VisitBoost: A Home Visiting Enhancement to Reduce Harm for Families Affected by Substance Misuse

VisitBoost：家访增强功能，可减少受药物滥用影响的家庭的伤害

• 批准号: 10602257
• 负责人: Camille C Cioffi
• 金额: $ 25.96万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10602257
• 关键词: Abstinence; Achievement; Address; Affect; Area; Attitude; Belief; Benchmarking; Birth; Caring; Child; Child Rearing; Child Welfare; Client; Client satisfaction; Clinic; Clinical Trials; Communities; Country; Databases; Deimplementation; Development; Discrimination; Education; Effectiveness; Ensure; Equity; Family; Feedback; Financial Hardship; Fright; Goals; Harm Reduction; Health; Health Personnel; Health Professional; Health Services; Health Services Accessibility; Home; Home visitation; Hospitals; Infant Health; Knowledge; Language; Leadership; Life; Marketing; Methods; Organizational Change; Outcome; Overdose; Parents; Perinatal; Perinatal Care; Personal Satisfaction; Persons; Phase; Police; Policies; Positioning Attribute; Pregnancy; Prenatal care; Process; Program Evaluation; Recovery; Relapse; Reporting; Resources; Risk; Self Disclosure; Self Efficacy; Services; Small Business Innovation Research Grant; Stigmatization; Substance Use Disorder; Supportive care; System; Technology; Training; Uncertainty; Use Effectiveness; Withdrawal; computerized; experience; implementation facilitation; improved; intergenerational; literacy; meetings; mobile application; perinatal health; post pregnancy; preference; programs; prototype; social stigma; substance misuse; substance use; transmission process; treatment center; uptake; usability; web app

Project Summary Stigmatization of people with substance use disorders (SUD) during perinatal results from the toxic belief that people who use substances are incapable of being good parents and do not care about their children. This belief perpetuates cyclical and systemic harm towards people with SUD and their children. Home visiting programs are less likely to sustain engagement with parents with SUD because those parents experience and perceive stigmatization. However, home visitors want to do better. Despite home visitors reporting that it is difficult to support parents with SUD, most home visitors want additional training in this area. Additionally, harm reduction practices are becoming more common and home visitors want more training to be able to support parents in this area. The current home visiting programs are not equipped to support parents within this changing landscape. There is the potential to improve current practices, reduce harm, and improve overall parent and child outcomes for people with SUD during perinatal by reducing stigmatization within home visiting programs. This change cannot just be a one-time training for home visitors. It must be a comprehensive solution to change home visiting organizations including de-implementation of polices that cause harm, implementation of policies to provide support, leadership education and guidance, identification of community resources for warm hand-offs, training and support for home visitors, and ongoing opportunities for practice and reflection. Our proposed solution, VisitBoost, includes strategies to address multiple levels of stigma and improve home visiting services for people with SUD during perinatal. The overall goal of the proposed Phase I project is to create VisitBoost and demonstrate feasibility for reducing stigmatization among home visitors towards clients with SUD. We will accomplish our goal through two specific aims: 1. Use an iterative formative process to develop a prototype of the VisitBoost mobile application to develop modules to support de-stigmatization practices among organizational leaders and home visitors. 2. Evaluate VisitBoost prototype for acceptability, usability, and effectiveness using a mixed-methods program evaluation approach with our advisory boards. We will assess home visitor attitudes, knowledge, self-efficacy, practices, practices intentions (post-training only), and usability with 52 home visitors to optimize successful use of the mobile application.

项目摘要 在围产期结果中，有毒性疾病患者的污名化是由于有毒的信念，即 使用物质的人无法成为好父母，也不关心孩子。这 信念会使萨德及其子女的人持续存在周期性和全身伤害。家参观 由于这些父母经历和 感知污名化。但是，家庭访客想做得更好。尽管家庭访客报告说这是 很难支持SUD的父母，大多数家庭访客都希望在该领域进行额外的培训。另外，危害 减少实践变得越来越普遍，家庭访客希望更多的培训能够支持 这个地区的父母。当前的家庭访问计划无权支持父母 改变景观。有可能改善当前做法，减少伤害并改善整体 在围产期期间，父母和子女成果通过减少家庭访问中的污名化。 程序。这种变化不仅是对家庭访客的一次性培训。它必须是一个全面的 改变家庭访问组织的解决方案，包括造成伤害的政策的实施， 实施政策以提供支持，领导教育和指导，确定社区 用于温暖的交接，对家庭访客的培训和支持的资源以及持续的实践机会 和反思。我们提出的解决方案Vivboost包括解决多个污名和多个级别的策略 在围产期期间改善为SUD患者的家庭访问服务。提议的第一阶段的总体目标 项目将创建访问驱动器，并证明可行性可以减少家庭访客的污名化 倾向于有SUD的客户。我们将通过两个具体目标来实现我们的目标：1。使用迭代 开发访问启动移动应用程序的原型以开发模块的形成过程 支持组织领导者和家庭访客之间的污名化实践。 2。评估访问启动 使用混合方法评估的原型可接受性，可用性和有效性 与我们的咨询委员会接近。我们将评估家庭访客态度，知识，自我效能，实践， 实践意图（仅培训），以及52位家庭访客的可用性，以优化成功使用 移动应用程序。