A library-based prevention intervention for adolescents affected by parental drug use

针对受父母吸毒影响的青少年的基于图书馆的预防干预措施

基本信息

批准号：
9981712
负责人：
Terrinieka Williams Powell
金额：
$ 17.77万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-07-01 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9981712
关键词：
16 year old Active Learning Adolescence Adolescent Adopted Adult Affect African American Age Alcohol consumption Alcohol or Other Drugs use American Award Baltimore Books Caregivers Centers for Disease Control and Prevention (U.S.)Child Childhood Communities Community Health Data Drug Addiction Drug abuse Drug usage Etiology European Evidence based intervention Family Focus Groups Foundations Frequencies Future Goals Grant Health Health Promotion Health Services High School Student Homeless Youth Imprisonment Individual Internet Intervention Interview K-Series Research Career Programs Librarians Libraries Life Measures Medicine Mental Health Mentored Research Scientist Development Award Mentors Mentorship Minority Naloxone National Institute of Drug Abuse Outcome Overdose Parents Participant Pharmaceutical Preparations Phase Pilot Projects Play Population Prevention Prevention Research Prevention program Preventive Intervention Process Public Health Randomized Randomized Clinical Trials Randomized Controlled Trials Reading Religion and Spirituality Research Research Personnel Resources Risk Risk Behaviors Schools Services Sexual Health Socialization Substance Use Disorder Substance abuse problem Support System Surveys Target Populations Techniques Testing Training Unsafe Sex Video Games Visit Youth addiction adolescent health adolescent sexual health base career cognitive interview computerized cost efficient design evidence base experience field study follow-up foster care high risk improved informant insight junior high school juvenile justice system marijuana use novel strategies opioid epidemic opioid use peer physical conditioning prevent prevention service primary outcome programs recruit response sex sexual risk behavior skills social substance use prevention success symposium therapy development vulnerable adolescent

项目摘要

Drug dependence is one of the most serious national public health problems, affecting millions of individuals and their families. African-American families experience disproportionate rates of negative health and social consequences of drug abuse, even though they use drugs at rates comparable to or lower than those of European-Americans. African-American children affected by parental drug use are at an extremely high risk for a range of problems throughout childhood and into adulthood. Effective implementation of integrated prevention interventions is critical to reducing the burden of substance use disorders and directly improving public health. This Career Development Award (K01) will allow me to obtain the additional mentoring, training and skills to achieve my long-term career goal of becoming an independent investigator with expertise in designing, implementing and evaluating prevention interventions for vulnerable African-American adolescents through partnerships with public libraries. This K01 proposal extends my previous research conducting community-based adolescent sexual health research and aligns with the future directions of addiction medicine and prevention research. My three training objectives are to: (1) obtain comprehensive training in the etiology of substance use among urban African-American families; (2) develop expertise in the theoretical underpinnings, processes and mechanisms of intervention development and adaptation; and (3) become proficient in implementing and evaluating randomized clinical trials using advanced statistical techniques. I will achieve these goals through didactic experiences, participation in professional conferences, directed readings, and experiential learning opportunities under the mentorship of a team of experts in relevant fields of study. This mentoring and training will directly contribute to the proposed research, which is designed to prevent substance use and sexual health risk behaviors among urban Black adolescents (ages 13-16) affected by parental drug use through partnerships with public libraries. There are three specific aims laid out in the research plan to: (1) identify the opportunities and barriers for engaging adolescents with a drug-abusing parent in prevention programs and health services; (2) adapt the evidence-based intervention, Focus on Youth with Informed Parents and Children Together (FOY+ImPACT) to be a library-based, targeted intervention for adolescents affected by parental drug use and (3) conduct a pilot study to assess the feasibility and initial efficacy of the adapted library-based prevention intervention for adolescents affected by parental drug use. Findings from the proposed research will lay the foundation for collaborative efforts that facilitate libraries’ provision of evidence-based prevention interventions to vulnerable youth, including, but not limited to, adolescents affected by parental drug use, homeless youth, as well as youth involved in the foster care and juvenile justice systems. In the final year of this K01 award period, I will submit a R01 proposal to NIDA to conduct a Phase II randomized controlled trial of the adapted intervention.

药物依赖是最严重的国家公共卫生问题之一，影响着数以百万计的非裔美国人家庭，尽管他们的吸毒率与药物滥用相当或更低，但他们却因药物滥用而遭受了不成比例的负面健康和社会后果。受父母吸毒影响的非洲裔美国儿童在整个童年和成年时期面临一系列问题的风险极高，有效实施综合预防干预措施对于减轻药物滥用障碍的负担至关重要。改善公共卫生。职业发展奖（K01）将使我获得额外的指导、培训和技能，以实现我的长期职业目标，即成为一名独立调查员，通过与公共图书馆的伙伴关系预防，设计、实施和评估针对弱势非裔美国青少年的干预措施。扩展了我之前进行的基于社区的青少年性健康研究，并与成瘾医学和预防研究的未来方向保持一致。我的三个培训目标是：（1）获得城市非裔美国家庭物质使用病因学的全面培训。 (2) 发展理论专业知识干预开发和适应的基础、过程和机制；(3) 熟练使用先进的统计技术实施和评估随机临床试验，我将通过教学经验、参加专业会议、定向阅读和体验式学习机会来实现这些目标。在相关研究专家团队的指导下，该指导和培训领域将直接有助于拟议的研究，该研究旨在防止受药物影响的城市黑人青少年（13-16 岁）的药物使用和性健康风险行为。父母用药通过与公共图书馆的合作，研究计划提出了三个具体目标：(1) 确定有吸毒父母的青少年参与预防计划和卫生服务的机会和障碍；(2) 调整证据：基于干预措施，聚焦青少年与知情父母和儿童 (FOY+ImPACT) 是一项基于图书馆的、针对受父母吸毒影响的青少年的有针对性的干预措施，以及 (3) 进行一项试点研究，以评估该项目的可行性和初步效果基于图书馆的预防干预措施拟议研究的结果将为合作努力奠定基础，促进图书馆向弱势青少年（包括但不限于受父母吸毒影响的青少年、无家可归的青少年）提供循证预防干预措施。以及参与寄养和少年司法系统的青少年在 K01 奖励期的最后一年，我将向 NIDA 提交一份 R01 提案，以进行改编干预措施的 II 期随机对照试验。