200983 Development of a mental health preventive intervention for Latina adolescents

Tuesday, November 10, 2009

Carolyn Garcia, PhD, MPH, RN , School of Nursing, University of Minnesota, Minneapolis, MN
Few school-based preventive interventions exist addressing adolescent mental health and none to my knowledge exist specifically for Latino females. Building on existing evidence of what adolescents need generally (e.g., healthy youth development and resilience models) and what works in preventive interventions targeting Latino youth (e.g., work of Pantin and Dishion identifies core components including being school-based, family-centric, and multi-leveled), I have developed a preventive intervention addressing the coping and mental health of Latina adolescents. The intervention has three core components: a facilitated girls' group, a parent outreach program, and a mother-daughter civic engagement project. Each of the three has been independently piloted, and I have evidence to support the feasibility of the complete intervention model. The girls' group has been piloted in a RCT and effect data are being analyzed. There are, however, challenges that need to be addressed in the development of a competitive R01 study proposal. For example, reasonable exclusion criteria have been elusive. Also, selection of outcome measures has been difficult to narrow down such that measures can reflect changes or effects of a preventive intervention. Finally, I hope to use objective data measurement. The practicality of implementing these measures, including reactive salivary cortisol, has been demonstrated with difficulty in my pilot work yet I welcome insights as to the appropriateness of this measure, and others (e.g., video recorded family communication task). This opportunity to present my study ideas and gain feedback and insights from successfully funded preventive researchers in mental health is valuable, and needed.

Learning Objectives:
1. To describe the challenges associated with development of a school-based, family centric mental health preventive intervention for Latina adolescents 2. To identify strategies useful in preparing a R01 funded trial of the intervention, including addressing study design, recruitment, and measurement/analysis

Keywords: Child and Adolescent Mental Health, Methodology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am conducting the research described and presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.