Urgent Revision to Creating Peace: community-level intervention to reduce youth violence (R01MD013797, PI: Miller)

回应NOT-MD-20-022(特别利益通知：竞争和行政 减少新冠肺炎对健康差距和其他方面影响的社区干预补充 脆弱人群)，这一紧急竞争修订(PA-18-935)旨在评估一个新的社区- 以儿童和青年为重点的多层次干预，以应对 新冠肺炎背景下对青少年和成年人的行为支持。受压迫社区的居民 他们主要是黑人和拉丁裔，他们更容易受到新冠肺炎和经济和 公共卫生缓解措施的社会后果。大流行扰乱了社会支持和 在这些社区中，青年之间的社会隔离加剧。这个社区合作、多层次 让成年人和青少年参与到干预活动中来，让他们想象儿童/青少年的成长，从而提高集体的自我 功效，减少社会隔离，促进支持性成年人和青年的情感福祉，并减少 城市种族隔离社区的青少年暴力行为。这项干预涉及社区成员 青年领袖使用社区开发的工具评估在社区中茁壮成长的儿童和青年 儿童/青年欣欣向荣的矩阵工具，参与关于社区变革、种族和 性别平等、青年参与和组织社会变革。讨论的结果将告知 在这一流行病的背景下，青年参与种族和性别正义活动，并提供一个原型 进行社区层面的干预，以帮助减轻大流行、系统性种族主义和 结构性不平等。这项拟议的研究将评估该儿童/青年茁壮成长矩阵工具作为 以社区为基础，多层次干预，促进邻里复原力，预防青少年暴力。在……里面 目标1，我们将评估在两个社区(即， &gt；在所有课程期间保持80%的参与者；满意度得分&gt；4.0(范围1-5)；识别 促进儿童健康发展的至少三个重点领域)。另外两个匹配的社区将被提供 个体正念干预作为控制条件(最终预期n=80名参与者/组)。目标2将 探讨评价个人和邻里干预效果的措施的适宜性 集体效能、情绪健康(包括心理健康和社会隔离)和青少年暴力 准备进行一项更大规模的试验，以测试这种社区层面的干预。这些研究目标建立在 家长研究的基础设施(创造和平：以社区为基础的预防青少年暴力问题 种族主义和歧视(R01MD013797，PI：Miller)。这一紧急修订的目标是优化一个 社区设计的、社区一级的干预措施，以解决已经变得过于严重的结构性不平等问题 在这场大流行期间很明显，强调邻里力量和建立复原力。

In response to NOT-MD-20-022 (Notice of Special Interest (NOSI): Competitive and Administrative Supplements for Community Interventions to Reduce the Impact of COVID-19 on Health Disparity and Other Vulnerable Populations), this urgent competitive revision (PA-18-935) aims to evaluate a novel community- based multi-level intervention focused on child and youth thriving to respond to the pressing need for behavioral supports for youth and adults in the context of COVID-19. Residents in oppressed neighborhoods who are predominantly Black and Latinx have increased vulnerability to COVID-19 and the economic and social consequences of public health mitigation measures. The pandemic has disrupted social supports and increased social isolation among youth in these communities. This community-partnered, multi-level intervention engages supportive adults and youth to envision child/youth thriving to increase collective self- efficacy, reduce social isolation, promote emotional well-being among supportive adults and youth, and reduce youth violence in urban, racially-segregated neighborhoods. This intervention involves community members and youth leaders assessing child and youth thriving in their neighborhood, using a community-developed Child/Youth Thriving Matrix tool to engage in structured dialogue on neighborhood transformation, racial and gender equity, youth engagement, and organizing for social change. Findings from discussions will inform youth engagement in racial and gender justice activities in the context of this pandemic and offer a prototype for a community-level intervention to help mitigate the consequences of a pandemic, systemic racism, and structural inequities. This proposed study will assess feasibility of this Child/Youth Thriving Matrix tool as a community-based, multi-level intervention to promote neighborhood resilience and prevent youth violence. In Aim 1, we will evaluate feasibility of implementing Child/Youth Thriving Matrix within two neighborhoods (i.e., >80% retention of participants through all sessions; satisfaction scores > 4.0 (range 1-5); identification of at least three areas of focus for enhancing child thriving). Two other matched neighborhoods will be offered an individual mindfulness intervention as a control condition (final anticipated n = 80 participants/arm). Aim 2 will explore appropriateness of measures to evaluate intervention effects on individual- and neighborhood-level collective efficacy, emotional well-being (including mental health and social isolation), and youth violence, in preparation for a larger trial to test this community-level intervention. These research objectives build on infrastructure of the parent study (Creating Peace: community-based youth violence prevention to address racism and discrimination (R01MD013797, PI: Miller)). The goal of this urgent revision is to optimize a community-designed, community-level intervention to address structural inequities that have become all too apparent during this pandemic with an emphasis on neighborhood strengths and building resilience.