Exploring PTSD Symptoms, Barriers and Facilitators to Mindfulness-based Stress Reduction for Justice-Involved Black/African American Female Adolescents and Parents/Caregivers
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 90
- 主要终点
- PTSD Checklist
研究概览
简要总结
The purpose of this study is to investigate justice-involved Black/African American female adolescents' (JI BAFAs; N=35) self-reported outcomes: stress, posttraumatic stress disorder (PTSD), recidivism, etc., as well as their parents/caregivers' (P/Cs; N=35) stress and pre- and post- intervention results along with their views of an adapted intervention.
详细描述
This study was conceptualized via an initial partnership with the Principal Investigator (PI), the City of Columbus Commission on Black Girls (Commission or COBG) and the Franklin County Juvenile Court. The investigators will also conduct individual semi-structured interviews with providers (N=20) to assess their views of the adapted intervention, as well as who they think will be best to deliver the intervention, and in which settings/locations. Further, the investigators will create three advisory boards: Community Advisory Board, Scientific Advisory Board, and a Youth Advisory Board to assist the research team with recruitment, study design and implementation, intervention development, and to ensure the rigor and translational aspects of the research study. The investigators will use all the identified themes from the JI BAFA, P/C, and provider interviews to adapt and test a healing centered stress reduction intervention for Phase II of the study. The investigators will recruit JI BAFA-P/C dyads for Phase II of the study and Phase I participants will be invited to participate.
The objectives of this research study are to:
- Assess JI BAFAs' PTSD, as well as their and their P/Cs' stress.
- Culturally adapt a healing centered stress reduction intervention based on the responses from ten JI BAFA-P/C dyads, including ten Black girls ages 14-18 who are involved with the Franklin County Juvenile Court and ten of their parents/caregivers based on their feedback to identify specific gaps in service provision and utilization of services, i.e. barriers to treatment, as well as describe the proposed intervention and elicit their feedback about its utility and implementation. Intervention development and adaptation will also be based on the feedback from 20 providers, and recommendations from select advisory board members.
- Test the culturally adapted intervention and assess the participants' experiences via member checking, a method used to ensure the accuracy of what they told us in the interviews at the end of the interview.
- Identify specific gaps in service provision and utilization of services.
- Provide recommendations to study participants and Franklin County Juvenile Court to inform practice protocols, and a future randomized control trial to test this culturally adapted intervention with a larger sample of participants.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 14 Years 至 90 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Black girls aged 14-18
- •Black girls with a misdemeanor and/or felony charge in their lifetime
- •Positive PTSD screen (PC-PTSD score of 2 or more; if more than one JI BAFA are from the same family, the investigators will recruit the girl with the highest PTSD score)
- •Black girls report juvenile justice involvement within 12 months prior
- •Black girls live with a P/C (mothers, fathers, and other caregivers/legal guardians) who will also participate in the study
- •Parents/Caregivers nominated by the girls to participate in the study who are between the ages of 18 and 90 years of age
- •Legal/ social services providers / educators who work with the population.
排除标准
- •Prisoners per the IRB definition
- •Black girls who are younger than 14 and older than 18
- •Severe cognitive delay so the youth cannot complete the assessment instruments, as measured using the Montreal Cognitive Assessment (MoCA)
- •Active psychosis requiring a greater level of care [Structured Clinical Interview for DSM Disorders (SCID)]. Screening for the study will take place prior to consent/assent of the study participants
- •Parents/Caregivers who are not nominated by the girls to participate in the study who are not between the ages of 18 and 90 years of age
- •Legal/ social services providers / educators who have been working with the population for less than three years.
研究组 & 干预措施
ITR Healing Intervention
This is a single arm nonrandomized test of the culturally adapted ITR healing intervention.
干预措施: ITR Healing intervention (Behavioral)
结局指标
主要结局
PTSD Checklist
时间窗: 24 months
PTSD Checklist from DSM-5 (PCL-5), which all participants will complete. A total symptom severity score (range - 0-80) can be obtained by summing the scores for each of the 20 items.
PTSD Screen
时间窗: 24 months
PTSD psychiatric disorder that may occur in people who have experienced or witnessed a traumatic event such as a natural disaster, a serious accident, a terrorist act, war/combat, or rape or who have been threatened with death, sexual violence or serious injury. PTSD Will be measured by the Primary Care PTSD Screen, which all participants will complete. . The authors suggest that in most circumstances the results of the PC-PTSD should Those screening positive should then be assessed with a structured interview for PTSD. The screen does not include a list of potentially traumatic events.
次要结局
- Parent/Caregiver-Child Relationship(24 months)
- Personal Agency(24 months)
- Five Facet Mindfulness Questionnaire (FFMQ)(24 months)
- Stress Psychosocial(24 months)
- Parenting Stress(24 months)
- Stress Physiological(24 months)
- Racial Identity(24 months)
- Recidivism(24 months)
研究者
Camille Renee' Quinn
Associate Professor of Social Work, School of Social Work
University of Michigan