Seguimos Avanzando - Latino Youth Coping With Discrimination

Mental Health Clinical Trial

Official title:

Latino Youth Coping With Discrimination: A Multi-Level Investigation in Micro- and Macro-Time

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04875208
• Other study ID #: 2020P001721
• Status: Recruiting
• Start date: April 9, 2021
• Est. completion date: February 28, 2025

Study information

• Verified date: February 2024
• Source: Massachusetts General Hospital
• Contact: Margarita Alegria, Ph.D.
• Phone: 6177241237
• Email: malegria[@]mgh.harvard.edu
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 900
• Est. completion date: February 28, 2025
• Est. primary completion date: February 28, 2025
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 12 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Mental Health

Locations

Country	Name	City	State
United States	University of Notre Dame, William J. Shaw Center for Children and Families	South Bend	Indiana

Sponsors (4)

Lead Sponsor	Collaborator
Massachusetts General Hospital	Fordham University, Indiana University, University of Notre Dame

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Children's Depression Inventory 2nd Edition™: Self-Report Short Form [(CDI-2: SR(S)]	Youth Depression, Total score 0-24, Higher scores are worse	Time 0 (baseline)
Primary	Children's Depression Inventory 2nd Edition™: Self-Report Short Form [(CDI-2: SR(S)]	Youth Depression, Total score 0-24, Higher scores are worse	Month 12
Primary	Children's Depression Inventory 2nd Edition™: Self-Report Short Form [(CDI-2: SR(S)]	Youth Depression, Total score 0-24, Higher scores are worse	Month 24
Primary	Screen for Child Anxiety Related Disorders/ [General Anxiety subscale only] (SCARED)	Youth Anxiety, Subscale Total score 0-18, Higher scores are worse	Time 0 (baseline)
Primary	Screen for Child Anxiety Related Disorders/ [General Anxiety subscale only] (SCARED)	Youth Anxiety, Subscale Total score 0-18, Higher scores are worse	Month 12
Primary	Screen for Child Anxiety Related Disorders/ [General Anxiety subscale only] (SCARED)	Youth Anxiety, Subscale Total score 0-18, Higher scores are worse	Month 24
Primary	Youth Self-Report for Ages 11-18 (YSR/11-18)	Youth Psychological Symptoms	Time 0 (baseline)
Primary	Youth Self-Report for Ages 11-18 (YSR/11-18)	Youth Psychological Symptoms	Month 12
Primary	Youth Self-Report for Ages 11-18 (YSR/11-18)	Youth Psychological Symptoms	Month 24
Primary	Child Behavior Checklist for Ages 6-18 (CBCL/6-18)	Adaptive Functioning	Time 0 (baseline)
Primary	Child Behavior Checklist for Ages 6-18 (CBCL/6-18)	Adaptive Functioning	Month 12
Primary	Child Behavior Checklist for Ages 6-18 (CBCL/6-18)	Adaptive Functioning	Month 24
Primary	Pittsburgh Sleep Quality Index (PSQI)	Sleep Duration and Quality; Total global score (for unadapted scale) 0-21	Time 0 (baseline)
Primary	Pittsburgh Sleep Quality Index (PSQI)	Sleep Duration and Quality; Total global score (for unadapted scale) 0-21	Month 12
Primary	Pittsburgh Sleep Quality Index (PSQI)	Sleep Duration and Quality; Total global score (for unadapted scale) 0-21	Month 24