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：
Anthony Spirito
金额：
$ 64万
依托单位：
BROWN UNIVERSITY
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：
https://reporter.nih.gov/project-details/9924468
关键词：
Address Administrator Adolescent Adolescent marijuana use Alcohol or Other Drugs use Attitude Behavioral Caregivers Clinic Communication Competence Consumption Criminal Justice Data Development Drug usage Early Intervention Effectiveness Effectiveness of Interventions Elements Enrollment Ethnic Origin Expectancy Family Family psychotherapy Foundations Future Gender Goals Healthy People 2020 Illicit Drugs Impairment Individual Intake Intervention Interview Legal system Marijuana Measures Mediator of activation protein Methods Modeling Motivation National Institute of Drug Abuse Outcome Parents Patients Periodicity Persons Problem Solving Procedures Professional counselor Provider Race Randomized Records Reporting Research Rhode Island Risk Factors Schools Self Efficacy Speed Strategic Planning Students Substance Use Disorder Supervision System Teenagers Testing Therapeutic Intervention Time Training Training Programs Translational Research Translations Truancy Work Youth academic standard base brief intervention checkup examination contextual factors court craving design drinking effective intervention effectiveness implementation study effectiveness implementation trial effectiveness research effectiveness testing eligible participant family management follow-up high risk population implementation research innovation juvenile justice system marijuana use motivational enhancement therapy multi-site trial parental monitoring peer pilot trial psychoeducation recruit relative effectiveness routine practice routine screening tenth grade theories therapy development underage drinking uptake

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。