Teens' Risk During Transition: Preventing Drug Use, HIV & School Problems

青少年在变性过程中的风险：预防吸毒、艾滋病毒

基本信息

批准号：
8618887
负责人：
PATRICIA CHAMBERLAIN
金额：
$ 57.01万
依托单位：
OREGON SOCIAL LEARNING CENTER, INC.
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-03-15 至 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8618887
关键词：
Accounting Adherence Adolescent Area Behavior Therapy Behavioral Calibration California Caring Child Welfare Communities Cost Savings Data Development Drops Drug Addiction Drug usage Effectiveness Enrollment Evidence based intervention Failure Female Fostering Future Gender Goals HIV HIV risk Health Homelessness Human Resources Incidence Individual Intervention Interview Leadership Link Measures Mediating Mental Health Methods Modeling Monitor Outcome Paper Parents Participant Performance Pharmaceutical Preparations Pregnancy Preventive Intervention Randomized Records Recruitment Activity Relative (related person)Research Risk Role Savings Schools Services Sex Behavior Symptoms System Teenagers Testing Time Tobacco use Training Trauma Work Youth base behavioral health cost cost effective cost effectiveness design drug abuse prevention early onset drug use economic evaluation economic impact effectiveness trial efficacy trial experience follow-up foster care foster parent group intervention information gathering intervention effect junior high school maltreatment peer prevent scale up service intervention sex risk skills social staff intervention uptake

项目摘要

DESCRIPTION (provided by applicant): The transition to middle school can be a risky time for many adolescents, as youth are exposed to a host of new academic challenges and social relationships with older peers. Being placed foster care amplifies this risk. The purpose of this study is to conduct a randomized effectiveness trial to determine whether adding a preventive intervention at this critical transition period is effective and cost effective in terms of ameliorating outcomes such as drug and tobacco use, participation in HIV- risking sexual behavior, delinquency, mental health problems, and school failure for young adolescents in foster care. The proposed LINKS intervention marries the goals of child welfare and educational systems and will be implemented in the San Diego Unified School District which is the 2nd largest school district in California. LINKS, a 20-week, two pronged intervention that focuses on increasing parent and youth skills and support will be delivered by community-based paraprofessionals who will be trained and supervised to implement the intervention. An ongoing fidelity monitoring system will allow for the calibration of intervention staff performance to adherence standards, provide performance standards for local staff training, and build in monitoring for local support and oversight (i.e., at the system leadership level) in the school district and child welfare systems. The study is designed to maximize the potential for uptake, sustainability, and future scale-up to other school and child welfare systems given positive results from this effectiveness trial. The aims are: a) to determine the effectiveness of the LINKS intervention on key behavioral health and school adjustment outcomes, b) to examine mechanisms of action; specifically the mediating effects of placement failure on outcomes, c) to examine the moderating role of fidelity on outcomes, and d) to examine cost effectiveness and cost avoidance of LINKS. All eligible 5th graders enrolled in the San Diego Unified School District placed in foster or kinship care (and their caretakers) will be recruited over a 4-year period and will be assessed at baseline, and at 6, 12, and 18 month follow-ups. It is hypothesized that those participating in LINKS will experience fewer negative behavioral health outcomes and better school adjustment and that these effects will be mediated by higher levels of placement stability and moderated by intervention fidelity scores.

描述（由申请人提供）：对于许多青少年来说，向中学过渡可能是一个危险的时期，因为青少年面临着许多新的学业挑战以及与年长同龄人的社会关系。被寄养会放大这种风险。本研究的目的是进行一项随机有效性试验，以确定在这一关键过渡期添加预防性干预措施是否有效且具有成本效益，可改善药物和烟草使用、参与艾滋病毒危险性行为、犯罪等结果。寄养青少年的心理健康问题和学业失败。拟议的 LINKS 干预措施将儿童福利和教育系统的目标结合起来，并将在加州第二大学区圣地亚哥联合学区实施。 LINKS 是一项为期 20 周的两管齐下的干预措施，重点是提高家长和青少年的技能和支持，将由社区辅助专业人员提供，他们将接受培训和监督以实施干预措施。持续的保真度监控系统将允许根据遵守标准校准干预人员的绩效，为当地员工培训提供绩效标准，并建立对学区和儿童的当地支持和监督（即系统领导层）的监控福利制度。鉴于这项有效性试验的积极结果，该研究旨在最大限度地发挥吸收、可持续性和未来扩大到其他学校和儿童福利系统的潜力。目的是：a) 确定 LINKS 干预对关键行为健康和学校适应结果的有效性，b) 检查行动机制；特别是安置失败对结果的中介影响，c) 检查忠诚度对结果的调节作用，以及 d) 检查 LINKS 的成本效益和成本避免。所有在圣地亚哥联合学区注册并接受寄养或亲属照料的合格五年级学生（及其看护人）将在 4 年的时间内被招募，并将在基线以及后续 6、12 和 18 个月时进行评估。 UPS。据推测，参与 LINKS 的学生将经历更少的负面行为健康结果和更好的学校适应，并且这些影响将通过更高水平的安置稳定性来调节，并通过干预保真度分数来调节。