A Behavioral Economic Intervention to Reduce Marijuana Use in Truant Youth

减少逃学青少年吸食大麻的行为经济干预

• 批准号: 10112872
• 负责人: Ali Yurasek
• 金额: $ 16.9万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-15 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10112872
• 关键词: Address; Adolescence; Adolescent; Adolescent marijuana use; Age; Area; Attention; Award; Behavior; Climate; Clinical; Cognition; Communities; Competence; Cost-Benefit Analysis; Cost-Benefit Data; Data Analyses; Data Collection; Diversion Program; Drug usage; Effectiveness; Ensure; Family; Family member; Feedback; Future; Gender; Goals; Illicit Drugs; Impaired cognition; Individual; Intervention; Interview; Justice; Knowledge; Legal; Legal system; Life; Marijuana; Mediator of activation protein; Mental Health; Mentors; National Institute of Drug Abuse; Outcome; Parents; Participant; Pattern; Pharmaceutical Preparations; Policies; Population; Prevalence; Protocols documentation; Psychological reinforcement; Randomized; Reporting; Research; Research Personnel; Research Training; Resources; Risk; Sample Size; School Drop-Outs; Schools; Services; Severities; Social Functioning; Source; Structure; Student Dropouts; System; Testing; Time; Training; Treatment Efficacy; Treatment outcome; Truancy; Youth; addiction; base; behavioral economics; brief motivational intervention; career; community setting; cost; cost effectiveness; cost estimate; cost-effectiveness evaluation; court; design; discounting; economic cost; economic evaluation; experience; experimental study; feasibility testing; high risk; improved; juvenile justice system; marijuana use; medical specialties; parental involvement; parental monitoring; patient oriented research; pilot trial; post intervention; primary outcome; programs; public health relevance; recidivism; reduce marijuana use; reduced substance use; satisfaction; skills; social; substance use; substance use treatment; substance user; substance using adolescents; theories; therapy development; treatment as usual; treatment research; trend; university student

Project Summary/Abstract Through the research and training described in this K23 proposal titled A Behavioral Economic Intervention to Reduce Marijuana Use in Truant Youth, the PI (Dr. Yurasek) will acquire the necessary skills to become an independent clinical researcher conducting patient-oriented research that will improve the efficacy, accessibility and cost-effectiveness of marijuana use interventions within the juvenile justice system. Despite the effectiveness of parent and family based interventions for juvenile substance use and recidivism, they can be lengthy, costly and difficult to implement in court and community settings. These interventions often require adolescents and family members to attend multiple sessions, and may not be appropriate for families and settings with limited resources. Brief motivational interventions (BMIs) have demonstrated efficacy with adolescent substance users, and approaches that combine parent and adolescent involvement have been associated with more robust outcomes among youth. However, parent-based BMI’s do not address behavioral economic mechanisms such as substance -free activities or delayed discounting which may limit their efficacy with truant youth experiencing a disruption of substance-free reinforcement. The aim of this proposal is to adapt a brief (one session) behavioral economic intervention to reduce marijuana use that involves truant youth and their parents. This project will examine the acceptability, feasibility, and initial efficacy of this intervention with adolescents referred for services as part of a juvenile specialty (truancy) diversion program. The 4 research aims are to adapt a brief behavioral economic intervention for parents and adolescents, test the feasibility of the intervention, conduct a randomized pilot trial, and conduct a cost-benefit analysis of outcomes to ensure the protocol addresses the needs of the larger juvenile justice and court systems. In this mentored career award, the PI will facilitate her career goals working with an experienced and knowledgeable team of mentors (Drs. Cottler, Tolou-Shams, and Fisher) and collaborator/contributors (Drs. Park, Murphy, and Spirito) to master four areas of training relevant to this proposal 1) Substance use treatment research in juvenile-justice settings 2) community-based intervention development and adaptation for substance-using adolescents; 3) qualitative data collection and analyses; and 4) developing basic competencies in economic evaluation of legal, social and mental health outcomes. Successful completion of this study will provide information on the benefits of using behavioral economic theory to reduce marijuana use and potentially reduce costs associated with treating marijuana using truant youth.

项目概要/摘要 通过题为“行为经济干预”的 K23 提案中描述的研究和培训 减少逃学青少年的大麻使用，PI（Yurasek 博士）将获得成为一名 独立临床研究人员进行以患者为导向的研究，以提高疗效和可及性 尽管青少年司法系统内大麻使用干预措施的成本效益。 基于父母和家庭的干预措施对青少年药物使用和累犯的有效性，可以是 这些干预措施往往需要在法庭和社区环境中实施，时间长、成本高且困难。 青少年和家庭成员参加多次会议，可能不适合家庭和 短暂的动机干预（BMI）已被证明是有效的。 青少年吸毒者以及父母和青少年共同参与的方法 然而，基于父母的体重指数并不能解决行为问题。 经济机制，例如无物质活动或延迟折扣，可能会限制其功效 逃学青少年经历了无物质强化的破坏。该提案的目的是 采取简短（一次）的行为经济干预措施，以减少涉及逃学的大麻使用 该项目将审查该项目的可接受性、可行性和初步效果。 作为青少年专业（逃学）分流计划的一部分，对转介寻求服务的青少年进行干预。 这 4 个研究目的是为父母和青少年采用简短的行为经济干预措施，测试 干预的可行性，进行随机试点试验，并进行成本效益分析 确保议定书满足更广泛的少年司法和法院系统的需求。 导师职业奖，PI 将与经验丰富、知识渊博的人合作，促进她的职业目标 导师团队（Cottler 博士、Tolou-Shams 博士和 Fisher）和合作者/贡献者（Park 博士、Murphy 博士和 Spirito）掌握与本提案相关的四个培训领域 1）药物使用治疗研究 青少年司法环境 2) 基于社区的药物滥用干预措施的制定和调整 青少年；3）定性数据收集和分析；4）发展经济方面的基本能力 成功完成本研究将提供法律、社会和心理健康结果的评估。 有关使用行为经济学理论减少大麻使用的好处以及潜在的信息 减少与利用逃学青年治疗大麻相关的成本。