Technology-based Training Tool for an Empirically-Supported Group-Based HIV and STI Prevention Intervention for Juvenile Offenders

基于技术的培训工具，用于针对青少年罪犯进行实证支持的基于群体的艾滋病毒和性传播感染预防干预

• 批准号: 10490978
• 负责人: GERI R DONENBERG
• 金额: $ 63.05万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-18 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10490978
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adolescent; Affect; Age; Aggressive behavior; Behavioral Research; Benchmarking; Caring; Chicago; Collaborations; Communities; Competence; Complex; Comprehension; Criminal Justice; Development; Diagnosis; Dissemination and Implementation; Distal; Education; Employment; Ensure; Evaluation; Evidence based intervention; Evidence based program; Feedback; HIV; HIV/STD; Health; Health Educators; Human Resources; Illinois; Indigenous; Individual; Internet; Intervention; Justice; Knowledge; Knowledge acquisition; Language; Learning; Life; Mental Health; Mental disorders; Methods; Minority; Multimedia; Narration; Oregon; Outcome; Personal Satisfaction; Persons; Phase; Privatization; Process; Program Sustainability; Public Health; Randomized; Research; Resources; Risk Behaviors; Role playing therapy; STI prevention; Sex Behavior; Small Business Innovation Research Grant; Societies; Substance abuse problem; Supervision; Support Groups; System; Technology; Teenagers; Time; Training; Training Programs; Universities; Videoconferencing; Work; Youth; acceptability and feasibility; arm; base; commercialization; commercially viable technology; comorbidity; cost; cost effective; cost effectiveness; efficacy trial; experience; follow-up; implementation fidelity; implementation outcomes; improved; innovation; interactive multimedia; intervention delivery; juvenile delinquent; juvenile justice system; mobile application; pilot test; prevent; preventive intervention; probation; programs; prototype; public health priorities; recidivism; satisfaction; scale up; screening; sexual risk taking; skills; substance use; tool; uptake; usability

Project Summary Youth under age 18 involved in the criminal justice system are disproportionately minorities and affected by substance abuse, mental illness, and HIV/STI. Most young offenders are released on community supervision without the STI, mental health, or substance use screening, diagnosis, and treatment afforded detained youth, despite similar rates of risk behavior. Their long-term trajectory is poor, the costs to society are high, and lasting effects on community well-being and individual employment prospects are profound. Altering this trajectory is a public health priority. Preventing HIV Among Teens (PHAT) Life is an evidence-based program that meets the need in juvenile justice to address youths' co-morbid health problems. The next––and perhaps most critical–– step in ensuring that this decade-long line of research produces actual, real-world improvements in the lives of probation youth is to develop a PHAT Life training strategy that is effective, cost-effective, and sustainable within juvenile justice settings. This private/public collaboration between Oregon Research Behavioral Intervention Strategies and the University of Illinois at Chicago will leverage existing resources and competencies to create a commercially viable technology-based training tool for PHAT Life with great potential for sustainability and cost-effectiveness. Building on SBIR Phase I research, in this Phase II application proposes to use a formative process to refine, enhance and complete the technology-based training tool to include: (a) an interactive multimedia web browser and mobile application, (b) dynamic multimedia presentations and interactive queries, (c) video examples of mock intervention delivery, (d) audio narration along with scripted language, (e) brief quizzes to ensure comprehension and knowledge acquisition, (f) opportunities to “learn more” by clicking on tabs for supplemental information, (g) targeted referrals to appendix materials, (h) games to promote engagement, and (i) other adaptations based on Phase I feedback. The proposed technology-based training tool should be highly sustainable, because it (a) relies on “indigenous” personnel to deliver the intervention, (b) is likely to prove cost-effective since we will utilize a technology that can deliver training at scale, and (c) will improve fidelity by leveraging technology to provide consistent training experiences to para-professionals. We will evaluate the training tool via a 2-arm RCT with 130 individuals who work with justice-involved youth. All trainees will receive the technology-based training tool and half will be randomized to receive supervision prior to real-life delivery. We will evaluate facilitator knowledge and satisfaction, and fidelity to PHAT Life following real-time intervention delivery. We will assess key implementation outcomes, including cost, feasibility, acceptability and sustainability. The proposed study is highly significant with strong commercialization opportunities for a scalable training solution that supports implementation fidelity and program sustainment addressing a key public health imperative.

项目摘要 参与刑事司法系统的18岁以下青年是少数群体不成比例的，受 药物滥用，精神疾病和艾滋病毒/STI。大多数年轻罪犯都在社区监督下发布 如果没有STI，心理健康或药物使用筛查，诊断和治疗，则为青年提供 尽管风险行为率相似。他们的长期轨迹很差，社会成本很高，持久 对社区福祉和个人就业前景的影响是深远的。改变此轨迹是 公共卫生优先。防止青少年（PHAT）生活中的艾滋病毒是一个基于证据的计划，可满足 在少年司法中需要解决年轻人的合并健康问题。下一个 - 最关键的可能是 确保这一长达十年的研究线的一步促进了实际的现实世界改善 缓刑年轻人将制定一项PHAT生活训练策略，该战略在 少年正义环境。俄勒冈研究行为干预之间的这种私人/公共合作 策略和芝加哥伊利诺伊大学将利用现有资源和能力来创建 一种基于商业可行的基于技术的培训工具，可用于可持续性和可持续性潜力和 成本效益。在SBIR I阶段研究的基础上，在此II阶段的应用程序中，请提案使用形成性的 完善，增强和完成基于技术的培训工具的过程包括：（a）交互式 多媒体Web浏览器和移动应用程序，（b）动态多媒体演示和交互式查询， （c）模拟干预交付的视频示例，（d）音频叙述以及脚本语言，（e）简短 测验以确保理解和知识获取，（f）单击选项卡通过 有关补充信息，（g）针对附录材料的针对性推荐，（h）游戏以促进参与度， （i）基于I期反馈的其他改编。拟议的基于技术的培训工具应该是 高度可持续的，因为它（a）依靠“土著”人员进行干预，（b）可能证明 具有成本效益 利用技术为Para-Para专业人士提供一致的培训经验。我们将评估 通过2臂RCT培训工具，与130名与官方涉及的年轻人一起工作的人。所有学员都将收到 基于技术的培训工具和一半将在现实生活之前随机接受监督。 我们将评估促进者的知识和满意度，并在实时干预后忠于PHAT生活 送货。我们将评估关键的实施成果，包括成本，可行性，可接受性和可持续性。 拟议的研究非常重要，具有强大的商业化机会进行可扩展培训 支持实施忠诚度和计划维持的解决方案，以解决关键的公共卫生 至关重要的。