Phone app for grounding (de-escalation) of substance-abusing transition-age youth

用于帮助药物滥用的过渡年龄青少年接地（降级）的手机应用程序

• 批准号: 8780836
• 负责人: LISA M NAJAVITS
• 金额: $ 22.5万
• 依托单位: TREATMENT INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8780836
• 关键词: Accidents; Age; Aging; Alcohol or Other Drugs use; Anger; Anxiety; Biometry; Books; Caring; Client; Clinical Trials; Cognitive; Coin; Collaborations; Complex; County; Depressed mood; Development; Distress; Educational process of instructing; Emotional; Emotions; Environment; Family; Feasibility Studies; Feedback; Feeling; Focus Groups; Forcible intercourse; Glosso-Sterandryl; Goals; HIV; Healthcare; Heart; Heart Rate; Home environment; Hormones; Housing; Impairment; Individual; Informal Social Control; Language; Learning; Left; Manuals; Marble; Mental Depression; Mental Health; Methodology; Methods; Mind; Modeling; Nature; Panic; Paper; Pathway interactions; Peer Group; Phase; Population; Process; Proxy; Psyche structure; Psychiatric Diagnosis; Psychiatric Hospitals; Public Health; Q-Sort; Rage; Reading; Recruitment Activity; Relative (related person); Relaxation; Risk; Safety; Sensory; Sexuality; Side; Small Business Innovation Research Grant; Spottings; Staging; Stress; Substance Use Disorder; Substance abuse problem; Technology; Telephone; Time; Training; Translating; Violence; Viral; Work; Youth; base; college; craving; design; driving under influence; emerging adulthood; emotion regulation; evidence base; experience; fighting; foster care; innovation; mindfulness; mobile application; phase 2 study; product development; programs; public health relevance; satisfaction; sensor; sexual assault; skills; substance abuse treatment; therapy development; treatment program; user-friendly; web site

DESCRIPTION (provided by applicant): Substance use disorder (SUD) is the second most common psychiatric diagnosis in the U.S. population, with 14.6% developing it in their lifetime. Transition-age youth (TAY) from ages 18-24 are especially vulnerable to substance use, misuse, and SUD. This developmental period, termed the "age of instability" includes tasks such as leaving home; entering college; working for the first time; body and sexuality changes; coalescing with a peer group; and for some, aging out of foster care or state custody, which end at age 18. This period is also prime for experimentation with substance use and associated risks such as driving under the influence, accidents, fighting and violence, HIV, and vulnerability to sexual assault. In this project, we focus on a major strategy, grounding, for helping to de-escalate (reduce) intense negative emotions and impulses. Grounding has long been used in psychiatric hospitals to provide a safe, quick, and powerful way to reduce any intense negative feeling, including impulses to hurt self or others, substance craving, anger, anxiety, etc. Described in detail in the book "Seeking Safety" (SS), grounding uses three pathways to focus the mind (mental), the body (physical), and the heart (soothing). Grounding provides a way to regulate emotion, which is a major challenge for youth, especially given their hormone changes and emotional intensity. Indeed, substance use is often described as a short-term way to regulate emotion. Grounding is a key module of SS, a widely-implemented, evidence-based SUD treatment model. In this proposal we focus exclusively on grounding as it is an essential skill and widely identified as easy to learn across even the most complex and vulnerable clients. We propose to turn grounding into a smartphone app because grounding should be used in the environment in which the distress is experienced; it capitalizes on TAY use of smartphones; promotes self-regulation; and is a stand- alone skill and sensory-oriented, thus ideal for a mobile app approach. Our specific aims are: (1) to develop a new product, a smartphone Grounding App. This will be an exciting, interactive Android app that uses state-of- the-art gaming technology to engage TAY in grounding, in collaboration with an outstanding company for the technology side of the project. (2) To use an iterative product development methodology based on end-user feedback. We propose various methods to obtain initial input from TAY with SUD before beginning app programming. (3) To conduct a small feasibility study of the app. This cross-sectional pilot will obtain information on end-users experience, usage, and satisfaction with the app, which can inform a phase II study. We will assign 24 TAY with SUD to the grounding app (n=12) versus receiving hard-copy grounding handouts from the SS book (n=12), to evaluate the relative impact of the app. Our team represents an exceptional mix of expertise in SUD, TAY, app and gaming technology innovation, grounding, SBIRs, treatment development, and public-health oriented products based on evidence-based care.

描述（由申请人提供）：药物使用障碍（SUD）是美国人群中第二常见的精神病诊断，一生中有14.6％的人在其一生中发展起来。 18-24岁的过渡年龄青年（TAY）特别容易受到药物使用，滥用和SUD的影响。这个发展时期称为“不稳定年龄”，包括离开家之类的任务；进入大学；第一次工作；身体和性变化；与同伴团体合并；对于某些人来说，从18岁结束的寄养或州监护权中衰老。该时期也是实验物质使用和相关风险（例如在影响力，事故，战斗和暴力，艾滋病毒，艾滋病毒和遭受性侵犯的脆弱性下）进行实验的主要效果。在这个项目中，我们专注于一项主要策略，扎根，以帮助降低（减少）强烈的负面情绪和冲动。长期以来，基础一直在精神病医院中使用，以提供一种安全，快速和有力的方法来减少任何强烈的负面感觉，包括对伤害自我或他人的冲动，渴望，愤怒，焦虑，焦虑等。接地提供了一种调节情绪的方法，这对青年来说是一个重大挑战，尤其是考虑到他们的激素变化和情感强度。确实，使用物质通常被描述为调节情绪的短期方式。接地是SS的关键模块，SS是一个广泛的基于证据的SUD治疗模型。在此提案中，我们专注于基础，因为它是一项基本技能，即使是最复杂，最脆弱的客户，也被广泛认为易于学习。我们建议将接地变成一个智能手机应用程序，因为应在经历的环境中使用接地；它利用智能手机的使用；促进自我调节；并且是独立的技能和面向感官的技巧，因此非常适合手机 应用方法。我们的具体目的是：（1）开发新产品，一个智能手机接地应用程序。这将是一个令人兴奋的，互动的Android应用程序，它使用最先进的游戏技术与TAY与一家杰出的公司合作进行了该项目方面的合作。 （2）使用基于最终用户反馈的迭代产品开发方法。我们提出了各种方法，以在开始应用程序编程之前从TAY中获取TAY的初始输入。 （3）对该应用程序进行少量可行性研究。该横截面飞行员将获得有关最终用户体验，使用和满意的信息，该应用程序可以为II期研究提供信息。我们将为接地应用程序（n = 12）分配24个带有SUD的TAY，而从SS书籍（n = 12）中接收硬拷贝接地讲义，以评估该应用的相对影响。我们的团队代表了基于循证护理的SUD，TAY，APP和游戏技术创新，接地，SBIR，治疗开发以及面向公共卫生的产品的专业知识的特殊组合。