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Development of an Intervention for Managing Adolescent Anxiety Using Community-Based Participatory Methods: Protocol.

Ijeoma Opara1, Cristina Pagan2, Raquel E Rose3

  • 1Yale School of Public Health, Yale University, New Haven, CT, United States.

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|October 31, 2025
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Summary

This study developed an anxiety prevention program for urban youth of color. The community-based intervention aims to reduce anxiety and improve mental health accessibility for marginalized youth.

Keywords:
adolescent mental healthco-designco-developmentcommunitycommunity-based participatory researchmental healthpreventionurban

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Area of Science:

  • Public Health
  • Mental Health Interventions
  • Community-Based Participatory Research

Background:

  • Urban youth of color experience disproportionately high anxiety due to systemic inequities and lack of accessible mental health services.
  • Existing mental health interventions are often not tailored to the specific needs of this demographic.
  • Community-based participatory research (CBPR) offers a framework for developing culturally relevant and effective interventions.

Purpose of the Study:

  • To present a protocol for an anxiety prevention intervention specifically designed for urban youth of color.
  • To utilize community-based participatory research methods in the development and implementation of the intervention.
  • To address the gap in accessible and culturally relevant mental health support for this population.

Main Methods:

  • A 5-session intervention co-developed with community partners and a youth advisory board.
  • Intervention content includes psychoeducation, coping skills, and role-playing, delivered by trained facilitators with community representation.
  • Pilot study enrolling 30-50 high school students, separated by sex, measuring anxiety reduction using the Generalized Anxiety Disorder-7 scale at baseline, post-intervention, and 3-month follow-up.

Main Results:

  • The pilot intervention is part of a larger study (Sept 2020 - Aug 2025) with enrollment beginning May 2025.
  • The intervention is expected to reduce anxiety in a high-risk group of urban youth of color.
  • Strategies to enhance facilitator fidelity are implemented to ensure adherence to the intervention model.

Conclusions:

  • This study demonstrates the development of a novel anxiety intervention using a CBPR approach.
  • Findings will inform a larger clinical trial and contribute to knowledge on mental health accessibility for marginalized youth.
  • The intervention model holds potential for scalability to other underresourced communities.