A technology solution for peer-led Seeking Safety

同行主导的寻求安全的技术解决方案

• 批准号: 9621036
• 负责人: LISA M NAJAVITS
• 金额: $ 78.96万
• 依托单位: TREATMENT INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-01 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9621036
• 关键词: Address; Adopted; Adult; Adverse event; Alcohol or Other Drugs use; Alcoholics Anonymous; Behavior; Behavioral; Benchmarking; Caring; Client; Clinical Trials; Cognitive; Comorbidity; Consult; Coping Skills; Data; Development; Distress; Elements; Enrollment; Environment; Feasibility Studies; Feedback; Feeling; Goals; Healthcare; Hour; Interview; Licensing; Location; Marketing; Measures; Methodology; Methods; Modality; Modeling; Outcome; Participant; Pathway interactions; Peer Group; Persons; Phase; Population; Post-Traumatic Stress Disorders; Public Health; Randomized Controlled Trials; Recording of previous events; Recovery; Safety; Sales; Sampling; Services; Small Business Innovation Research Grant; Structure; Substance Use Disorder; Substance abuse problem; Sum; Technology; Telephone; Trauma; Work; base; commercialization; coping; cost; craving; design; emotion regulation; evidence base; experience; handheld mobile device; high risk; improved; innovation; innovative technologies; instrument; member; mobile application; new technology; peer; peer support; power analysis; primary outcome; product development; psychoeducation; remote location; response; satisfaction; secondary outcome; social; statistics; success; trauma symptom; trend; trial comparing

Abstract Peers are increasingly recognized as an important asset in healthcare. Peer support is historically most prominent for substance use disorder (SUD), such as the world-wide model of Alcoholics Anonymous and other 12-step groups. Yet for trauma and posttraumatic stress disorder (PTSD) there have been few attempts at peer help. A major challenge of trauma peer groups is that they usually focus on telling the story of members' trauma histories, which can be overly triggering and distressing. Seeking Safety offers an excellent choice for peer-led care. It is an evidence-based and is the most widely adopted model for SUD/PTD. It is present-focused, cognitive-behavioral, and provides psychoeducation and coping skills to help clients attain greater safety in their lives-- safety from unsafe behavior toward themselves and others, substance use, and trauma symptoms. It has been successfully implemented in peer-led format for many years and has been studied in various trials, including a recent randomized controlled trial (RCT) comparing peer versus professional delivery, with positive results. In Phase 1 we developed an exiting, beta version of a mobile app for peer-led Seeking Safety (PLSS). The Peer Safety (PS) app was based on extensive input from end users and was evaluated in a feasibility study. We found strong positive results in Phase 1 and now propose a Phase 2 project to continue this work. In Phase 2 we would enhance the app features and content and also conduct an RCT in a sample of adults with current SUD/PTSD to compare the PS app condition to a control app. They would have 12 weeks to use the app and participate in weekly online PLSS, and would be assessed pre, post and at 3-month followup using validated instruments. We will also measure app usage and satisfaction. The primary outcomes are substance use and emotion regulation. Our team offers an exceptional mix of expertise in SUD, PTSD, app development, clinical trials, Seeking Safety, peer services, and SBIRs. Our public health goal is to leverage technology to create PLSS in an online environment that would support recovery “anytime, anywhere,” powered by highly engaging content and delivery. Most people with SUD/PTSD do not obtain formal treatment. The PS app could address the need for access in remote locations, for anonymous help, and for convenient, low cost help, delivered by people who share their experiences as peers. Even for those who do attend in-person modalities, the app can provide additional support and unique features. This project proposes a novel technology solution to provide care for an important population-- people with SUD/PTSD.

抽象的 同龄人越来越被认为是医疗保健中的重要资产。同伴支持在历史上是最突出的 药物使用障碍（SUD），例如匿名酗酒者和其他12步组的全球模型。但是 创伤和创伤后应激障碍（PTSD）几乎没有尝试过帮助。创伤的主要挑战 同伴群体是，他们通常专注于讲述成员创伤历史的故事，这可能是过度触发的，并且 令人痛苦。寻求安全为同伴领导的护理提供了绝佳的选择。这是一个基于循证的，是最广泛的 采用SUD/PTD的模型。它是目前以认知行为为中心的，并提供心理教育和应对能力 为了帮助客户在生活中获得更大的安全性 - 从不安全的行为对自己和他人的安全性，主题 使用和创伤症状。它已经成功地以同行指导的格式实施了很多年，并且已经研究了 在各种试验中，包括最近的随机对照试验（RCT），将同伴与专业交付进行比较 积极的结果。在第1阶段，我们开发了一个出口，Beta版本的移动应用程序，用于同行领导的寻求安全（PLSS）。 同行安全（PS）应用程序基于最终用户的广泛投入，并在一项可行性研究中进行了评估。我们发现 在第1阶段和现在提出的2阶段项目中，有很强的积极结果继续这项工作。在第2阶段，我们将增强 该应用程序功能和内容，并在具有当前SUD/PTSD的成年人样本中进行RCT，以比较PS 控制应用程序的应用程序条件。他们将有12周的使用该应用程序并参加每周的在线PLS，并且 将使用经过验证的工具对前，后和3个月的随访进行评估。我们还将衡量应用程序的使用情况和 满意。主要结果是主题使用和情感调节。我们的团队提供了杰出的组合 SUD，PTSD，应用程序开发，临床试验，寻求安全，同伴服务和SBIR的专业知识。我们的公共卫生 目标是利用技术在在线环境中创建PLS，该环境将在“随时随地”中支持恢复， 由高度吸引人的内容和交付提供支持。大多数患有SUD/PTSD的人都无法获得正式治疗。 PS 应用程序可以解决在远程位置的访问需求，以寻求匿名帮助，以及方便，低成本的帮助， 由分享同龄人经历的人提供。即使对于那些参加面对面方式的人，该应用也可以 提供额外的支持和独特的功能。该项目提出了一种新型的技术解决方案，可以为 重要人群 - 患有SUD/PTSD的人。