Well-Child Screening and Referral to Prevent Alcohol Use Before High School

健康儿童筛查和转介以防止高中前饮酒

• 批准号: 10081662
• 负责人: JANIS B KUPERSMIDT
• 金额: $ 22.5万
• 依托单位: INNOVATION RESEARCH AND TRAINING, INC.
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-15 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10081662
• 关键词: 13 year old; Academy; Address; Adolescence; Adolescent; Adoption; Affordable Care Act; Age; Alcohol consumption; Alcohol or Other Drugs use; American; Appointment; Basic Science; Behavior; Benchmarking; Caring; Categories; Child; Childhood; Clinic; Clinical; Collaborations; Communication; Communities; Computer software; Effectiveness; Electronic Health Record; Eligibility Determination; Emergency department visit; Enrollment; Evaluation; Family; Feasibility Studies; Florida; General Practitioners; Goals; Health Personnel; Health Professional; Healthcare; Internet; Intervention; Laws; Letters; Measures; Medicaid; Medical; North Carolina; Ohio; Parents; Patient Self-Report; Patients; Pediatric Nursing; Pediatrics; Phase; Policies; Population; Prevention; Prevention Protocols; Prevention program; Preventive Intervention; Probability; Procedures; Property; Protocols documentation; Provider; Psychological Tests; Psychometrics; Reporting; Resources; Risk; School-Age Population; Screening procedure; Sensitivity and Specificity; Services; Specialist; Specificity; System; Tablets; Technology; Testing; Time; Training; Visit; Youth; alcohol risk; alcohol screening; alcohol use disorder; application programming interface; base; brief intervention; checkup examination; commercialization; cost; design; deter alcohol use; early alcohol use; early screening; evidence base; experience; handheld mobile device; health care delivery; health care settings; high risk; high risk parents; high school; improved; indexing; informant; junior high school; lower income families; motivational enhancement therapy; pediatrician; prevent; randomized trial; research study; scale up; screening; software development; tool; transmission process; underage drinking; usability

Project Abstract Recent attempts to improve early screening and referral for prevention (SRP) of alcohol use (AU) and alcohol use disorders (AUD) during general practitioner check-ups, emergency room visits, and other medical services have been challenging, because they have not been efficacious; their dissemination and adoption by practitioners have been minimal; and they have failed to increase intervention enrollment over care-as-usual, which is 15% at best. In contrast, the tools and protocol proposed in this project were specifically designed for screening of risk for AU by 9-13 year-olds; designed to prevent or curb any substance use before high school; developed collaboratively with pediatricians for use during well-child, check-up appointments at their practices; created so it can be implemented by other health care providers such as behavior specialists or pediatric nurses, and not just by pediatricians; and has led over 80% of parents of high-risk youth from low-resource, urban communities to enroll into family-based preventive interventions (over 90% of whom completed the intervention). This SRP protocol developed in basic research studies addresses historical barriers to pediatricians’ use of screening tools that target AU, and has high acceptability among children, parents, and pediatric health care staff. This Phase 1 proposal and the planned Phase 2 activities will prepare the SRP for commercialization in collaboration with pediatricians (working in urban practices in Cleveland, Ohio, Chapel Hill, North Carolina, and Miami, Florida) who represent the anticipated early adopters. The first aim is to edit and enhance iRT’s existing native pediatric screening app to include the parent-report, Parent Evaluation Risk Index (PERI), and the youth self-report, Youth Risk Index (YRI), tools, so that they are accessible for completion on a native app (offline mobile devices such as tablets that do not have internet connectivity), and are integrated into an electronic health record (EHR). Both Usability Studies, as well as a Feasibility and Acceptance Study, will result in benchmark evaluations to inform the submission of a Phase 2 application. If feasible, then Phase 2 activities will include the creation of “out-of-the-box” technological solution that will be scalable and accessible for use in busy pediatric practices.

项目摘要 最近尝试改善饮酒 (AU) 和酒精的早期筛查和预防转诊 (SRP) 全科医生检查、急诊室就诊和其他医疗服务期间的使用障碍 (AUD) 一直具有挑战性，因为它们没有被有效地传播和采用； 从业者人数很少；而且他们未能比照常护理增加干预登记人数， 相比之下，这个项目中提出的工具和协议是专门设计的。 对 9-13 岁儿童进行 AU 风险筛查；旨在预防或遏制高中之前的任何物质使用； 与儿科医生合作开发，用于儿童健康检查预约； 创建它是为了让其他医疗保健提供者（例如行为专家或儿科专家）可以实施 护士，而不仅仅是儿科医生；并且带领超过 80% 的高危青少年的父母来自资源匮乏的地区， 城市社区参与以家庭为基础的预防干预措施（其中 90% 以上完成了 这个在基础研究中开发的 SRP 协议解决了历史障碍。 儿科医生使用针对 AU 的筛查工具，在儿童、家长和公众中接受度较高 该第一阶段提案和计划的第二阶段活动将为儿科卫生保健人员准备 SRP。 与儿科医生合作商业化（在俄亥俄州克利夫兰教堂的城市实践中工作） 北卡罗来纳州希尔和佛罗里达州迈阿密）代表了预期的早期采用者。 并增强 iRT 现有的原生儿科筛查应用程序，以包括家长报告、家长评估风险 指数（PERI），以及青少年自我报告、青少年风险指数（YRI）等工具，以便他们可以访问 在本机应用程序上完成（离线移动设备，例如没有互联网连接的平板电脑），以及 可用性研究以及可行性研究均已集成到电子健康记录 (EHR) 中。 验收研究将进行基准评估，以便为第二阶段申请的提交提供信息。 如果可行，那么第二阶段的活动将包括创建“开箱即用”的技术解决方案，该解决方案将 可扩展且易于在繁忙的儿科实践中使用。