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.

使用大麻和逃学的青少年是高危人群物质使用障碍、刑事司法卷入以及长期的可能性增加职业、家庭和同伴领域的障碍。该应用程序旨在测试一个理论 - 对青少年早期吸食大麻、通过罗德发现的逃学青年进行驱动干预岛上逃学和家庭法庭。该应用程序的基础是最近完成的针对吸食大麻、逃学青少年 (n=67) 的治疗开发研究 (R34 DA0029871)，其中我们比较了理论驱动的简短干预、青少年动机干预强化治疗 (MET) 加上家庭检查 (FCU)（一种基于家长的 MET），青少年和家长心理教育（PE）。中等效应有利于 MET+FCU 前 3 个月吸食大麻天数 (d = 49) 和吸食大麻次数的条件每天吸食大麻的次数 (d= .53)。也有一些小的影响有利于 MET+FCU 对大麻渴望的情况 (d=.36)、其他药物使用情况 (d=.38)、次数每次饮酒次数超过 5 杯 (d=0.35)，并且缺课 (d =.30）。就机制而言，检测到中等效应大小以获得更大的改进家长监控质量（d = .58）以及家长（d = .42）和青少年（d = .66）问题 - 与 PE 相比，MET + FCU 中的解决讨论。我们的试点结果表明 MET+FCU 有潜力作为逃学、吸食大麻的简短而有效的干预措施青少年，但需要在更大规模、更全面的试验中进行确认。为了加快翻译速度研究结果付诸实践，该应用程序建议进行 I 型混合动力有效性实施试验，我们严格测试两种干预条件，同时同时收集有关阻碍或促进实施的因素的数据。这申请建议在 6 至 10 年级招收 200 名逃学、吸食大麻的青少年通过逃学法庭或家庭参与少年司法系统的年级法庭。青少年将被随机分配到以下 2 种情况之一：MET+FCU 与 PE。我们将收集有关有效性（具体目标 1）和假定调解因素（具体目标 2）的数据，以及与实施相关的数据（探索性目标）。该应用程序具有创新性和有潜力通过以下方式推进该领域：评估集成模型（同时针对两个问题以及父母和青少年的风险因素），使用简短且高度可传播的方法，检查假定的调解员，并测试调解的有效性现实世界条件下的干预。