法来 为西班牙裔移民家庭开发一种新的亲子ARA预防干预措施(称为Juntos [“一起”])。在目标3中，Ragavan博士将在以下项目中进行Juntos的双臂随机临床试验 中学年龄的西班牙裔青少年和第一代移民父母。项目的主要成果 试验性随机对照试验包括可行性和可接受性；将描述性地评估二次探索性成果 包括在全功率试验中的候选结果。通过完成这项K23，Ragavan博士将拥有 培训、经验和初步数据需要成为一名独立的内科医生-科学家 研究与NICHD的战略优先事项相一致，即“探索预防和治疗战略，以解决 这是造成儿童和青少年创伤和伤害的主要原因。