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Key Points Question What is the level of investment by the National Institutes of Health (NIH) to fund clinical research focused on Asian American, Native Hawaiian, and Pacific Islander populations? Findings This cross-sectional study found 529 clinical research projects focused on Asian American, Native Hawaiian, and Pacific Islander participants funded by the NIH between 1992 and 2018, composing 0.17% of the total NIH budget. This proportion of the total NIH budget has only increased from 0.12% before 2000 to 0.18% after 2000. Meaning These findings suggest that without overt direction from federal entities, dedicated funds for health disparities research, and parallel efforts to increase diversity in the biomedical workforce, investments may continue to languish for Asian American, Native Hawaiian, and Pacific Islander populations.

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Purpose A growing body of research documents the significance of siblings and sibling relationships for development, mental health, and behavioral risk across childhood and adolescence. Nonetheless, few well-designed efforts have been undertaken to promote positive and reduce negative youth outcomes by enhancing sibling relationships. Methods Based on a theoretical model of sibling influences, we conducted a randomized trial of Siblings Are Special, a group-format afterschool program for 5th graders with a younger sibling in 2nd through 4th grade, which entailed 12 weekly afterschool sessions and 3 Family Nights. We tested program efficacy with a pre-posttest design with 174 families randomly assigned to condition. In home visits at both time points we collected data via parent questionnaires, child interviews, and observer-rated videotaped interactions and teachers rated children’s behavior at school. Results The program enhanced positive sibling relationships, appropriate strategies for parenting siblings, and child self-control, social competence, and academic performance; program exposure was also associated with reduced maternal depression and child internalizing problems. Results were robust across the sample, not qualified by sibling gender, age, family demographics, or baseline risk. No effects were found for sibling conflict, collusion or child externalizing problems; we will examine follow-up data to determine if short-term impacts lead to reduced negative behaviors over time. Conclusions The breadth of the SAS program’s impact is consistent with research suggesting that siblings are an important influence on development and adjustment and supports our argument that a sibling focus should be incorporated into youth and family-oriented prevention programs.

The overall aim of the two school-based pilot studies was to evaluate whether an approach to prevention that focused on changing child impulse control, decision making, and social competence can be effective in changing attitudes toward food intake and physical activity as risk factors for obesity. The strategy used was to translate specific components of one evidence-based program for violence prevention (Promoting Alternative Thinking Strategies: PATHS) into an elementary school curriculum program for obesity prevention. Both studies demonstrated significant changes in positive attitudes toward self-regulation of appetitive behavior. In addition, Study 2 demonstrated positive changes in actual food choices and television viewing patterns. Implications are that comprehensive efforts to prevent youth risk for obesity should include as one component school-based curricula that target self-regulation and decision-making skills.