Trauma-Informed Prevention to Address Violence and Related Disparities for Latino Youth

项目摘要 该项目使用基于社区的前瞻性研究（CBPR）和社区卫生工作者 （promotoras）和青年导师作为预防方案的促进者，以解决与以下方面有关的健康差距： 拉丁裔青年的暴力行为。该提案的一个重要目标是解决以下方面的重大差距： 预防科学和健康差距研究，试行以家庭为重点的多层次干预措施， 使用低成本，文化上的关注，父母-青少年参与战略，重点是适应经验， 支持拉丁裔父母培训计划，并纳入创伤知情的方法，以防止暴力 以及拉丁裔青年之间的相关健康差距。具体目标是：（1）联合收割机有效预防 利用创伤为父母和青少年提供服务，以获得潜在的附加/倍增效应的方案- 知情的，文化上适当的，低成本的方法;（2）评估方案的可行性和可接受性;（3） 评估方案效果。为了实现这些目标，我们将建立和加强现有的合作关系。 与学术，社区组织和社区成员，我们已经在我们的发展， 第一阶段规划补助金。我们将继续采用CBPR方法，以社区优势为基础， 现有资源，增加接触和参与，促进知识的相互交流， 理解，并赋予社区成员参与社会变革，改善他们的生活。 项目活动将在社区咨询委员会的指导下实施， 发起人将使用互惠和迭代过程来告知对该计划的调整。受控 试点将被用来评估该计划。每周的满意度评级、自然减员和出勤率将有助于 评估方案的可行性和可接受性。外部化和内部化的轨迹 沿着积极的育儿技能、家庭功能、青年复原力、越轨行为 同伴协会和青年应对自我效能将进行审查。辨别 可行性，可接受性， 有效性，并最终采用这种预防方法 将作为基础， 更大的预防试验。这个项目提供了一个独特的机会，与深投资拉丁美洲和拉丁美洲- 服务社区合作伙伴，以推动该领域在解决健康差距，并可能有显着 对预防和治疗拉丁美洲青年创伤和暴力的科学影响。

Project Summary This project uses Community-Based Participatory Research (CBPR), and community health workers (promotoras) and youth mentors as prevention program facilitators, to address health disparities related to violence exposure among Latino youth. An important objective of the proposal is to address a significant gap in prevention science and health disparities research, by piloting a multi-level family-focused intervention which uses a low cost, culturally attentive, parent-youth engagement strategy focused on adapting an empirically supported Latina parent training program, and incorporating a trauma-informed approach to prevent violence and related health disparities among Latino youth. The specific aims are to: (1) Combine effective prevention programs to gain potential additive/multiplicative effects of serving both parents and youth using a trauma- informed, culturally appropriate, low cost approach; (2) Evaluate program feasibility and acceptability; and (3) Evaluate program effects. To accomplish these aims, we will build upon and strengthen existing collaborations with academic, community-based organizations, and community members, that we have developed during our Phase 1 planning grant. We will continue to use a CBPR approach to build upon community strengths and existing resources, increase engagement and participation, facilitate the reciprocal exchange of knowledge and understanding, and empower community members to engage in social change that improves their lives. Project activities will be implemented under the guidance of a Community Advisory Board, and a network of promotoras who will inform adaptations to the program using a reciprocal and iterative process. A controlled pilot will be used to evaluate the program. Weekly satisfaction ratings, attrition, and attendance will help to assess feasibility and acceptability of the program. Trajectories towards externalizing and internalizing disorders, along with improvements in positive parenting skills, family functioning, youth resilience, deviant peer associations, and youth coping self-efficacy will be examined. Discerning the feasibility, acceptability, effectiveness and ultimately the uptake of this prevention approach will serve as the foundation to launch a larger prevention trial. This project provides a unique opportunity, with deeply invested Latino and Latino- serving community partners, to advance the field in addressing health disparities, and may well have significant scientific implications for the prevention and treatment of trauma and violence among Latino youth.