Developing and Piloting a School Staff-Based Intervention to Reduce Alcohol and Drug Use Among Sexual Minority Youth

制定和试点以学校工作人员为基础的干预措施，以减少性少数青少年的酒精和毒品使用

• 批准号: 10612879
• 负责人: Robert W.S. Coulter
• 金额: $ 12.92万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-15 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10612879
• 关键词: Address; Adolescent; Adult; Affect; Alcohol consumption; Alcohols; Applications Grants; Behavior; Bisexual; Boston; Clinical Trials; Collaborations; Confidence Intervals; Consent; Data; Development; Disparity; Dropout; Drug usage; E-learning; Educational Curriculum; Educational Intervention; Enrollment; Ensure; Environment; Evidence based intervention; Feedback; Focus Groups; Fostering; Funding; Gays; Gender; Goals; Health; Health Surveys; Heterosexuals; Inequity; Infrastructure; Institute of Medicine (U.S.); Institution; Institutional Policy; Institutional Review Boards; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Knowledge; LGBT Health; Lesbian; Longitudinal Surveys; Marijuana; Massachusetts; Mentorship; Nurses; Persons; Pharmaceutical Preparations; Policies; Population; Population Intervention; Postdoctoral Fellow; Professional counselor; Protocols documentation; Public Health; Publishing; Qualitative Research; Randomized; Randomized, Controlled Trials; Reporting; Research; Research Personnel; Sampling; School Enrollments; Schools; Science; Self Efficacy; Sex Behavior; Sex Orientation; Site; Students; Surveys; Testing; Tobacco; Tobacco use; Training; Training Activity; United States National Institutes of Health; Victimization; Youth; adolescent health; bullying; career; design; efficacious intervention; experience; experimental analysis; experimental study; feasibility testing; follow-up; health equity; high risk; high school; implementation science; improved; intervention mapping; intervention refinement; marijuana use; meetings; multidisciplinary; novel; peer; pilot test; population based; preference; programs; reduced alcohol use; satisfaction; school environment; sexual minority disparity; sexual minority youth; skills; social stigma; symposium; teacher; therapy development; usability

PROJECT SUMMARY/ABSTRACT Alcohol and drug use (e.g., tobacco and marijuana use) are major public health problems affecting large proportions of youth. Alcohol and drug use also disproportionately burden certain youth populations, such as sexual minority youth (SMY; i.e., adolescents who identify as gay/lesbian or bisexual, or who have same- gender sexual behaviors or attractions). Compared with heterosexual youth, SMY have up to 600% higher odds of lifetime drug and alcohol use. Despite these substantial disparities, few evidence-based interventions exist for reducing alcohol and drug use among SMY. Nevertheless, SMY who report having supportive adults at school, greater school connectedness, and lower bullying victimization have lower drug and alcohol use. Therefore, an intervention that trains school staff (e.g., teachers, principals, nurses, counselors) to better understand SMY, support SMY, and engage in positive bystander behaviors that protect SMY from bullying victimization may reduce sexual-orientation disparities in drug and alcohol use. Furthermore, many school staff desire to support SMY, but they report a lack of training as their primary impediment. To address these gaps, I will execute two Specific Aims. In Aim #1, I will develop an online e-learning intervention aimed at improving school staff’s knowledge, skills, and self-efficacy for supporting SMY. Using the intervention mapping approach, I will develop, user-test, and refine intervention materials by: conducting focus groups with a School Staff Advisory Board; performing usability tests via think aloud interviews with school staff; and collaborating with professional e-learning developers. In Aim #2, I will pilot test the feasibility and preliminary efficacy of this school staff-based intervention using a two-armed cluster-randomized controlled trial. I will enroll high schools participating in the fully-funded survey infrastructure of the MetroWest Adolescent Health Survey (MWAHS), located outside Boston, Massachusetts, where sexual-orientation disparities in drug and alcohol use still exist. Biennially, the MWAHS administers surveys to all students in each school, providing ample student-level data. In tandem, I will collect new longitudinal survey data (baseline and 6-month follow-up) from all school staff within each enrolled school. This e-learning intervention is easily modifiable and economically scalable, making it apt for wide dissemination with the potential for population-level impact in reducing drug and alcohol use disparities. To successfully complete my research, I will acquire training in: (1) the development of stakeholder- informed interventions, particularly e-learning programs; (2) implementation science research; and (3) the design and analysis of experimental studies. Guided by a strong interdisciplinary mentorship team, my planned training activities include mentorship meetings, formal coursework, training institutes, scientific seminars, and research conferences. Upon successful completion of my research and training plans, I will be propelled towards achieving my long-term goal, which is to become an independent scientific researcher specializing in stakeholder-informed intervention science aimed at reducing drug and alcohol use disparities for SMY.

项目摘要/摘要 酒精和吸毒（例如，烟草和大麻使用）是影响大型的主要公共卫生问题 酒精和吸毒的使用也不成比例地烧毁了某些青年人群，例如 性少数族裔青年（SMY；即认同是同性恋者或双性恋的青少年，或者 性别行为或景点）。与异性青年相比，SMY高达600％ 终身药物和饮酒的几率。尽管这些大量分布，但很少有基于证据的干预措施 存在用于减少SMY中的酒精和吸毒的存在。尽管如此，报告有支持成年人的SMY 在学校，更大的学校联系和较低的欺凌胜利降低了毒品和饮酒。 因此，一种干预措施训练学校工作人员（例如教师，校长，护士，计数） 了解SMY，支持SMY并从事积极的旁观者行为，以保护SMY免受欺凌行为 受害可能会减少毒品和饮酒的性取向差异。此外，许多学校工作人员 渴望支持SMY，但他们报告说缺乏培训是他们的主要障碍。为了解决这些差距，我 将执行两个具体目标。在AIM＃1中，我将开发旨在改善的在线电子学习干预措施 学校工作人员的知识，技能和自我效能，以支持SMY。使用干预映射 方法，我将开发，用户测试和完善干预材料：与学校一起进行焦点小组 员工咨询委员会；通过与学校工作人员大声访谈进行可用性测试；和协作 与专业的电子学习开发人员。在AIM＃2中，我将尝试测试此的可行性和初步效率 基于学校员工的干预措施使用两臂群集随机对照试验。我将入学 参加Metrowest青少年健康调查（MWAHS）的全资金资助的调查基础设施， 位于马萨诸塞州波士顿以外，那里仍然存在毒品和饮酒的性取向差异。 两年一的MWAHS对每所学校的所有学生进行调查，提供足够的学生级别数据。 同时，我将从所有学校工作人员那里收集新的纵向调查数据（基线和6个月的随访） 在每个注册学校中。这种电子学习干预易于修改且在经济上可扩展，使得 它易于广泛传播，并可能在减少药物和饮酒的人群级别上影响 差异。为了成功完成我的研究，我将获得：（1）利益相关者的发展 知情的干预措施，特别是电子学习计划； （2）实施科学研究； （3） 实验研究的设计和分析。在一个强大的跨学科心态团队的指导下，我的计划 培训活动包括精通会议，正式课程，培训机构，科学中心和 研究会议。成功完成我的研究和培训计划后，我将被推动 要实现我的长期目标，即成为一名专门从事的独立科学研究人员 利益相关者信息的干预科学旨在减少SMY的药物和酒精使用分布。

项目成果

Providing Lesbian, Gay, Bisexual, Transgender, Nonbinary, and Queer Adolescents With Nurturance, Trustworthiness, and Safety: Protocol for Pilot Cluster Randomized Controlled Trial Design.

为女同性恋、男同性恋、双性恋、跨性别者、非二元性和酷儿青少年提供养育、可信度和安全性：试点集群随机对照试验设计方案。

• DOI: 10.2196/55210
• 发表时间: 2024
• 期刊: JMIR research protocols
• 影响因子: 1.7
• 作者: Coulter,RobertWs;Mahal,IsabellaKaur;Lin,ClarisseA;Schneider,ShariKessel;Mathias,AarynS;Baral,Karuna;Miller,Elizabeth;Abebe,KaleabZ
• 通讯作者: Abebe,KaleabZ