Brief Individual and Parent Interventions for Marijuana Misuse in Truant Adolescents
针对逃学青少年吸食大麻的简短个人和家长干预措施
基本信息
- 批准号:9924468
- 负责人:
- 金额:$ 64万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2018
- 资助国家:美国
- 起止时间:2018-07-15 至 2022-04-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdministratorAdolescentAdolescent marijuana useAlcohol or Other Drugs useAttitudeBehavioralCaregiversClinicCommunicationCompetenceConsumptionCriminal JusticeDataDevelopmentDrug usageEarly InterventionEffectivenessEffectiveness of InterventionsElementsEnrollmentEthnic OriginExpectancyFamilyFamily psychotherapyFoundationsFutureGenderGoalsHealthy People 2020Illicit DrugsImpairmentIndividualIntakeInterventionInterviewLegal systemMarijuanaMeasuresMediator of activation proteinMethodsModelingMotivationNational Institute of Drug AbuseOutcomeParentsPatientsPeriodicityPersonsProblem SolvingProceduresProfessional counselorProviderRaceRandomizedRecordsReportingResearchRhode IslandRisk FactorsSchoolsSelf EfficacySpeedStrategic PlanningStudentsSubstance Use DisorderSupervisionSystemTeenagersTestingTherapeutic InterventionTimeTrainingTraining ProgramsTranslational ResearchTranslationsTruancyWorkYouthacademic standardbasebrief interventioncheckup examinationcontextual factorscourtcravingdesigndrinkingeffective interventioneffectiveness implementation studyeffectiveness implementation trialeffectiveness researcheffectiveness testingeligible participantfamily managementfollow-uphigh risk populationimplementation researchinnovationjuvenile justice systemmarijuana usemotivational enhancement therapymulti-site trialparental monitoringpeerpilot trialpsychoeducationrecruitrelative effectivenessroutine practiceroutine screeningtenth gradetheoriestherapy developmentunderage drinkinguptake
项目摘要
Adolescents who use marijuana and are truant from school are a high-risk population with
increased likelihood of substance use disorders, criminal justice involvement, and long-term
impairments in vocational, family, and peer domains. This application proposes to test a theory-
driven intervention for early adolescent marijuana using, truant youth identified through Rhode
Island Truancy and Family Courts. The foundation for this application is a recently completed
treatment development study (R34 DA0029871) for marijuana using, truant adolescents (n=67),
in which we compared our theory-driven brief intervention, adolescent motivational
enhancement therapy (MET) plus the Family Check-Up (FCU), a parent-based MET, to
adolescent and parent psychoeducation (PE). There were medium effects favoring the
MET+FCU condition on number of marijuana use days in prior 3 months (d = 49) and number of
times marijuana was used per day (d= .53). There were also small effects favoring the
MET+FCU condition on marijuana craving (d=.36), other drug use (d = .38), number of times
more than 5 drinks were consumed per drinking occasion (d=.35), and school absences (d
=.30). With respect to mechanisms, medium effect sizes were detected for greater improvement
in quality of parent monitoring (d =.58) as well as parent (d = .42) and teen (d = .66) problem-
solving discussions in MET + FCU compared to PE. Our pilot results suggest that MET+FCU
has the potential to serve as a brief and effective intervention for truant, marijuana using
adolescents, but confirmation in a larger, fully powered trial is needed. To speed translation of
research findings to practice, this application is proposing to conduct a Type I Hybrid
Effectiveness-Implementation trial in which we rigorously test two intervention conditions, while
simultaneously gathering data on factors that will impede or facilitate implementation. This
application proposes to enroll 200 truant, marijuana using, adolescents in 6th through 10th
grades, who are involved in the juvenile justice system through either Truancy Court or Family
Court. Adolescents will be randomly assigned to one of the 2 conditions: MET+FCU vs. PE.
We will collect data on effectiveness (Specific Aim 1) and putative mediators (Specific Aim 2),
as well as data pertinent to implementation (Exploratory Aim). This application is innovative and
has the potential to advance the field by: evaluating an integrated model (simultaneously
targeting two problems and both parent and teen risk factors), using a brief and highly
disseminable approach, examining putative mediators, and testing effectiveness of the
interventions under real-world conditions.
使用大麻并从学校逃学的青少年是高风险人口
吸毒障碍,刑事司法参与和长期的可能性增加
职业,家庭和同伴领域的障碍。该应用建议测试理论 -
使用Rhode确定的逃避青少年的早期大麻的驱动干预措施
岛屿逃学和家庭法院。该应用程序的基础是最近完成的
用于大麻的治疗开发研究(R34 DA0029871),用于逃学青少年(n = 67),
在其中比较了理论驱动的简短干预,青少年动机
增强疗法(MET)加上家庭检查(FCU),基于父母的MET,
青少年和父母心理教育(PE)。有中等效果有利于
MET+FCU条件在前3个月(d = 49)和数量
每天使用大麻(d = .53)。也有很小的效果有利于
大麻渴望的Met+FCU条件(d = .36),其他药物使用(d = .38),次数
每个饮酒场合喝了5种以上的饮料(d = .35)和学校缺席(D
= .30)。关于机制,检测到中等效应大小以进行更大的改进
在父母监测质量(d = .58)以及父母(d = .42)和青少年(d = .66)问题 -
与PE相比,在MET + FCU中解决讨论。我们的飞行员结果表明Met+FCU
有可能作为逃学大麻的简短干预措施
青少年需要在更大的,全功率的试验中进行确认。快速翻译
练习的研究结果,该应用程序提议进行I型混合动力
有效实施试验,我们严格测试了两个干预条件,而
同时收集有关会阻碍或促进实施的因素的数据。这
申请提议在第六至第十次注册200个逃学大麻,使用大麻的青少年
成绩,通过逃学法院或家庭参与青少年司法系统的成绩
法庭。青少年将被随机分配到两个条件之一:MET+FCU与PE。
我们将收集有关有效性(特定目标1)和推定的调解人(特定目标2)的数据,
以及与实施有关的数据(探索目的)。该应用程序是创新的,
有可能通过:评估集成模型(同时评估集成模型)的潜力
针对两个问题以及父母和青少年风险因素),使用简短而高度的
可以使用的方法,检查推定的调解人以及测试的有效性
在现实世界中的干预措施。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('Anthony Spirito', 18)}}的其他基金
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10683179 - 财政年份:2021
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Skills to Enhance Positivity (STEP) for Adolescents at Risk for Suicide
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10191339 - 财政年份:2021
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Skills to Enhance Positivity (STEP) for Adolescents at Risk for Suicide
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10453555 - 财政年份:2021
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Brief Individual and Parent Interventions for Marijuana Misuse in Truant Adolescents
针对逃学青少年吸食大麻的简短个人和家长干预措施
- 批准号:
10133032 - 财政年份:2018
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8644762 - 财政年份:2012
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$ 64万 - 项目类别:
Adolescents with Major Depression and AUD: Community-based Integrated Treatment
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Adolescents with Major Depression and AUD: Community-based Integrated Treatment
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- 批准号:
8461547 - 财政年份:2012
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