Technology-based health behavior intervention with at-risk teens in shelters

对庇护所中的高危青少年进行基于技术的健康行为干预

基本信息

批准号：
9240952
负责人：
Carolyn R Smith
金额：
$ 24.88万
依托单位：
UNIVERSITY OF CINCINNATI
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-07-07 至 2019-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9240952
关键词：
Adolescence Affect Age Alcohol or Other Drugs use American Behavior Behavior Therapy Budgets Centers for Disease Control and Prevention (U.S.)Child Client Clinic Clinical Computers Control Groups Counseling Data Domestic Violence Eating Eating Disorders Education Emotional Experimental Designs Exploratory/Developmental Grant Family Feasibility Studies Federally Qualified Health Center Feedback Health Health Promotion Health behavior Household Income Individual Internet Intervention Interview Legal Leisures Longitudinal Studies Measures Mediator of activation protein Medical Mental Health Mothers Motivation Online Systems Outcome Pathway interactions Phase Randomized Readiness Recruitment Activity Research Project Grants Resources Risk Risk Behaviors Rural Health Schools Services Shelter facility Spouses Suggestion System Techniques Technology Teen Dating Violence Teenagers Testing Time Tobacco Use Disorder Tobacco use Training Vulnerable Populations Woman Work attentional control base behavior change community center cost cost effective design detention center disorder prevention experience follow-up health care service help-seeking behavior improved innovation intimate partner violence motivational enhancement therapy novel peer peer influence post intervention prevent psychologic retention rate satisfaction sexual risk taking tool willingness

项目摘要

Abstract The aim of this Phase I feasibility study is to assess the feasibility and preliminary efficacy of the 4- week Time4U Teen Health Intervention (T4U) an intervention to improve the health of teens who live in families experiencing intimate partner violence (IPV). Parental IPV is witnessed by 5.5 million American teens during adolescence. These teens are particularly vulnerable to negative health behaviors (substance or tobacco use, unhealthy eating, sexual risk-taking, teen dating violence). Women who experience IPV and their children often seek help at domestic violence shelters (DVS). Many DVS offer peer or professional counseling to assist women to deal with the consequences of IPV; however, counseling services for children are often lacking due to limited resources. The T4U intervention consists of three components: (a) four computer-based, real-time motivational interviewing (MI) sessions with a lay health worker (LHW); (b) online written health messages; and (c) online daily tracking of health behaviors. Expected intervention outcomes are change in behavior (selected by the teen) related to substance use, tobacco use, disordered eating, sexual risk taking, or teen dating violence. The specific aims of the proposed study are to: (a) Assess the feasibility of delivering the T4U intervention in shelters as evidenced by the willingness of teens to participate in four computer-based MI sessions (attendance) and subject satisfaction; (b) Obtain preliminary efficacy of the T4U intervention for use with teens in shelters to motivate change in a selected behavior and change in behavior from baseline to end of the 4-session intervention and 8 weeks after baseline compared to an attention control group; and (c) Obtain qualitative post intervention feedback on T4U intervention components (MI sessions, health messages, health behavior activity tracking system) and AC components (AC sessions, leisure time messages, leisure time activity tracking system) and suggestions for change in both T4U and AC. Using a quasi-experimental design, 100 teens between the ages of 13-18 living with their mothers in DVS, who screen positive for at least one health risk behavior, will be recruited. Fifty will be assigned to the T4U condition and 50 to the attention control (AC) condition. Data will be collected: (a) baseline, post 4-week T4U intervention or AC condition, and 8 weeks after baseline using two tools to measure teens' motivation to change and their engagement in health risk behaviors, (b) during the T4U condition to measure time spent engaging in healthy behavior related to the targeted risk, (c) after each T4U or AC session to measure satisfaction with the sessions, and (d) post 4-week T4U or AC condition to measure satisfaction with online written health messages or leisure time messages (AC group) and online tracking system. All teens in the T4U and AC groups will be asked to engage in qualitative interviews which will be transcribed and analyzed using qualitative description analysis techniques to obtain feedback on the T4U and AC conditions.

抽象的该阶段I可行性研究的目的是评估4--的可行性和初步疗效 Week Time4U青少年健康干预（T4U）一种干预措施，以改善居住在青少年的健康状况经历亲密伴侣暴力的家庭（IPV）。父母IPV有550万美国人目睹青少年在青春期。这些青少年特别容易受到负面健康行为（实质或烟草使用，不健康的饮食，性冒险，青少年约会暴力）。经历IPV及其的女性儿童经常在家庭暴力避难所（DVS）寻求帮助。许多DV提供同行或专业咨询帮助妇女处理IPV的后果；但是，儿童咨询服务通常是由于资源有限而缺乏。 T4U干预措施由三个组成部分组成：（a）四个基于计算机的组件，与外行卫生工作者（LHW）的实时动机访谈（MI）会议；（b）在线书面健康消息；（c）在线日常跟踪健康行为。预期的干预结果是变化与药物使用，烟草使用，饮食无序，性风险服用或相关的行为（由青少年选择）青少年约会暴力。拟议研究的具体目的是：（a）评估交付的可行性 T4U干预避难所的干预是青少年参与四个基于计算机的MI的意愿证明的会议（出勤）和主题满意度；（b）获得T4U干预的初步疗效在庇护所中，青少年可以激励选定的行为改变和从基线到结束的行为变化与注意力控制组相比，在4条课程的干预措施和基线后8周；（c）获得 T4U干预组件的定性后干预反馈（MI会议，健康消息，健康行为活动跟踪系统）和交流组件（交流会议，休闲时间信息，休闲时间活动跟踪系统）和T4U和AC变化的建议。使用准实验设计，在13-18岁之间与母亲一起生活的100名青少年，DVS 将招募至少一种健康风险行为的屏幕呈阳性。五十将分配到T4U条件 50到注意力控制（AC）条件。将收集数据：（a）基线，4周的T4U 干预或交流状况，基线后8周使用两种工具来衡量青少年的动机变化及其参与健康风险行为，（b）在T4U条件下测量所花费的时间每次T4U或交流会话后，参与与目标风险有关的健康行为，以测量对会议的满意度以及（d）4周的T4U或交流条件以衡量在线满意度书面健康消息或休闲时间消息（AC组）和在线跟踪系统。 T4U中的所有青少年和AC组将被要求进行定性访谈，这些访谈将使用和分析定性描述分析技术以获取有关T4U和AC条件的反馈。