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Draucker CB, Martsolf DS, Crane S, McCord AL, Romero L, Al-Khattab HA. A feasibility test of an online intervention to prevention dating violence in emerging adults. Arch Psychiatr Nurs 2019; 33:37-45. [PMID: 30663623 PMCID: PMC6347386 DOI: 10.1016/j.apnu.2018.09.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2018] [Revised: 09/03/2018] [Accepted: 09/16/2018] [Indexed: 11/19/2022]
Abstract
Dating violence in emerging adults is a significant problem and few prevention programs based on the developmental needs of this age group have been developed. Our research team developed an online dating violence prevention program called WISER (Writing to Improve Self-in-Relationships) for emerging adults. The program is based on narrative therapy principles and uses structured writing techniques. A single group pre-post feasibility test of WISER was conducted with 14 college women. WISER was demonstrated to be feasible and acceptable and to show promise as an effective program to decrease dating violence in this population.
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Affiliation(s)
| | - Donna S Martsolf
- University of Cincinnati, Cincinnati, OH, United States of America
| | - Stacey Crane
- Indiana University, Indianapolis, IN, United States of America
| | | | - Lindsey Romero
- Indiana University, Indianapolis, IN, United States of America
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Abstract
BACKGROUND Latino/a adolescents experience higher levels of depressive symptoms than Caucasian and African American adolescents. Many studies found that cultural stressors contribute to this disparity, but these findings have not been integrated into a cohesive picture of the specific cultural stressors that contribute to the development of depressive symptoms for Latino/a adolescents. OBJECTIVE The purpose of this integrative review is to identify cultural stressors that are associated with depressive symptoms in Latino/a adolescents. DESIGN Procedures outlined by Ganong were used to conduct the review. The results of 33 articles that met inclusion criteria were synthesized. RESULTS Discrimination, family culture conflict, acculturative and bicultural stress, intragroup rejection, immigration stress, and context of reception were identified as cultural stressors that are associated with depressive symptoms in Latino/a adolescents. CONCLUSIONS Clinicians should employ strategies to help Latino/a youth cope with cultural stressors and advocate for policies that support the mental health of Latino/a youth.
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Affiliation(s)
- Allison L McCord
- 1 Allison L. McCord, BSN, RN, Indiana University, Indianapolis, IN, USA
| | | | - Silvia Bigatti
- 3 Silvia Bigatti, PhD, Indiana University, Indianapolis, IN, USA
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Gilbert AL, McCord AL, Ouyang F, Etter DJ, Williams RL, Hall JA, Tu W, Downs SM, Aalsma MC. Characteristics Associated with Confidential Consultation for Adolescents in Primary Care. J Pediatr 2018; 199:79-84.e1. [PMID: 29631769 PMCID: PMC6063778 DOI: 10.1016/j.jpeds.2018.02.044] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Revised: 01/15/2018] [Accepted: 02/14/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVE To examine how provider report of confidential consultation in the electronic health record is associated with adolescent characteristics, health risk factors, and provider training. STUDY DESIGN This prospective cohort study was conducted as part of a larger study implementing computerized clinical decision support in 2 urban primary care clinics. Adolescents used tablets to complete screening questions for specified risk factors in the waiting room. Adolescent-reported risk factors included sexual activity, substance use, and depressive symptoms. Providers were prompted on encounter forms to address identified risk factors and indicate whether confidential consultation was provided. Provider types included adolescent medicine board certified pediatrics and general pediatrics. Differences in proportions of adolescents reporting risk factors by provider type were assessed using χ2 tests. Associations between adolescent characteristics, risk factors, and provider-reported confidential consultation were examined using logistic regression analyses. RESULTS The sample included 1233 English and Spanish-speaking adolescents 12-20 years of age (52% female; 60% black; 50% early adolescent). Patients seen by adolescent medicine board certified providers reported sexual activity, depressive symptoms, and substance use significantly more often than those seen by general pediatric providers. Among patients seen by board certified adolescent medicine providers, confidential consultation was provided to 90%. For those seen by general pediatric providers, confidential consultation was provided to 53%. Results of multiple logistic regression demonstrated that female sex, later adolescence, and clinic location were significantly associated with confidential consultation. CONCLUSIONS Provider training is needed to reinforce the importance of confidential consultation for all adolescents.
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Affiliation(s)
- Amy Lewis Gilbert
- Indiana University School of Medicine, Department of Pediatrics, Children’s Health Services Research Section, Indianapolis, IN, USA,Regenstrief Institute, Inc., Indianapolis, IN, USA
| | | | - Fangqian Ouyang
- Indiana University School of Medicine, Department of Biostatistics, Indianapolis, IN, USA
| | - Dillon J. Etter
- Indiana University School of Medicine, Department of Pediatrics, Adolescent Medicine Section, Indianapolis, IN, USA
| | - Rebekah L. Williams
- Indiana University School of Medicine, Department of Pediatrics, Adolescent Medicine Section, Indianapolis, IN, USA
| | - James A. Hall
- Indiana University School of Medicine, Department of Pediatrics, Adolescent Medicine Section, Indianapolis, IN, USA
| | - Wanzhu Tu
- Indiana University School of Medicine, Department of Biostatistics, Indianapolis, IN, USA
| | - Stephen M. Downs
- Indiana University School of Medicine, Department of Pediatrics, Children’s Health Services Research Section, Indianapolis, IN, USA
| | - Matthew C. Aalsma
- Indiana University School of Medicine, Department of Pediatrics, Adolescent Medicine Section, Indianapolis, IN, USA
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McCord AL. Ethical considerations for involving Latina adolescents in mental health research. J Child Adolesc Psychiatr Nurs 2017; 30:47-53. [PMID: 28463436 DOI: 10.1111/jcap.12170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2017] [Revised: 04/04/2017] [Accepted: 04/05/2017] [Indexed: 11/30/2022]
Abstract
TOPIC US Latina adolescents experience significant mental health disparities, such as depressive symptoms and suicidal ideation and, therefore, should be involved in research studies focused on minimizing these health disparities. However, researchers must consider the specific ways this population is vulnerable and provide adequate protections to reduce risks related to these vulnerabilities. PURPOSE The purpose of this article is to describe the different ways that Latina adolescents with mental health problems can be vulnerable research participants, identify strategies to protect this population during a research study, and describe steps taken to apply these strategies in an ongoing qualitative study examining depression in Latina adolescents. SOURCES USED Kipnis's (2003) article describes seven ways that children can be vulnerable research participants. These seven vulnerabilities are used to describe the vulnerabilities of Latina adolescents with mental health problems. Specific strategies to protect this population are synthesized to provide a list of strategies that can be used by researchers to reduce the risks associated with the vulnerabilities of this group. CONCLUSIONS In order to minimize risks for Latina adolescents, researchers must be engaged in Latino/a communities, use culturally and linguistically appropriate consent processes, and implement strategies to protect the confidentiality of Latina adolescent participants.
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