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R01HD106654

Project Grant

Overview

Grant Description
Adolescent Stress, Critical Consciousness, and Resilience Trajectories in the Context of Structural Racism - Abstract

Systemic racism exposes Black and Latinx adolescents to a range of traumatic stressors, including publicized instances of police brutality toward Black people, stressful personal interactions with hostile police officers, and oppressive immigration policies. The combination of systemic racism and the Coronavirus-19 pandemic (COVID-19) - termed the "twin pandemics" - are placing Black and Latinx adolescents, especially those in under-resourced communities, at particularly high risk for family financial strain, food insecurity, school disruption, and illnesses and deaths of loved ones.

Cumulative stressors during the critical developmental period of adolescence increase risk for long-term emotional and behavioral problems into adulthood; thus, it is urgent that we: (1) understand the impact of cumulative race-related stress on marginalized adolescents during and after the pandemic and (2) identify protective factors that promote their resilience and well-being.

Researchers have theorized that one protective factor may be critical consciousness, or the awareness of societal inequities and activism to promote social justice. We lack rigorous longitudinal research, however, on the development of critical consciousness among marginalized youth, its association over time with emotional and behavioral health (EBH), and its potential to protect against harmful effects of race-related stress.

The proposed longitudinal study will assess race-related stress, critical consciousness, and EBH among Black, Latinx, and White adolescents in Baltimore. We will leverage participants and data from an NICHD-funded trial with longitudinal data collected at four time points prior to COVID with ethnically diverse adolescents in Baltimore City. We will augment this sample by recruiting additional Baltimore adolescents, for a total sample of 650 young people ages 14-18, with approximately equal numbers of Black, Latinx, and White participants. We will follow these young people over four years (until ages 18-22).

Participants will complete online surveys twice per year assessing race-related stress exposures, critical consciousness, and three domains of EBH (emotional wellness, mental health problems, and substance use). We will conduct in-depth interviews with a subset of Black and Latinx youth and, separately, with their caregivers to gain more insight into how youth engage in critical consciousness/activism and its effects. Qualitative themes will enrich our quantitative analyses on critical consciousness and its potential protection against the harms of race-related stress.

We will develop a Youth Advisory Board to engage input from young people in our target population at all stages of this research. Using procedures effective in our prior work, we will also train young people to conduct the qualitative interviews with adolescent participants to enhance trust and rapport.

Study analyses will be critical for expanding theory on risk and resilience among marginalized adolescents transitioning into adulthood. Findings will also directly inform policy and intervention strategies to promote youth mental health equity, including interventions to promote youth critical consciousness and social justice activism.
Funding Goals
TO CONDUCT AND SUPPORT LABORATORY RESEARCH, CLINICAL TRIALS, AND STUDIES WITH PEOPLE THAT EXPLORE HEALTH PROCESSES. NICHD RESEARCHERS EXAMINE GROWTH AND DEVELOPMENT, BIOLOGIC AND REPRODUCTIVE FUNCTIONS, BEHAVIOR PATTERNS, AND POPULATION DYNAMICS TO PROTECT AND MAINTAIN THE HEALTH OF ALL PEOPLE. TO EXAMINE THE IMPACT OF DISABILITIES, DISEASES, AND DEFECTS ON THE LIVES OF INDIVIDUALS. WITH THIS INFORMATION, THE NICHD HOPES TO RESTORE, INCREASE, AND MAXIMIZE THE CAPABILITIES OF PEOPLE AFFECTED BY DISEASE AND INJURY. TO SPONSOR TRAINING PROGRAMS FOR SCIENTISTS, DOCTORS, AND RESEARCHERS TO ENSURE THAT NICHD RESEARCH CAN CONTINUE. BY TRAINING THESE PROFESSIONALS IN THE LATEST RESEARCH METHODS AND TECHNOLOGIES, THE NICHD WILL BE ABLE TO CONDUCT ITS RESEARCH AND MAKE HEALTH RESEARCH PROGRESS UNTIL ALL CHILDREN, ADULTS, FAMILIES, AND POPULATIONS ENJOY GOOD HEALTH. THE MISSION OF THE NICHD IS TO ENSURE THAT EVERY PERSON IS BORN HEALTHY AND WANTED, THAT WOMEN SUFFER NO HARMFUL EFFECTS FROM REPRODUCTIVE PROCESSES, AND THAT ALL CHILDREN HAVE THE CHANCE TO ACHIEVE THEIR FULL POTENTIAL FOR HEALTHY AND PRODUCTIVE LIVES, FREE FROM DISEASE OR DISABILITY, AND TO ENSURE THE HEALTH, PRODUCTIVITY, INDEPENDENCE, AND WELL-BEING OF ALL PEOPLE THROUGH OPTIMAL REHABILITATION.
Place of Performance
Baltimore, Maryland 212182608 United States
Geographic Scope
Single Zip Code
Analysis Notes
Amendment Since initial award the total obligations have increased 343% from $683,474 to $3,028,645.
The Johns Hopkins University was awarded Adolescent Stress & Resilience in Structural Racism: Longitudinal Study Project Grant R01HD106654 worth $3,028,645 from the National Institute of Child Health and Human Development in August 2021 with work to be completed primarily in Baltimore Maryland United States. The grant has a duration of 5 years and was awarded through assistance program 93.865 Child Health and Human Development Extramural Research. The Project Grant was awarded through grant opportunity NIH Research Project Grant (Parent R01 Clinical Trial Not Allowed).

Status
(Ongoing)

Last Modified 8/20/25

Period of Performance
8/6/21
Start Date
7/31/26
End Date
81.0% Complete

Funding Split
$3.0M
Federal Obligation
$0.0
Non-Federal Obligation
$3.0M
Total Obligated
100.0% Federal Funding
0.0% Non-Federal Funding

Activity Timeline

Interactive chart of timeline of amendments to R01HD106654

Transaction History

Modifications to R01HD106654

Additional Detail

Award ID FAIN
R01HD106654
SAI Number
R01HD106654-2700107331
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
Private Institution Of Higher Education
Awarding Office
75NT00 NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development
Funding Office
75NT00 NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development
Awardee UEI
FTMTDMBR29C7
Awardee CAGE
5L406
Performance District
MD-07
Senators
Benjamin Cardin
Chris Van Hollen

Budget Funding

Federal Account Budget Subfunction Object Class Total Percentage
National Institute of Child Health and Human Development, National Institutes of Health, Health and Human Services (075-0844) Health research and training Grants, subsidies, and contributions (41.0) $1,339,040 100%
Modified: 8/20/25