Ignite Creation Date:
2024-05-06 @ 1:42 PM
Last Modification Date:
2024-10-26 @ 1:18 PM
Study NCT ID:
NCT04096378
Status:
COMPLETED
Last Update Posted:
2023-05-09
First Post:
2019-09-12
Brief Title:
EMBRace With Grandparents
Sponsor:
University of Michigan
Organization:
University of Michigan
Study Overview
Official Title:
Improving Racial Socialization Competency for Black Caregivers Through a Culturally-Informed Familial Therapeutic Intervention
Status:
COMPLETED
Status Verified Date:
2023-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
EMBRace
Brief Summary:
Research on racial discrimination RD continues to show the debilitating toll on mental and physical health for adolescents throughout their developmental trajectory particularly for Black Americans While adolescents may employ emotion-focused behaviors eg overeating etc in-the-moment to reduce discriminatory distress such risk-laden behaviors can result in later disparities in their overall health While this link has been repeatedly established in the literature racially-specific protective mechanisms eg racial socialization RS have been shown to disrupt the pathway from discrimination to health-related outcomes in adolescents Although informative the literature on RS has yet to advance our understanding of ways to improve upon these protective processes in Black families Thus the proposed study will further our understanding by aiming to improve RS competency eg skills and efficacy among African American caregivers and youth ages 10-14 in Detroit Michigan through the Engaging Managing and Bonding through Race EMBRace intervention
The EMBRace intervention facilitates spaces where Black caregivers strengthen and develop skills to be attentive to their adolescents racial trauma while also reducing their own stress via racial coping knowledge and RS strategies Parents and adolescents start each session by engaging in separate therapeutic sessions to process experiences of their Black identity They will then join together for a family session that focuses on enhancing messages about racial pride bias preparation rationales behind promoting distrust and why not engaging in RS practices may be detrimental to youth EMBRace sessions will take place at the University of Michigan Detroit Center and community sites and will be video recorded to improve upon the delivery of therapeutic techniques to the families we serve
The EMBRace intervention facilitates spaces where Black caregivers strengthen and develop skills to be attentive to their adolescents racial trauma while also reducing their own stress via racial coping knowledge and RS strategies Parents and adolescents start each session by engaging in separate therapeutic sessions to process experiences of their Black identity They will then join together for a family session that focuses on enhancing messages about racial pride bias preparation rationales behind promoting distrust and why not engaging in RS practices may be detrimental to youth EMBRace sessions will take place at the University of Michigan Detroit Center and community sites and will be video recorded to improve upon the delivery of therapeutic techniques to the families we serve
Detailed Description:
Approximately 90 of Black youth report facing or witnessing racial discrimination in their proximal eg classroom and virtual eg social network environments The association between discrimination and negative mental health outcomes eg more severe and higher rates of depression has been repeatedly established in the literature Moreover discrimination impairs the way youth cope and it is this compromised coping that is associated with negative psychological academic and health outcomes Further adolescent outcomes may lead to marked health complications and widening disparities in adulthood Within adolescence families can have a contributing role in the buffering or exacerbation of coping processes and behaviors to discriminatory experiences The majority of Black families use racial socialization RS-or the verbal and nonverbal communication regarding racial matters-to facilitate coping with race While RS has been shown to disrupt the trajectory from discrimination to negative psychological outcomes in some respects it has also contributed to increased youth depressive and anxious symptoms given the wide variety of strategies observed in RS communication Furthermore less is known about the impact that grandparents have in the socialization process of their adolescent grandchildren even though Black grandparents are more likely to rear their grandchildren compared to other races and given current trends To address these gaps the emergence of a new RS theory and accompanying clinical intervention seeks to investigate and improve upon this potentially protective cultural process by improving RS competency and enhancing coping processes The Racial Encounter Coping Appraisal and Socialization Theory RECAST postulates that caregivers explicit and consistent delivery of psychoeducation-informed skilled and confident RS practices can reduce caregiver stress and subsequent psychological problems experienced by Black youth via greater coping self-efficacy and coping behaviors The Engaging Managing and Bonding through Race EMBRace intervention is the application of RECAST and seeks to improve upon competent RS practices through therapeutic and empirically supported strategies The use of culturally-relevant theory in clinical treatment is vital to Black youths coping with specific ie racial stressors linked to long-term health and wellness outcomes The empirical investigation of RECAST can also clarify whether aging caregivers eg grandparents develop the same competencies as other primary caregivers for an intergenerational exploration of RS practices Thus the goal of this study is to test the effectiveness of a unique culturally-relevant and family-based intervention developed to enhance RS competencies in Black caregivers and reduce negative psychological outcomes for adolescent children Building on the preliminary data that I collected during the acceptability pilot testing of the EMBRace intervention in Philadelphia the proposed study will test the mechanism of caregiver RS competency as a moderator of discrimination coping self-efficacy coping and adolescent psychological outcomes
The specific aims of the study are to
1 improve caregiver RS competency including a decrease in stress
2 improve adolescents self-reported coping strategies through enhanced coping self-efficacy and
3 decrease adolescents self-reported psychological problems within the EMBRace treatment group
By posttest and 6-week follow-up EMBRace families are hypothesized to
1 be rated as and rate themselves as more competent in their RS practices including less stress
2 report more satisfactory coping and higher coping self-efficacy scores and
3 report less psychological problems relative to pre-test and a control group
The success of an EMBRace pilot and subsequent clinical trials can lead to its uptake by service agencies and youth-facing organizations to address the pervasive societal problem of racial discrimination for Black youth and families The reduction of psychological harm in Black families will have a reverberating impact in various systems eg school health residential which can also address the persistent gaps evident in these systems eg achievement life expectancy resource Furthermore I seek to have a sustainable and long-term research agenda in the improvement of patient health given the community-oriented nature of EMBRace which partners with families and organizations and trains clinicians for both the improvement of Black family outcomes and the treatment of race-related problems
The specific aims of the study are to
1 improve caregiver RS competency including a decrease in stress
2 improve adolescents self-reported coping strategies through enhanced coping self-efficacy and
3 decrease adolescents self-reported psychological problems within the EMBRace treatment group
By posttest and 6-week follow-up EMBRace families are hypothesized to
1 be rated as and rate themselves as more competent in their RS practices including less stress
2 report more satisfactory coping and higher coping self-efficacy scores and
3 report less psychological problems relative to pre-test and a control group
The success of an EMBRace pilot and subsequent clinical trials can lead to its uptake by service agencies and youth-facing organizations to address the pervasive societal problem of racial discrimination for Black youth and families The reduction of psychological harm in Black families will have a reverberating impact in various systems eg school health residential which can also address the persistent gaps evident in these systems eg achievement life expectancy resource Furthermore I seek to have a sustainable and long-term research agenda in the improvement of patient health given the community-oriented nature of EMBRace which partners with families and organizations and trains clinicians for both the improvement of Black family outcomes and the treatment of race-related problems
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None