Communities Invested in Healthy Life Trajectories of African American Boys

子项目2：投资于非裔美国人健康生活轨迹的社区。PI: Sonya Brady博士（UMN）；合伙人：蒂娜·辛普森，医学博士（UAB）；威利·温斯顿（明尼苏达州黑人心理学家协会）：处于不利地位的非裔美国青年的外化行为可能是对家庭、学校和社区中的压力源和不平等的反应。儿童期的外化症状与青春期各种危险行为的增加有关，包括暴力行为和药物使用。父母/照顾者、教师和社区成员培养的青年韧性资产和资源可以保护青年免受他们对这些压力源的反应所带来的负面后果。必须加强关键个人之间的关系，以培育青年资产，并为恢复力提供充足的资源。在目标1中，研究人员将建立利用基于社区的参与性研究（CBPR）方法开发、实施和评估与学校相关的干预措施的可行性和可接受性，这些干预措施针对8- 14岁的社会经济弱势非洲裔美国男孩及其照顾者。资助期第1-3年的发展领域包括：A)社区联盟的形成。学术合作伙伴将传播形成性研究的数据，以确定和吸引社区合作伙伴。B)干预发展。根据社区关怀模式，CBPR合作伙伴将审查并选择一种或多种以证据为基础的干预措施，证明可以减少青少年的外化症状和风险行为。CBPR合作伙伴将制定在一个或多个环境（例如，学校、教堂、社区中心）内提供干预措施的协议。干预的组成部分将针对加强三个关键双元之间的关系：1)照顾者-儿童；2)的知觉;同时也是老师式的照顾者。C)评估工具。CBPR合作伙伴将完善《家庭评估措施》，该措施将作为男孩外化症状、风险行为、学校纪律处分和少年司法系统参与情况的基线、干预后和6个月随访评估。D)传播运动。CBPR合作伙伴将开展一项运动，以提高学校/社区对服务的认识，减少接受服务的耻辱，并鼓励家庭参与。对于目标2，研究者将进行一项试点研究，以确定非裔美国家庭与学校有关的干预的可行性和可接受性，并为一项全面的群体随机对照试验提供信息。CBPR合作伙伴将实施宣传活动，并在学年（4-5年级）期间向家庭群体提供干预。

Subproject 2: Communities Invested in Healthy Life Trajectories of African American Bovs PI: Sonya Brady, PhD (UMN); Co-PIs: Tina Simpson, MD (UAB);. Willie Winston (Minnesota Association of Black Psychologists) Externalizing behavior among disadvantaged African American youth may be a response to stressors and inequities within the home, school, and community. Externalizing symptoms during childhood are associated with increased engagement in a variety of risk behaviors during adolescence, including violence involvement and substance use. Youth assets and resources for resilience fostered by parents/caregivers, teachers, and community members may protect youth from negative outcomes from their responses to these stressors. Relationships between key individuals must be strengthened in order to foster youth assets and to provide adequate resources for resilience. For Aim 1, the investigators will establish the feasibility and acceptability of utilizing a community-based participatory research (CBPR) approach to develop, implement, and evaluate a school-linked intervention for socioeconomically disadvantaged African American boys aged 8- 14 years and their caregivers. Domains of development during Years 1-3 of the grant period include: A) Community Coalition Formation. Academic partners will disseminate data from formative research to identify and engage community partners. B) Intervention Development. Consistent with the Communities that Care model, CBPR partners will review and select one or more evidence-based interventions demonstrated to reduce externalizing symptoms and risk behavior among youth. CBPR partners will develop a protocol for delivering the intervention within one or more contexts (e.g., schools, churches, community centers). Intervention components will target the strengthening of relationships between three key dyads: 1) caregiver child; 2) teacher-child; and 3) teacher-caregiver. C) Assessment Tools. CBPR partners will refine the Family Assessment Measure, which will serve as a baseline, post-intervention, and 6-month follow-up assessment of boys' externalizing symptoms, risk behavior, and school-based disciplinary action and juvenile justice system involvement. D) Communication Campaign. CBPR partners will develop a campaign to raise awareness of services within the school/community, reduce the stigma of receiving services, and encourage family involvement. For Aim 2, the investigators will conduct a pilot study to establish feasibility and acceptability of the school-linked intervention among African American families and to inform a full-scale group randomized controlled trial. CBPR partners will implement the communication campaign and offer the intervention to cohorts of families during the school year (Years 4-5).