Youth Engagement: An Organization-Level Strategy to Prevent Opioid Misuse among Young Adults

青年参与：防止年轻人滥用阿片类药物的组织级战略

• 批准号: 9892608
• 负责人: Parissa Jahromi Ballard
• 金额: $ 14.9万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9892608
• 关键词: Acute; Address; Adolescent; Adult; Affect; Age; Alcohol or Other Drugs use; Analgesics; Area; Attitude; Award; Characteristics; Communities; Community based prevention; Complex; Development; Effectiveness; Goals; Health; Health Policy; Health Promotion; Health Status; Individual; Institution; Interview; K-Series Research Career Programs; Knowledge; Link; Literature; Manuals; Marshal; Mentors; National Institute of Drug Abuse; Occupations; Opiate Addiction; Opioid; Outcome; Pathway interactions; Pilot Projects; Plant Roots; Policies; Policy Making; Prevention; Prevention program; Prevention strategy; Preventive; Preventive Intervention; Process; Psychologist; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Recovery; Research; Research Personnel; Resources; Risk; Risk Factors; Rural Community; Schools; Science; Self Efficacy; Social Development; Societies; Strategic Planning; System; Testing; Time; Training; United States; United States National Institutes of Health; Voice; Work; Youth; addiction; base; community based participatory research; community building; community setting; control trial; design; evidence base; improved; innovation; misuse of prescription only drugs; multidisciplinary; opioid misuse; opioid use; opioid use disorder; prevent; programs; protective factors; psychosocial; rural setting; skills; social; social capital; substance use prevention; therapy development; treatment strategy; young adult

Abstrac t Opioid misuse is a major public health issue among young adults in the United States and is an especially acute problem in rural communities. Critically, prevention efforts for opioid misuse that serve young people often do not effectively involve them. Prevention organizations would benefit from an effective youth engagement strategy to incorporate the voices of young people in planning prevention programs and policy. Further, young adulthood is a formative time for positive social development; but unfortunately, many young people feel isolated within communities, feel that they do not matter, and lack meaningful opportunities to engage with society and form positive connections with prosocial institutions. Prevention organizations lack evidence-based strategy to marshal the considerable resources that young adults can bring to strengthening prevention efforts by increasing their meaning and relevance for young adults; at the same time, young adults may be at risk for opioid misuse in part due to isolation and lack of meaningful opportunities for engagement in their communities. Engaging young people to contribute to the prevention organizations targeting substance use may prevent opioid misuse by targeting two pathways: (1) an environmental pathway whereby young adults affect community systems and settings through improving prevention efforts and (2) an individual pathway bolstering psychosocial protective factors and reducing risks for the young adults engaged in prevention efforts. Aligned with NIDA's HEAL initiative and the 2016-2020 strategic plan Objective 2.2, this K01 proposal seeks to elucidate the environmental and individual pathways through which youth engagement can prevent opioid misuse. The research component of this mentored career development award will develop and test an organization-level prevention strategy for effectively integrating meaningful youth engagement opportunities into multi-component prevention efforts. The project will identify which community-based prevention organizations, and which subset of young adults, would most benefit from youth engagement as a strategy for preventing opioid misuse (Aim 1); develop an organization-level youth engagement prevention strategy and implement it with one community-based organization to test feasibility and acceptability (Aim 2); and evaluate the preliminary effectiveness of youth engagement as an organization-level strategy for preventing opioid misuse in a small pilot randomized controlled trial (Aim 3). The training component of this award will allow me to develop critical skills in (1) community-based systems and settings for substance use prevention targeting vulnerable young adults; (2) opioid misuse among young adults in rural settings; (3) prevention intervention development; and (4) randomized clinical trials research. With guidance from an outstanding mentor team, this K01 will fully prepare me to become an independent investigator with the skills to carry out research yielding much-needed new strategies to mitigate the societal issue of opioid misuse among young adults.

阿片类药物滥用是美国年轻人的主要公共卫生问题，是 尤其是农村社区的急性问题。至关重要的是，为年轻的阿片类药物滥用而进行的预防努力 人们通常不会有效地涉及他们。预防组织将从有效的青年中受益 参与策略将年轻人的声音纳入计划预防计划和政策。 此外，年轻的成年是积极社会发展的成长时期。但不幸的是，许多年轻 人们在社区中感到孤立，感到自己无关紧要，并且缺乏有意义的机会 与社会互动，并与亲社会机构建立积极的联系。预防组织缺乏 基于证据的策略，以使年轻人可以为加强带来大量资源 通过增加对年轻人的意义和相关性来预防努力；同时，年轻人 可能有滥用阿片类药物的风险，部分原因是孤立和缺乏有意义的参与机会 他们的社区。吸引年轻人为针对物质的预防组织做出贡献 使用可以通过针对两种途径来防止阿片类药物滥用：（1）环境途径 成人通过改善预防工作影响社区系统和环境，（2） 途径加强了社会心理保护因素，并降低了从事的年轻人的风险 预防努力。该K01与NIDA的HEAD计划和2016 - 2020年战略计划目标2.2保持一致 提案旨在阐明青年参与可以通过的环境和个人途径 防止阿片类药物滥用。这个指导职业发展奖的研究组成部分将发展和 测试有效整合有意义的青年参与的组织级预防策略 多组分预防工作的机会。该项目将确定哪个基于社区的 预防组织以及哪个年轻人的子集将从青年参与中受益最大 防止阿片类药物滥用的策略（AIM 1）；开发组织水平的青年参与预防 战略并与一个基于社区的组织实施，以测试可行性和可接受性（AIM 2）； 并评估青年参与的初步效力，作为组织级别的战略 在一项小型飞行员随机对照试验中防止阿片类药物滥用（AIM 3）。训练部分 奖项将使我能够在（1）基于社区的系统和设置中发展重要技能 针对脆弱的年轻人的预防； （2）农村环境中年轻人的阿片类药物滥用； （3） 预防干预开发； （4）随机临床试验研究。在一个指导下 杰出的导师团队，这个K01将为我做好准备，成为一名具有技能的独立调查员 进行研究，产生急需的新策略，以减轻阿片类药物滥用的社会问题 在年轻人中。