Salud, Estrés y Resilencia en Familias/ Health, Stress, and Resilience Among Latino Families in the US

Not Applicable

Not yet recruiting

• Conditions: Substance Abuse; Intimate Partner Violence (IPV); HIV Infections; Depression; Anxiety
• Interventions: Behavioral: SER Familia

• Registration Number: NCT06627764
• Lead Sponsor: Duke University

Brief Summary

This study aims to prevent syndemic health conditions by decreasing acculturative stress and promoting resilience via SER Familia (Salud, Estrés y Resilencia en Familias/ Health, Stress, and Resilience in Families), a family-based intervention. SER Familia is a six-session intervention co-developed and delivered by community health workers (CHWs) that uses strategies to reduce acculturative stress, promote resilience, improve parent-child and family level health, while simultaneously helping families maintain strong social networks and better navigate community resources to address social determinants of health (SDOH). More specifically, investigators aim to: 1) Examine the efficacy of SER Familia to prevent or reduce the syndemic comprised of substance abuse, IPV, HIV risk, depression, and anxiety among Parents and Youth; and 2) Identify how individual, family, and community mechanisms of change related to acculturative stress and resilience mediates the effect of SER Familia.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-10-03
• Study First Submitted QC: 2024-10-03
• Study First Posted: 2024-10-04
• Status Verified: 2025-02
• Last Update Submitted: 2025-03-11
• Last Update Posted: 2025-03-12
• Study Start: 2025-05-01
• Primary Completion: 2028-10-31
• Study Completion: 2028-12-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

• Eligible participants must identify as Hispanic/Latino/a/x/e,
• be a first generation immigrant parent or parental figure (Parent)
• have a child (Youth) aged 12-17
• speak English and/or Spanish

Exclusion Criteria

• Families planning to move within two years will be excluded

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Familia SER (Salud, Estrés y Resilencia) Group	SER Familia	Participants will attend six intervention sessions.

Primary Outcome Measures

Name	Time	Method
Change in Parent Acculturative stress as measured by the Hispanic Stress Inventory (HSI-2) Immigrant Version	From Enrollment to end of treatment at 6 weeks	The immigrant version of the HSI-2 includes 10 stress subscales. For each item, participants indicated whether they had experienced the stressor (Yes / No). If participants reported experiencing a stressor, then they rated how stressful the event was on a 5-point Likert scale (1= Not at all worried / tense; 2 = A little worried / tense; 3 = Moderately worried / tense; 4 = Very worried/ tense; 5 = Extremely worried/ tense). The total score ranges from 94 to 470, where a higher score indicates greater stress.
Change in Youth Acculturative stress as measured by the Hispanic Stress Inventory - Adolescent (HSI-A)	From Enrollment to end of treatment at 6 weeks	The HSI-A includes 8 stress subscales. For each item, participants indicated whether they had experienced the stressor (Yes / No). If participants reported experiencing a stressor, then they rated how stressful the event was on a 5-point Likert scale (1= Not at all worried / tense; 2 = A little worried / tense; 3 = Moderately worried / tense; 4 = Very worried/ tense; 5 = Extremely worried/ tense). The total score ranges from 72 to 360, where a higher score indicates greater stress.
Change in individual resilience as measured by the 25-item Resiliency Scale	From Enrollment to end of treatment at 6 weeks	The Resiliency Scale uses a 7-point Likert scale to assess how much a respondent agrees or disagrees with statements. The possible total score ranges from 25 to 175, with higher scores indicating greater resilience. Scores above 145 indicate high resilience, 121 to 145 indicate moderate resilience, and below 120 indicate low resilience.
Change in PROMIS (Patient-Reported Outcomes Measurement Information System) Global Health	From Enrollment to end of treatment at 6 weeks	The PROMIS Global Health score ranges from 10 to 50, where a higher score indicates better overall health.