Reducing Parenting Stress to Facilitate Justice-Involved Youth’s Treatment Engagement

减轻养育压力，促进正义青少年参与治疗

基本信息

批准号：
10592308
负责人：
Johanna Bailey Folk
金额：
$ 20.18万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-04-01 至 2026-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10592308
关键词：
Address Adolescent Adopted Adoption Age Caregivers Child Rearing Clinical Trials Design Collaborations Communities Competence Complement Complex Development Dropout Equity Exhibits Family Focus Groups Foundations Funding Future Gender Goals Health Professional Health Services Health Services Research Health Technology Hybrids Individual Informatics Interpersonal Relations Intervention Intervention Trial Justice K-Series Research Career Programs Legal Logistics Mediator Mental Health Mentors Methods Mobile Health Application Motivation Neighborhoods Outcome Persons Population Poverty Privacy Process Publishing Quality of Care Randomized Research Research Design Research Methodology Research Personnel Resources Risk Self Efficacy Services Stress Symptoms System Technology Therapeutic Time Training Transportation Treatment Efficacy Trust Underserved Population Work Youth acceptability and feasibility adolescent substance use antisocial behavior barrier to care behavioral health biological adaptation to stress caregiver interventions community based treatment community engaged research community reentry cost design digital dual diagnosis efficacy testing ethnic minority ethnic minority population experience health service use high risk improved interest mHealth mHealth methodology mindfulness mindfulness intervention novel novel strategies preference premature programs racial minority racial minority population research study stakeholder perspectives substance misuse substance use substance use treatment therapy design therapy development treatment as usual user centered design willingness

项目摘要

PROJECT SUMMARY / ABSTRACT Justice-involved youth exhibit high rates of substance use and mental health symptoms, yet few receive treatment during detention or community re-entry. Once released into the community, caregivers must facilitate youth's treatment engagement, mobilizing significant resources and facing many barriers (e.g., transportation, mistrust) to do so. Parenting stress, which is heightened during youth detention and community reentry, is associated with greater perceived barriers to treatment, less youth therapeutic change throughout treatment, and premature treatment dropout. Addressing parenting stress improves youth treatment engagement and outcomes among youth exhibiting antisocial behavior, yet given the many barriers to treatment, novel approaches to intervention are needed; mobile health (mHealth) technology is one promising approach. Caregivers of justice-involved youth and system stakeholders are interested in mHealth treatment and mHealth addresses instrumental barriers (e.g., transportation) to treatment. Advances in technology and community engaged research allow for active stakeholder collaboration in mHealth application development, with no technological expertise required, through participatory informatics; caregiver involvement increases the likelihood the intervention will be relevant and efficacious. The purpose of this mixed-methods K23 study is to 1) develop a mHealth parenting stress intervention using participatory informatics; 2) assess the feasibility and acceptability of the participatory informatics approach and the intervention; 3) evaluate the intervention's preliminary efficacy in reducing parenting stress and increasing youth engagement in substance use or dual diagnosis treatment post-detention through a pilot RCT; and 4) understand systems-level factors that could influence eventual system adoption and sustainability. The overall goal of this K23 application is to provide protected, mentored time to expand Dr. Johanna Folk's (PI) capacities as an independent substance use health services researcher with expertise using participatory research methods to develop and evaluate novel interventions to engage justice-involved youth and families into youth substance use treatment. Dr. Folk will work with a team of experienced and knowledgeable mentors (Drs. Tolou-Shams, Aguilera, Knight, Arevian, and Chaplin) to increase her competency in: 1) substance use services research; 2) participatory research methods; and 3) mHealth methodology. The proposed research study is a logical extension of Dr. Folk's program of research to date which has spanned the developmental spectrum and focused on the complex interplay between justice involvement, substance use, mental health, and interpersonal relationships. This early career development award will provide the necessary candidate training and foundation for a larger R01 hybrid design clinical trial testing the efficacy of the mHealth parenting stress intervention designed during the K23, propelling a federally-funded program of research designed to increase substance use treatment engagement and improve behavioral health outcomes for justice-involved youth and families.

项目摘要 /摘要涉及正义的青年表现出很高的药物使用率和心理健康症状，但很少有拘留或社区重新进入期间的治疗。一旦被释放到社区，护理人员必须促进青年的治疗参与，动员大量资源并面临许多障碍（例如，运输，不信任）这样做。在青年拘留和社区再入期间，育儿压力得到了加剧，是与更大的治疗障碍有关，整个治疗过程中的青年治疗变化较小，和过早的治疗辍学。解决育儿压力可以改善青年治疗的参与和在表现反社会行为的青年中的结果，但鉴于许多治疗障碍，新颖需要干预方法；移动健康（MHealth）技术是一种有前途的方法。涉及正义的青年和系统利益相关者的护理人员对MHealth治疗和MHealth感兴趣解决工具障碍（例如，运输）到治疗。技术和社区的进步参与研究允许在MHealth应用程序开发中积极的利益相关者合作，没有通过参与性信息学需要技术专业知识；照顾者参与增加了干预可能是相关和有效的。此混合方法K23研究的目的是 1）使用参与性信息学开发MHealth育儿压力干预； 2）评估可行性和参与性信息学方法和干预的可接受性； 3）评估干预措施在减轻育儿压力和增加青年参与物质使用或双重方面的初步疗效通过试点RCT进行诊断治疗； 4）了解可能的系统级因素影响最终的系统采用和可持续性。该K23应用程序的总体目标是提供受到保护，指导的时间，扩大约翰娜·坦德（Johanna Folk）博士（PI）的能力作为独立的药物卫生服务研究人员使用参与性研究方法的专业知识来开发和评估新颖将涉及正义的青年和家庭参与青年物质使用治疗的干预措施。 Folk Will博士与一支经验丰富且知识渊博的导师团队合作（Tolou-Shams，Aguilera博士，骑士，Arevian，和Chaplin）提高她的能力：1）药物使用服务研究； 2）参与性研究方法; 3）MHealth方法论。拟议的研究是Folk博士的逻辑扩展迄今为止的研究计划已经跨越了发展范围并专注于复杂正义参与，药物使用，心理健康和人际关系之间的相互作用。这早期职业发展奖将为更大的R01提供必要的候选培训和基础混合设计临床试验测试MHealth育儿压力干预措施的功效 K23，推动了一项旨在增加药物使用治疗的联邦资助的研究计划参与并改善针对正义的青年和家庭的行为健康成果。