In keeping with the missions of NIMH and NICHD, the proposed project offers to test innovative models of poverty-related risk and RCT early intervention targeting key health and mental health outcomes among low-income, ethnic minority youth. Overall, this application aims to advance our understanding of youths' trajectories of internalizing behavior and health risk across a salient life course transition (including 8th through 10th grade). Because the average age of onset for affective disorders, and the initiation of a broader array of health risk behaviors occurs in early adolescence, we plan to focus our efforts in predicting youths' health-risk behaviors and internalizing problems. Scientifically and clinically significant features of this project include an the opportunity to tet the role of key neurocognitive mechanisms that may alternately lead some youth to be at lower risk for these negative health and mental health sequelae, while other youth may face greater risk. Framed in this way, the proposed research strives to identify levers for policies and programs devoted to improving the health of adolescents in low-income communities.
The specific aims of this application include the following. First, the proposed investigation will examine the long-term impact of the Chicago School Readiness Project (CSRP), a randomized controlled trial (RCT) of a preschool intervention designed to foster low-income preschoolers' self-regulation and mental health (#R01HD046160; n = 602). Treatment-induced gains in specific domains of self-regulation including emotion regulation (ER) and executive function (EF) are hypothesized to set youth on positive developmental trajectories into adolescence. The project's second aim is to test ways that youths' trajectories of health and mental health problems may be significantly jeopardized by a range of poverty-related risk factors, defined in terms of type of risk, the timing of risk exposure, and turbulence (i.e., volatility in risk). Analses will also test whether those key neurocognitive mechanisms of ER and EF mediate the impact of poverty and early intervention on individuals' internalizing and health risk, and whether these impacts are moderated by race/ethnicity, gender, and early regulatory profiles. Statistical approaches will include measurement modeling and advanced techniques that help to strengthen causal claims and to understand development over time.

Public Health Relevance

Poverty-related adversity places youth mental and physical health in serious jeopardy, with prevalence rates of internalizing problems and substance use among poor adolescents in urban areas substantially higher than those of their more affluent counterparts. The following study tests the corrosive role of poverty-related adversity on the one hand, and the potentially reparative role of preschool intervention on the other, in predicting low income adolescents' internalizing problems and health risk-taking behaviors in 8th and 10th grades. This study highlights the role of key neurocognitive mechanisms in models of adolescent health and mental health and will inform programs aimed at supporting low-income youth as they navigate the challenging life course transition from middle school to high school.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD046160-15
Application #
9207778
Study Section
Special Emphasis Panel (ZRG1-RPHB-S (03)M)
Program Officer
Griffin, James
Project Start
2003-09-29
Project End
2019-12-31
Budget Start
2017-01-01
Budget End
2017-12-31
Support Year
15
Fiscal Year
2017
Total Cost
$550,665
Indirect Cost
$90,491
Name
New York University
Department
Psychology
Type
Schools of Education
DUNS #
041968306
City
New York
State
NY
Country
United States
Zip Code
10012
McCoy, Dana Charles; Jones, Stephanie; Roy, Amanda et al. (2017) Classifying Trajectories of Social-Emotional Difficulties Through Elementary School: Impacts of the Chicago School Readiness Project. Dev Psychol :
Pressler, Emily; Raver, C Cybele; Friedman-Krauss, Allison H et al. (2016) The Roles of School Readiness and Poverty-Related Risk for 6(th) Grade Outcomes. J Educ Develop Psychol 6:140-156
Raver, C Cybele; Roy, Amanda L; Pressler, Emily et al. (2016) Poverty-Related Adversity and Emotion Regulation Predict Internalizing Behavior Problems among Low-Income Children Ages 8-11. Behav Sci (Basel) 7:
McCoy, Dana Charles; Roy, Amanda L; Raver, C Cybele (2016) Neighborhood crime as a predictor of individual differences in emotional processing and regulation. Dev Sci 19:164-74
Zhai, Fuhua; Raver, C Cybele; Jones, Stephanie M (2015) Social and Emotional Learning Services and Child Outcomes in Third Grade: Evidence from a Cohort of Head Start Participants. Child Youth Serv Rev 56:42-51
Ursache, Alexandra; Raver, C Cybele (2015) Iowa Gambling Task Performance and Executive Function Predict Low-income Urban Preadolescents' Risky Behaviors. Pers Individ Dif 79:1-6
Lowenstein, Amy E; Friedman-Krauss, Allison H; Raver, C Cybele et al. (2015) School Climate, Teacher-Child Closeness, and Low-Income Children's Academic Skills in Kindergarten. J Educ Develop Psychol 5:89-108
Friedman-Krauss, Allison H; Raver, C Cybele (2015) Does school mobility place elementary school children at risk for lower math achievement? The mediating role of cognitive dysregulation. Dev Psychol 51:1725-39
Blair, Clancy; Raver, C Cybele (2015) School readiness and self-regulation: a developmental psychobiological approach. Annu Rev Psychol 66:711-31
McCoy, Dana Charles; Raver, C Cybele; Sharkey, Patrick (2015) Children's cognitive performance and selective attention following recent community violence. J Health Soc Behav 56:19-36

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