Measuring Stress Among Diverse Adolescents

描述（由申请人提供）：这项拟议的R21探索性研究的目的是探索性（女同性恋，男同性恋，双性恋）和种族/少数民族青少年的少数民族压力的交叉点，并开发和验证性少数青少年压力工具（SMASI）。为这一人群制定有效的少数民族压力衡量标准，将对公共卫生产生重大影响，因为这样可以更准确地评估少数民族压力经历（社会过程）与这一高风险人群的负面心理和行为健康结果之间的关系。根据NIH对少数民族青少年进行的类似研究中使用的有效方法，拟议的研究将导致开发一种有效的少数民族压力测量方法，可用于告知临床评估和有效的有针对性的行为健康干预措施的开发。这些目标将通过两个具体目标实现，包括：a）通过与专家小组一起修改的德尔菲程序创建初步的性少数群体青少年压力量表（SMASI）;以及B）在种族和民族多样性的性少数群体青少年（N=410）的横断面研究中，完善该工具并评估其可靠性和初步标准效度。本研究将采用混合方法、多阶段设计开发SMASI。在第一年期间，将使用经修改的德尔菲程序与跨学科主题专家小组制定初步SMASI，然后进行青年认知访谈（n=20），以确保措施草案的可理解性。II期将在研究的第二年进行，届时将使用应答者驱动抽样招募不同种族和人种的SMA（n=410），以完成措施草案。第二阶段的分析将集中在建立可靠性和初步的标准有效性，并最终SMASI的生产。在完成这项R21后，将进行一项为期多年的研究，以研究少数民族压力经历与种族和民族多元化青年大样本的心理和行为结果之间的纵向关系。

DESCRIPTION (provided by applicant): The objective of this proposed R21 exploratory research is to explore the intersection of minority stress for adolescents who identify as sexual (lesbian, gay, bisexual) and racial/ethnic minority and to develop and validate a sexual minority adolescent stress instrument (SMASI). The production of a valid measure of minority stress for this population will have a significant public health impact by allowing for more precise assessment of the relationship between minority stress experiences (social processes) and negative mental and behavioral health outcomes in this higher risk population. Adapted from effective methods used in similar NIH research with ethnic minority adolescents, the proposed research will result in the development of a valid measure of minority stress that can be used to inform clinical assessment and the development of effective targeted behavioral health interventions. The objectives will be met through two specific aims, including: a) Create a preliminary Sexual Minority Adolescent Stress Inventory (SMASI) through a modified Delphi process with an expert panel; and b) Refine the instrument and assess its reliability and preliminary criterion validity in a cross- sectional study of racially and ethnically diverse sexua minority adolescents (N=410). This study will apply a mixed method, multi-phase design to the development of the SMASI. During the first year, a preliminary SMASI will be developed using a modified Delphi process with an interdisciplinary subject matter expert panel, followed by youth cognitive interviews (n=20) to ensure comprehensibility of the draft measure. Phase II will occur in the second year of the study, when a racially and ethnically diverse range of SMA (n=410) will be recruited using respondent driven sampling to complete the draft measure. Analysis of phase II will focus on establishing reliability and preliminary criterion validity, and the production ofa final SMASI. Upon completion of this R21, a multi-year study will be conducted to examine the longitudinal relationship between minority stress experiences and mental and behavioral outcomes in a large sample of racially and ethnically diverse youth.