Administrative Supplement for K01 Adaptation of a Digital Group-Based Intervention to Reduce Drug Use and Increase Contraceptive Use among Reproductive-Aged Women Involved in Criminal Justice System

K01 的行政补充：采用数字化团体干预措施，减少参与刑事司法系统的育龄妇女吸毒并增加避孕药具的使用

• 批准号: 10669984
• 负责人: Melissa N. Slavin
• 金额: $ 5.4万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10669984
• 关键词: AIDS prevention; Address; Administrative Supplement; Age; Area; Child; Communities; Contraceptive Agents; Contraceptive Usage; Contraceptive methods; Criminal Justice; Data; Dissemination and Implementation; Drug usage; Effectiveness of Interventions; Ethnic Origin; Evaluation Research; Gender; HIV; Imprisonment; Individual; Intervention; Interview; Mentored Research Scientist Development Award; Methods; Morbidity - disease rate; Multimedia; National Institute of Drug Abuse; Persons; Race; Randomized, Controlled Trials; Recording of previous events; Reduce health disparities; Reporting; Reproductive Health; Research; Research Methodology; Research Personnel; Risk Factors; Schools; Science; Sexual Health; Sexually Transmitted Diseases; Social Work; Socioeconomic Status; Substance Use Disorder; Supervision; System; Training; Universities; Woman; acceptability and feasibility; addiction; aged; barrier to care; condoms; digital; digital intervention; effective intervention; evidence base; health disparity; illicit drug use; mortality; offspring; preventive intervention; reproductive; responsible research conduct; sexually active; substance use; unintended pregnancy; videoconference

PROJECT SUMMARY/ABSTRACT. The purpose of this K01 Award is to provide the candidate, Dr. Melissa N. Slavin, at Columbia University School of Social Work, with the training needed to become an independent substance use investigator in digital intervention science with a focus on sexual and reproductive health (SRH) issues among vulnerable women, particularly women involved in criminal justice systems (WICJ). Dr. Slavin proposes to adapt and determine the feasibility and acceptability of a digital intervention, which will include facilitated group-based treatment via videoconference, and digital interactive activities, for reproductive-aged women with a recent history of incarceration or community supervision. This intervention aims to reduce illicit drug use and increase all forms of contraceptive use among women with substance use disorders (SUDs) and unmet contraceptive needs (i.e., fecund, sexually active, and report not wanting more children or wanting to delay the next child but are not using any method of contraception). WICJ, the majority of whom are reproductive- aged, have high rates of SUDs and unmet contraceptive needs, influenced by synergistic individual-, interpersonal-, and community-level risk factors. Unmet contraceptive needs result in unintended pregnancies (UPs) among WICJ with SUDs, and increased rates of morbidity and mortality among women and their offspring. Extant interventions among WICJ who use drugs often focus on sexually transmitted infections (STIs), including HIV, while leaving out UPs. Among reproductive-aged women in general, digital interventions are effective at reducing drug use and increasing contraceptive use, and can increase reliability of implementation, accessibility, and personalization. Digital HIV-prevention interventions for WICJ who use drugs can provide a key platform to address UPs among reproductive-aged women. Multimedia WORTH, an evidence-based HIV-prevention intervention uses in-person groups and digital interactive activities to address risk factors among WICJ who use drugs and is effective at increasing condom use. Dr. Slavin will adapt Multimedia WORTH for reproductive-aged WICJ with SUDs and unmet contraceptive needs, using a digital intervention (facilitated group-based treatment via videoconference, and self-paced activities) through 3 research aims (RAs): RA1: Identify modifiable determinants of drug and contraceptive use among reproductive-aged WICJ via qualitative interviews; RA2: Adapt Multimedia WORTH using a systematic adaptation framework; RA3. Evaluate feasibility, acceptability, and preliminary effectiveness of the intervention through a randomized controlled trial (RCT) of 50 WICJ. Data obtained from this K01 will support the NIDA priority focus area of addressing real world complexities of addiction, by targeting barriers to treatment relating to gender, age, socioeconomic status, and race/ethnicity among vulnerable WICJ. This K01 will provide Dr. Slavin training in: 1) adapting and implementing a culturally tailored intervention, 2) conducting responsible research with vulnerable women, 3) utilizing a digital intervention to address health disparities, and 4) quantitative and qualitative intervention evaluation research methodology.

项目摘要/摘要。该K01奖的目的是向候选人Melissa N.提供。 斯拉文（Slavin），哥伦比亚大学社会工作学院，需要成为独立的培训 数字干预科学中的药物使用研究者，重点是性健康和生殖健康（SRH） 弱势妇女，特别是参与刑事司法系统（WICJ）的妇女中的问题。斯拉文博士 建议适应并确定数字干预的可行性和可接受性，其中包括 通过视频会议和数字互动活动促进基于小组的治疗，用于生殖时代 近期监禁或社区监督史的妇女。这种干预旨在减少非法 在患有药物使用障碍（SUD）和 未满足的避孕需求（即，粪便，性活跃，报告不想要更多的孩子或想要 延迟下一个孩子，但不使用任何避孕方法）。 WICJ，大多数是生殖的 - 老化，具有较高的泡沫和未满足的避孕需求，受协同个体的影响 人际关系和社区级别的风险因素。未满足的避孕需求导致意外怀孕 （UPS）在WICJ中具有SUDS，妇女及其后代的发病率和死亡率提高。 使用药物的WICJ中现有的干预措施通常专注于性传播感染（ETI），包括 艾滋病毒，一边忽略了艾滋病毒。一般而言，在生殖时代的妇女中，数字干预措施在 减少药物使用和增加避孕药的使用，并可以提高实施，可访问性的可靠性 和个性化。使用药物的WICJ的数字HIV预防干预措施可以为 在生殖时代的妇女中寻址。多媒体价值，一种基于证据的艾滋病毒预防 干预使用面对面组和数字互动活动来解决使用WICJ的风险因素 药物，可有效增加安全套的使用。斯拉文博士将适应多媒体的生殖年龄 使用数字干预（促进基于群体的治疗 通过视频会议和自定进度活动）通过3个研究目标（RAS）：RA1：确定可修改 通过定性访谈在生殖时代的WICJ中使用药物和避孕药的决定因素； RA2： 适应多媒体值得使用系统的适应框架； RA3。评估可行性，可接受性， 通过50 WICJ的随机对照试验（RCT）的干预措施的初步有效性。数据 从该K01获得的将支持NIDA优先重点领域，以解决现实世界成瘾的复杂性， 通过针对与性别，年龄，社会经济地位和种族/种族有关的治疗障碍 脆弱的WICJ。该K01将在：1）适应和实施文化量身定制的Slavin培训 干预，2）与弱势妇女进行负责任的研究，3）利用数字干预措施 解决健康差异，4）定量和定性干预评估研究方法。