Strategies to Improve Engagement of Latino Adolescents in Mental Health Research

Allison McCord Stafford, Camila A. Pulgar, Tatiana Villarreal-Otálora
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Abstract

While Latino adolescents of all genders in the US experience inequities in depressive symptoms, suicide attempts, and access to mental health services in comparison to non-Latino White peers, they are underrepresented in adolescent mental health research. Additionally, little has been written on how to best engage Latino adolescents in mental health research. Given that this population has unique developmental and cultural needs, our purpose is to outline strategies for increasing engagement of Latino teens in mental health-focused studies based on lessons learned from three investigators’ programs of research. This manuscript describes the research programs of three bilingual investigators who have dedicated their research careers to addressing mental health inequities of Latino adolescents. We synthesize lessons learned across all aspects of study design, focusing on recommendations to facilitate the engagement of Latino adolescents in mental health research. Based on the successes and challenges in our programs of research, we provide four key recommendations to increase engagement of Latino adolescents in mental health research: (1) Become knowledgeable about the values, culture, and language of the local Latino community; (2) Consider recruitment strategies that are inclusive of both clinical and community Latino teen samples; (3) Balance the autonomy of the Latino teen with family values throughout the research process; and (4) Offer flexible data collection options knowing that teens and parents may have various levels of comfort with sharing information about themselves and their mental health. Researchers can build upon the lessons from our combined almost 40 years of research experience with Latino adolescents, emerging adults, and parents. Through consideration of these recommendations, the recruitment of diverse groups of Latino teens into mental health research can be bolstered with the goal of generating translatable knowledge to help address mental health inequities faced by this population.

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提高拉丁裔青少年参与心理健康研究的策略
尽管与非拉丁裔白人同龄人相比,美国所有性别的拉丁裔青少年在抑郁症状、自杀企图和获得心理健康服务方面都经历了不平等,但他们在青少年心理健康研究中的代表性不足。此外,关于如何最好地吸引拉丁裔青少年参与心理健康研究的文章很少。鉴于这一人群具有独特的发展和文化需求,我们的目的是根据从三位研究者的研究项目中吸取的经验教训,概述增加拉丁裔青少年参与以心理健康为重点的研究的策略。这份手稿描述了三位双语研究者的研究项目,他们致力于解决拉丁裔青少年的心理健康不平等问题。我们综合了研究设计各个方面的经验教训,重点是促进拉丁裔青少年参与心理健康研究的建议。基于我们的研究项目的成功和挑战,我们提供了四个关键建议来增加拉丁裔青少年在心理健康研究中的参与:(1)了解当地拉丁裔社区的价值观、文化和语言;(2)考虑包括临床和社区拉丁裔青少年样本的招聘策略;(3)在整个研究过程中平衡拉丁裔青少年的自主性和家庭价值观;(4)提供灵活的数据收集选项,了解青少年和父母在分享自己和心理健康信息时可能会有不同程度的舒适。研究人员可以从我们近40年来对拉丁裔青少年、初成人和父母的研究经验中吸取教训。通过考虑这些建议,可以加强招募不同群体的拉丁裔青少年参与精神卫生研究,目标是产生可翻译的知识,以帮助解决这一人群面临的精神卫生不平等问题。
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