A trauma informed intervention to improve mental health and school success for urban eighth graders - supplement

抽象的。冠状病毒病2019年(新冠肺炎)极大地影响了青少年的生活， 对生命过程中的健康和福祉有潜在的负面影响。这些影响是 对于低收入的有色人种青少年来说尤其明显，他们承受的压力不成比例 和与大流行有关的创伤，如家庭疾病、学校中断、粮食不安全以及 财政紧张。这些暴露可能会加剧先前存在的精神健康方面的不平等，从而降低 收入增加的有色人种青年精神健康问题的风险增加。至关重要的是，我们要确定干预措施 并支持在当前危机期间和之后改善弱势青少年的心理健康。至 实现这一目标，这项竞争性修订将利用现有的家长研究(IES R305A160082/ 1RO1HD090022，PI：Mendelson)，一项测试创伤知情普遍干预影响的有效性试验 被称为说唱俱乐部的低收入城市以黑人为主的8年级学生的心理健康结果 社区。参与者是从29所城市公立学校招募的，每所学校都有单独的队列 四年(队列1-4)。八年级期间的三次学生和教师评估和一次后续调查 9年级的学生评估提供了关于青少年心理健康的多层次纵向数据 青少年心理健康的个人、家庭、同伴、学校和邻里的风险和保护因素。这 紧急竞争性修订将通过收集新的定量和定性数据来延长家长试验 新冠肺炎。这项研究将在没有任何面对面接触的情况下进行。我们将招收2-4(N)组的学生 =500)，他们现在上9-11年级。我们将进行一项虚拟调查，以评估参与者的心理健康 新冠肺炎期间，以及与COVID相关的体验。我们还将进行定性的电话采访 与部分参与者和他们的照顾者一起了解青少年在2018年新冠肺炎期间的经历 更深的深度。这项研究将：(1)测试说唱俱乐部在COVID-19期间对青少年心理健康的影响， 以及(2)确定预测青少年心理健康的纵向多层次风险和保护因素。 新冠肺炎，控制为干预臂。将针对每个目标对主持人和调解人进行评估。我们会 评估心理健康的多个领域，包括情绪健康，并将使用地理信息 系统(GIS)数据，以探索邻里因素。这个项目代表着一个非同寻常的机会 评估新冠肺炎对青少年心理健康的影响以及增加青少年心理健康的潜在策略 新冠肺炎期间及以后的健康。很少有心理健康干预研究收集到如此广泛的信息 关于以黑人为主的低收入城市青少年样本的多水平数据，在多个时间点，没有 我们的知识评估了大流行期间的心理健康状况。这项研究将极大地推动理论的发展 和关于青少年复原力的科学，并将为公共卫生做法和关于最佳做法的政策提供信息 支持弱势青少年的心理健康。

ABSTRACT. The coronavirus disease 2019 (COVID-19) has dramatically impacted the lives of adolescents, with potential negative implications for health and wellbeing across the life course. These impacts are particularly pronounced for low-income adolescents of color, who are disproportionately exposed to stresses and traumas associated with the pandemic, such as family illness, school disruption, food insecurity, and financial strain. These exposures are likely to exacerbate pre-existing inequities in mental health, putting low- income youth of color at increased risk for mental health problems. It is critical that we identify interventions and supports to improve mental health for vulnerable adolescents during and following the current crisis. To achieve that goal, this competitive revision will leverage an existing parent study (IES R305A160082 / 1RO1HD090022, PI: Mendelson), an efficacy trial to test the impact of a trauma-informed universal intervention called RAP Club on mental health outcomes for predominantly Black 8th grade students in low-income urban communities. Participants were recruited from 29 urban public schools, with separate cohorts enrolled each year for four years (Cohorts 1-4). Three student and teacher assessments during 8th grade and a follow-up student assessment during 9th grade provided multi-level longitudinal data on adolescent mental health and individual, family, peer, school and neighborhood risk and protective factors for adolescent mental health. This urgent competitive revision will extend the parent trial by collecting new quantitative and qualitative data during COVID-19. The study will be conducted without any in-person contact. We will enroll students in Cohorts 2-4 (n = 500) who are now in grades 9-11. We will administer a virtual survey to evaluate participants’ mental health during COVID-19, as well as COVID-related experiences. We will also conduct qualitative phone interviews with a subset of participants and their caretakers to understand adolescents’ experiences during COVID-19 in greater depth. The study will: (1) test the impact of RAP Club on adolescents’ mental health during COVID-19, and (2) identify longitudinal multi-level risk and protective factors that predict adolescent mental health during COVID-19, controlling for intervention arm. Moderators and mediators will be evaluated for each aim. We will assess multiple domains of mental health, including emotional wellness, and will use geographic information systems (GIS) data to explore neighborhood factors. This project represents an extraordinary opportunity to assess the impact of COVID-19 on adolescent mental health and potential strategies for increasing mental wellness during COVID-19 and beyond. Few mental health intervention studies have collected such extensive multi-level data on a primarily Black, low-income urban adolescent sample at multiple time points, and none to our knowledge have assessed mental health during a pandemic. The study will substantively advance theory and science on adolescent resilience and will inform public health practice and policy regarding best practices for supporting mental health in vulnerable adolescents.