Clinical trial NCT04875208: Seguimos Avanzando - Latino Youth Coping With Discrimination
Official title: Latino Youth Coping With Discrimination: A Multi-Level Investigation in Micro- and Macro-Time
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Mental Health
Lead sponsor: Massachusetts General Hospital
Sponsor class: OTHER
Collaborators: name: University of Notre Dame
name: Fordham University
name: Indiana University
First posted: 2021-05-06
Enrollment: 886
Sex: ALL
Minimum age (years): 12
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: * Mexican descent adolescents between the ages of 12-15 years old (at enrollment)
* Mexican-Origin caregivers over the age of 18

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.

Eligibility criteria: 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

Primary outcomes:
measure: Children's Depression Inventory 2nd Edition™: Self-Report Short Form [(CDI-2: SR(S)]
timeFrame: Time 0 (baseline)
measure: Children's Depression Inventory 2nd Edition™: Self-Report Short Form [(CDI-2: SR(S)]
timeFrame: Month 12
measure: Children's Depression Inventory 2nd Edition™: Self-Report Short Form [(CDI-2: SR(S)]
timeFrame: Month 24
measure: Screen for Child Anxiety Related Disorders/ [General Anxiety subscale only] (SCARED)
timeFrame: Time 0 (baseline)
measure: Screen for Child Anxiety Related Disorders/ [General Anxiety subscale only] (SCARED)
timeFrame: Month 12
measure: Screen for Child Anxiety Related Disorders/ [General Anxiety subscale only] (SCARED)
timeFrame: Month 24
measure: Youth Self-Report for Ages 11-18 (YSR/11-18)
timeFrame: Time 0 (baseline)
measure: Youth Self-Report for Ages 11-18 (YSR/11-18)
timeFrame: Month 12
measure: Youth Self-Report for Ages 11-18 (YSR/11-18)
timeFrame: Month 24
measure: Child Behavior Checklist for Ages 6-18 (CBCL/6-18)
timeFrame: Time 0 (baseline)
measure: Child Behavior Checklist for Ages 6-18 (CBCL/6-18)
timeFrame: Month 12
measure: Child Behavior Checklist for Ages 6-18 (CBCL/6-18)
timeFrame: Month 24
measure: Pittsburgh Sleep Quality Index (PSQI)
timeFrame: Time 0 (baseline)
measure: Pittsburgh Sleep Quality Index (PSQI)
timeFrame: Month 12
measure: Pittsburgh Sleep Quality Index (PSQI)
timeFrame: Month 24
Secondary outcomes:
Other outcomes:
Locations:
city: South Bend
country: United States
facility: University of Notre Dame, William J. Shaw Center for Children and Families
state: Indiana
Study officials:
References: