Seguimos Avanzando - Latino Youth Coping With Discrimination

Completed

• Conditions: Mental Health

• Registration Number: NCT04875208
• Lead Sponsor: Massachusetts General Hospital

Brief Summary

The overall objective of this study is to investigate mediators and moderators at multiple ecological (individual, family/peer and school/neighborhood levels) and time-scale (micro- and macro-time) levels in the link between discrimination-related stressors and mental health among 340 Mexican-origin youth.

Detailed Description

The project's long-term goal is to improve the mental health of Mexican-origin youth by reducing the deleterious effects of racism, "othering," and negative neighborhood interactions. Community based collaboration will be used to recruit a sample of 340 Mexican-origin adolescents, mothers, and fathers in Indiana. The inclusion of fathers will be a valuable contribution to the literature, given the dearth of studies on Latinx fathers/stepfathers. A combination of annual surveys administered over three waves to parents and youth ("macro-time") and a 21-day daily diary ("micro-time") administered in wave 1 to youth is employed to assess important questions about how mediating and moderating processes unfold over time. Specific aims of the project include determination of within-person discrimination-related stressors that impact youth's mental health outcomes and the mechanisms of action at both micro- and macro- time levels; identification of protective factors that could help coping with discrimination related stressors and conditions under which they work; and elucidating youth, parent, and neighborhood risk factors that moderate the link between discrimination-related stressors and mental health outcomes in youth. This research is highly translational in that it will facilitate the development of more effective, culturally sensitive prevention and intervention strategies for Latinx youth and their families.

Study Timeline

• Study Start: 2021-04-09
• Study First Submitted: 2021-04-09
• Study First Submitted QC: 2021-05-04
• Study First Posted: 2021-05-06
• Primary Completion: 2024-10-11
• Study Completion: 2024-10-11
• Status Verified: 2024-11
• Last Update Submitted: 2024-11-26
• Last Update Posted: 2024-11-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 886

Inclusion Criteria

Adolescent Inclusion Criteria:

• The adolescent has two eligible caregivers (as defined in the following criteria)
• The adolescent resides with at least one of the two caregivers.
• One of the caregivers is a parent or legal guardian who is eligible to give consent for the child's participation.

Caregiver Inclusion Criteria:

• Biological Parents of Mexican origin
• Legal guardians of Mexican origin
• Step-parents of Mexican origin
• A caregiver of Mexican origin identified by the parent/guardian who is 18 or older (e.g., grandparents, uncles/aunts, older siblings, godparents)

Exclusion Criteria

• A parent reports that the adolescent has a severe learning or developmental disability which would prevent understanding/survey response

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Children's Depression Inventory 2nd Edition™: Self-Report Short Form [(CDI-2: SR(S)]	Month 24	Youth Depression, Total score 0-24, Higher scores are worse
Youth Self-Report for Ages 11-18 (YSR/11-18)	Month 24	Youth Psychological Symptoms
Screen for Child Anxiety Related Disorders/ [General Anxiety subscale only] (SCARED)	Month 24	Youth Anxiety, Subscale Total score 0-18, Higher scores are worse
Child Behavior Checklist for Ages 6-18 (CBCL/6-18)	Month 24	Adaptive Functioning
Pittsburgh Sleep Quality Index (PSQI)	Month 24	Sleep Duration and Quality; Total global score (for unadapted scale) 0-21

Trial Locations

Locations (1)

University of Notre Dame, William J. Shaw Center for Children and Families; 🇺🇸 South Bend, Indiana, United States