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：
10369708
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/10369708
关键词：
Address Adolescent Adopted Adoption Age Caregivers Child Rearing Clinical Trials Design Collaborations Communities Competence Complement Complex Consult Development Dropout 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 of activation protein 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 anti social antisocial behavior barrier to care base 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 research study stakeholder perspectives 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.

项目概要/摘要参与正义的青少年表现出较高的药物使用率和心理健康症状，但很少有人接受拘留期间或重返社区期间的待遇。一旦被释放到社区，护理人员必须提供便利青少年参与治疗、调动大量资源并面临许多障碍（例如交通、不信任）这样做。青少年拘留和重返社区期间，养育压力会加剧，与更大的治疗障碍、整个治疗过程中青少年治疗变化较少相关，和过早退出治疗。解决育儿压力可以提高青少年的治疗参与度表现出反社会行为的青少年的结果，但考虑到治疗的许多障碍，新颖需要采取干预措施；移动医疗（mHealth）技术是一种有前景的方法。参与正义的青少年的照顾者和系统利益相关者对移动医疗治疗和移动医疗感兴趣解决治疗的工具性障碍（例如交通）。技术和社区的进步参与的研究允许利益相关者在移动医疗应用程序开发中进行积极的合作，而无需通过参与式信息学获得所需的技术专业知识；护理人员的参与增加了干预措施的相关性和有效性的可能性。这项混合方法 K23 研究的目的是 1）利用参与式信息学开发移动医疗育儿压力干预措施； 2）评估可行性并参与式信息学方法和干预的可接受性； 3）评估干预措施的效果在减少养育压力和增加青少年吸毒或双重行为方面的初步效果通过试点随机对照试验进行拘留后的诊断治疗； 4）了解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保护、受指导的时间，以扩展 Johanna Folk 博士 (PI) 作为独立物质使用者的能力具有专业知识的卫生服务研究人员使用参与式研究方法来开发和评估新颖的采取干预措施，让参与正义的青少年和家庭参与青少年药物滥用治疗。福克博士将与经验丰富、知识渊博的导师团队（Tolou-Shams 博士、Aguilera、Knight、Arevian、和卓别林）提高她在以下方面的能力：1）药物使用服务研究； 2）参与式研究方法; 3) 移动医疗方法。拟议的研究是福克博士的逻辑延伸迄今为止的研究计划已经跨越了发展范围并侧重于复杂的司法参与、药物滥用、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 提供必要的候选人培训和基础混合设计临床试验测试了 mHealth 育儿压力干预措施的功效 K23，推动一项联邦资助的研究计划，旨在增加药物滥用治疗参与并改善参与正义的青少年和家庭的行为健康结果。