Brief Positive Image Communications for Adolescents

为青少年提供简短的积极形象交流

• 批准号: 6953602
• 负责人: Chudley E. Werch
• 金额: $ 54.45万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6953602
• 关键词: Cannabis; adolescence (12-20); alcoholism /alcohol abuse; behavioral /social science research tag; clinical research; computer program /software; drug abuse prevention; health behavior; high risk behavior /lifestyle; human subject; human therapy evaluation; longitudinal human study; primary care physician; smoking; substance abuse related behavior; substance abuse related disorder; tobacco abuse; urban area

DESCRIPTION (provided by applicant): The primary purpose of this application is to test the validity, feasibility and efficacy of brief, innovative screening and preventive interventions using fitness and positive image communications for economically disadvantaged high-risk adolescents in an inner-city primary health care setting. This research will: 1) assess the feasibility and validity of a brief multi-health behavioral screening instrument titled the Fitness and Health Behavior Screen (FHBS), using touch screen software for providing tailored behavioral prevention messages; 2) test the feasibility of implementing both a one-on-one consultation and a brief caregiver/parent intervention within a primary health care clinic; 3) examine the efficacy of a cumulative intervention consisting of a brief screen and tailored consultation, with or without a caregiver/parent strategy; 4) examine the impact of re-interventions (i.e., boosters) on enhancing brief intervention outcomes over time; and 5) examine whether the effects of the preventive intervention on marijuana, cigarette and alcohol use were mediated by various drug-specific cognitive, social and environmental risk and protective factors. The long-term objective of this project is to reduce marijuana, cigarette, and alcohol abuse and problems among high-risk older adolescents who are often ignored in prevention research and services. The first phase of this research will involve conducting formative research, including focus groups, instrument surveys, expert panels, and a pre-pilot study, aimed at enhancing the utility, validity and appeal of modified and expanded screening and outcome instruments and tailored youth and caregiver/parent messages integrating marijuana and cigarette smoking, along with existing alcohol messages, into a fitness and physical appearance-themed program. The second phase will involve conducting two studies. The first is a pilot study testing the feasibility of a modified and expanded preventive intervention titled the Adolescent Fitness Image (AFI) Project. The second study is a longitudinal randomized trial examining the efficacy of a brief screen and one-on-one consultation, with or without a caregiver/parent intervention, against a standard care control. This study will also test the effects of re-interventions for enhancing outcomes over time.

描述（由申请人提供）： 该应用程序的主要目的是测试利用健身和积极的形象沟通对市中心初级卫生保健环境中经济困难的高危青少年进行简短、创新的筛查和预防干预措施的有效性、可行性和功效。这项研究将： 1) 评估名为健身与健康行为筛查 (FHBS) 的简短多健康行为筛查工具的可行性和有效性，该工具使用触摸屏软件提供定制的行为预防信息； 2) 测试在初级卫生保健诊所内实施一对一咨询和简短的看护者/家长干预的可行性； 3) 检查累积干预的效果，包括简短的筛选和量身定制的咨询，有或没有看护者/家长策略； 4) 检查重新干预（即加强干预）对随着时间的推移增强短期干预结果的影响； 5) 检查预防性干预对大麻、香烟和酒精使用的影响是否是由各种药物特异性认知、社会和环境风险和保护因素介导的。该项目的长期目标是减少大麻、香烟和酒精的滥用以及高危老年青少年的问题，这些青少年在预防研究和服务中经常被忽视。该研究的第一阶段将涉及进行形成性研究，包括焦点小组、工具调查、专家小组和预试点研究，旨在提高修改和扩大的筛查和结果工具以及量身定制的青年和结果工具的实用性、有效性和吸引力。将大麻和吸烟以及现有的酒精信息整合到以健身和外表为主题的计划中。第二阶段将涉及进行两项研究。第一项是一项试点研究，测试名为“青少年健身形象”(AFI) 项目的修改和扩展预防性干预措施的可行性。第二项研究是一项纵向随机试验，检查简短筛查和一对一咨询（有或没有护理人员/家长干预）与标准护理对照的效果。这项研究还将测试随着时间的推移，重新干预对改善结果的效果。