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 同伴越来越被认为是医疗保健领域的重要资产。同伴支持在历史上最为突出。 物质使用障碍 (SUD)，例如戒酒互诫协会和其他 12 步团体的全球模式。 创伤和创伤后应激障碍 (PTSD) 很少有同伴帮助的尝试 创伤的一个主要挑战。 同伴团体的一个缺点是，他们通常专注于讲述成员的创伤历史，这可能会过度触发和 寻求安全是同伴主导护理的绝佳选择，它是基于证据的，也是最广泛的。 SUD/PTD 采用的模型以当下为中心，认知行为，并提供心理教育和应对技能。 帮助客户在生活中获得更大的安全——避免对自己和他人的不安全行为、物质 它已以同行主导的形式成功实施多年并进行了研究。 在各种试验中，包括最近一项比较同行与专业交付的随机对照试验（RCT）， 在第一阶段，我们为同行主导的 Seeking Safety (PLSS) 开发了一个现有的测试版移动应用程序。 我们发现，对等安全 (PS) 应用程序基于最终用户的广泛输入，并在可行性研究中进行了评估。 第一阶段取得了积极的成果，现在提出第二阶段项目来继续这项工作。在第二阶段，我们将加强这项工作。 应用程序的功能和内容，并对当前患有 SUD/PTSD 的成年人样本进行随机对照试验，以比较 PS 他们将有 12 周的时间使用该应用程序并参加每周的在线 PLSS，并且 将使用经过验证的工具在事前、事后和 3 个月的后续行动中进行评估。 主要成果是物质使用和情绪调节。 SUD、PTSD、应用程序开发、临床试验、寻求安全、同行服务和 SBIR 方面的专业知识。 目标是利用技术在在线环境中创建 PLSS，支持“随时随地”的恢复， 大多数患有 SUD/PTSD 的人都没有获得正式的治疗。 应用程序可以满足远程位置访问、匿名帮助以及方便、低成本帮助的需求， 即使对于那些亲自参加的人来说，该应用程序也可以分享他们的经验。 提供额外的支持和独特的功能该项目提出了一种新颖的技术解决方案来为患者提供护理。 重要人群——患有 SUD/PTSD 的人。