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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01MD018920-01A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Familia SER (Salud, Estrés y Resilencia) Group | Experimental | Participants will attend six intervention sessions. |
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| Control Group | No Intervention | Participants will not receive SER Familia sessions. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SER Familia | Behavioral | 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). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Parent Acculturative stress as measured by the Hispanic Stress Inventory (HSI-2) Immigrant Version | 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. | From Enrollment to end of treatment at 6 weeks |
| Change in Youth Acculturative stress as measured by the Hispanic Stress Inventory - Adolescent (HSI-A) | 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. | From Enrollment to end of treatment at 6 weeks |
| Change in individual resilience as measured by the 25-item Resiliency Scale | 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. | From Enrollment to end of treatment at 6 weeks |
| Change in PROMIS (Patient-Reported Outcomes Measurement Information System) Global Health | The PROMIS Global Health score ranges from 10 to 50, where a higher score indicates better overall health. |
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| Measure | Description | Time Frame |
|---|---|---|
| Perceptions of the impact of SER Familia on Parents and Youth as measured by semi-structured interviews | Exemplar questions include: 1) How did the program influence your resilience against family stress?; 2) What impact did the program have on your relationship with your parents/children?; 3) How did your parents/child's behaviors change throughout the program and after?; 4) How did those changes influence you and your family?; 5) What new connections or resources were you able to access during the program?; 6) What impact did this have on you, your family, or your community? 7) How did the impact of SER Familia influence the family over the past year (i.e., for 12-month follow-up)? |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rosa Gonzalez-Guarda, PhD | Contact | 9196132634 | rosa.gonzalez-guarda@duke.edu | |
| Norma Garcia-Ortiz, BS | Contact | 9196849331 | norma.garcia.ortiz@duke.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke School of Nursing | Recruiting | Durham | North Carolina | 27707 | United States |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D015658 | HIV Infections |
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
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| From Enrollment to end of treatment at 6 weeks |
| From end of treatment at 6 weeks to the end of year two |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |