Increasing Family Engagement and Treatment Initiation Through Family Assessment, Motivation,and Linkage Intervention (FAMLI)

通过家庭评估、动机和联系干预 (FAMLI) 增加家庭参与和治疗启动

• 批准号: 9807674
• 负责人: DANICA K KNIGHT
• 金额: $ 21.82万
• 依托单位: TEXAS CHRISTIAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-15 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9807674
• 关键词: Address; Adolescent; Alcohol or Other Drugs use; Alcohols; Attitude; Belief; Caregivers; Child; Child Care; Chromosome Mapping; Communication; Communities; Counseling; Dose; Effectiveness; Eligibility Determination; Ethnic group; Evidence based intervention; Family; Feedback; Funding; Future; Health; Health Services Accessibility; Intervention; Justice; Knowledge; Link; Logistics; Marijuana; Measurement; Measures; Modeling; Motivation; Opioid; Outcome; Parents; Participant; Patient Self-Report; Personal Communication; Phase; Population; Protocols documentation; Randomized; Readiness; Resistance; Resource Allocation; Services; Source; Subgroup; Substance Use Disorder; Supervision; Testing; Time; Transportation; Youth; adaptive intervention; adolescent substance use; aged; checkup examination; control trial; design; evidence base; experience; improved; juvenile justice system; primary outcome; racial and ethnic; randomized trial; recruit; secondary outcome; service engagement; stressor; tool; treatment services; trial design

Project Summary/Abstract The proposed R34 study will integrate existing tools for use with JJ populations and examine the feasibility, acceptability, and preliminary efficacy of a caregiver-youth intervention aimed at increasing SU treatment initiation. The Family Assessment, Motivation, and Linkage Intervention (FAMLI) is an adaptive intervention that incorporates three evidence-based components: 1) assessment of motivation and linkage-related barriers with personalized feedback, 2) Mapping-Enhanced Counseling (MEC) for improving readiness for change and interpersonal communication, and 3) Active Linkage (AL) for addressing logistical barriers to service initiation. Using a Sequential Multiple Assignment Randomized Trial (SMART), 80 youth-caregiver dyads will be randomly assigned to receive an initial dose (2, 1-hr sessions) of either MEC or AL. After 30 days, participants will be classified as Responders (1 or more services initiated) or Non-responders (no service initiation). Responders will receive encouragement to continue SU services, but no further MEC or AL; Non-responders will be randomized to one of two intervening interventions: an additional dose (2, 1-hr sessions) of the initial intervention (MEC or AL) or a different dose (2, 1-hr sessions of the other). The specific aims are to 1) integrate and adapt appropriate evidence-based intervention components as a dyadic intervention approach for JJ youth and caregivers; 2) test the feasibility, acceptability, and optimal configuration of the dyadic intervention components and the protocol used to evaluate effectiveness (including feasibility of recruitment, implementation, measurement); and 3) preliminarily explore a) whether an initial dose of MEC or AL is sufficient for promoting early initiation, b) whether an additional dose of MEC or AL or a change in dose is more effective for Non-responders, and c) which component sequence is most effective for Non-responders. Primary outcomes include youth (initiation of assessment or counseling; counseling attendance) and caregiver (attendance at assessment, first counseling, and/or family sessions) measures. Secondary outcomes include youth and caregiver attitudes (problem recognition, desire for help), normative beliefs (SU norms), perceived control (stressors and obstacles), and youth SU (self-report corroborated by UA results). The proposed study addresses the sizeable gap in service receipt among JJ youth by addressing family engagement, and focuses on improving motivation to change, linkage to services, and treatment engagement.

项目摘要/摘要 拟议的R34研究将将现有工具与JJ种群相结合，并检查可行性， 可接受性和旨在增加SU治疗的护理人员 - 青年干预的初步疗效 引发。家庭评估，动机和连锁干预（FAMLI）是一种适应性干预 结合了三个基于证据的组成部分：1）评估动机和连锁相关的障碍 具有个性化的反馈，2）映射增强咨询（MEC），以改善变更准备就绪和 人际关系交流和3）主动链接（AL），用于解决服务启动的后勤障碍。 使用顺序多重任务随机试验（SMART），将有80个青年照顾者二元组是 随机分配MEC或AL的初始剂量（2，1 HR会话）。 30天后，参与者 将被归类为响应者（启动1个或多个服务）或非响应者（无服务启动）。 响应者将受到鼓励继续SU服务，但没有进一步的MEC或AL；非响应者 将随机分为两种干预措施之一：初始剂量（2，1小时） 干预（MEC或AL）或其他剂量（另一个剂量的2个，1小时）。具体目标是1） 将适当的基于证据的干预组件整合并适应二元干预方法 适用于JJ青年和看护人； 2）测试二元的可行性，可接受性和最佳配置 干预组件和用于评估有效性的方案（包括招聘的可行性， 实施，测量）； 3）初步探索a）MEC还是Al的初始剂量是 足以促进早期开始，b）额外的MEC或AL剂量或剂量变化是否更多 对非反应器有效，以及c）哪个组件序列最有效地对非反应者。基本的 成果包括青年（评估或咨询的启动；咨询出勤）和照料者 （参加评估，首次咨询和/或家庭会议）措施。次要结果包括 青年和照顾者的态度（问题认识，对帮助的渴望），规范信念（SU规范），感知到 控制（压力源和障碍）和青年人（由UA结果证实的自我报告）。拟议的研究 通过解决家庭参与，解决JJ青年服务收据的巨大差距，并重点 改善改变，与服务联系和治疗参与的动力。