Integrating Family Resilience and Cultural Assets to Inform the LEADS Health Promotion Trial with African American Families

项目摘要/摘要 非裔美国青少年的超重和肥胖率更高，也更缺乏体育活动 与白人同龄人相比，他们的饮食摄入量也很差。因此，非裔美国青少年面临更大的风险 对于长期的健康后果，包括慢性病和早期死亡。然而，很少有健康促进 在非裔美国青少年中，减肥计划和减肥干预措施取得了成功。给定 非裔美国人的长期压力(贫困、家庭冲突、种族歧视)比率上升 对于青少年来说，这可能是健康促进倡议参与和有效性的一个突出障碍。 针对非裔美国家庭的有限健康促进计划纳入了以家庭为基础的复原力 这是一个应对压力的框架，利用文化资产办法的人更少。家庭复原力(家庭 例行公事、社会支持、联系)，以及文化资产(种族认同、积极应对战略、 (灵性)，主要由父母培养，对改善心理健康和 学习成绩，但还没有落实到健康促进计划中。委员会的初步工作 奖学金候选人、赞助商和共同赞助商表明，基于家庭的在线文化弹性健康 推广试点研究整合了关于家庭惯例、积极应对策略、种族认同和 种族歧视在超重的非裔美国人中表现出很高的可行性和可接受性 青少年及其家人。为了进一步扩展这项研究，赞助商(威尔逊)提交了 For Advance Daily Stress Management‘(Leads)R01疗效试验将于2021年秋季审查。这个 拟议的研究将把这项工作扩展到1)开发建立家庭的核心干预课程组件 Leads Efficiency R01试验的复原力和文化资产侧重于种族认同，发展应对技能 针对种族主义，培养文化自豪感和灵性，以及2)测试和评估核心干预课程 通过为期3周的在线试点暴露研究，与非裔美国家庭一起在AIM 1中开发了组件， 特别关注开发先进的计划和过程评估方法来捕获父母 促进复原力和健康促进的社会化做法(例如，录音会议、调查、定性 后续采访)。方案和进程评价数据将进一步传播全面的 对未来项目的建议。这项研究将在南卡罗来纳大学进行， 卡内基梅隆大学排名第一的研究机构，在具有不同专业知识的指导团队的支持下。这个 建议的培训计划将侧重于1)发展对风险的全面理论理解和 在健康促进方案的背景下发展复原力，并扩大与文化相关的技能 针对少数族裔青年的研究，2)展示对高级定性和定量数据分析的掌握，3) 获得过程评估方面的培训和经验，以及4)进一步发展科学写作和 资助写作，以及发展陈述研究的技能。

PROJECT SUMMARY/ABSTRACT African American adolescents have higher rates of overweight and obesity, as well as greater physical inactivity and poor dietary intake, compared to their White peers. Thus, African American adolescents are at greater risk for long-term health consequences, including chronic disease and early mortality. However, few health promotion programs and weight loss interventions have been successful among African American adolescents. Given the elevated rates of chronic stress (poverty, family conflict, racial discrimination) among African American adolescents, this may be a prominent obstacle for engagement and effectiveness of health promotion initiatives. Limited health promotion programs with African American families have incorporated a family-based resilience framework to address stress, and even fewer have utilized a cultural assets approach. Family resilience (family routines, social support, connectedness), as well as cultural assets (racial identity, proactive coping strategies, spirituality), which are primarily cultivated by parents, have been effective for improving mental health and academic performance but have not been implemented in health promotion programs. Preliminary work by the fellowship candidate, Sponsor, and Co-Sponsors showed that an online family-based cultural resilience health promotion pilot study integrating core content on family routines, proactive coping strategies, racial identity, and racial discrimination demonstrated high feasibility and acceptability among overweight African American adolescents and their families. To further expand this study, the Sponsor (Wilson) submitted the ‘Linking Exercise for Advancing Daily Stress Management’ (LEADS) R01 efficacy trial that will be reviewed in Fall 2021. The proposed study will extend this work to 1) develop core intervention curriculum components that build family resilience and cultural assets for the LEADS efficacy R01 trial focused on racial identity, developing coping skills for racism, and fostering cultural pride and spirituality and 2) test and evaluate the core intervention curriculum components developed in Aim 1 with African American families with a 3-week online pilot exposure study, with a specific focus on developing advanced program and process evaluation methods to capture parent socialization practices that promote resilience and health promotion (e.g., recorded sessions, surveys, qualitative follow-up interviews). Program and process evaluation data will allow further dissemination of comprehensive recommendations for future programs. This research will be conducted at the University of South Carolina, a Carnegie Mellon #1 research institution, with the support of a mentorship team with varying expertise. The proposed training plan will focus on 1) developing a comprehensive theoretical understanding of risk and resilience development in the context of health promotion programs and expand skills in culturally relevant research for minority youth, 2) demonstrating mastery of advanced qualitative and quantitative data analysis, 3) obtaining training and experience in process evaluation, and 4) further developing skills in scientific writing and grant writing, as well as developing skills in presenting research.