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.

项目概要 围产期物质使用障碍 (SUD) 患者受到的污名源自有毒的信念： 吸毒者不能成为好父母，也不关心自己的孩子。这 这种信念使 SUD 患者及其子女遭受周期性和系统性伤害。家访 计划不太可能与患有 SUD 的家长保持接触，因为这些家长经历过并且 感受到污名化。然而，主场游客希望做得更好。尽管家庭访客报告说这是 很难为患有 SUD 的父母提供支持，大多数家庭访客都希望在这方面接受额外的培训。另外，危害 减少实践变得越来越普遍，家庭访客希望获得更多培训来支持 这个地区的家长。目前的家访计划不具备在这方面支持父母的能力 不断变化的景观。有潜力改进当前的做法、减少伤害并提高整体水平 通过减少家访中的污名化，SUD 患者在围产期的父母和孩子的结局 程序。这一改变不能只是对主场客队的一次性训练。一定是综合性的 改变家访组织的解决方案，包括取消造成伤害的政策的实施， 实施政策提供支持、领导力教育和指导、社区识别 热情交接的资源、对家庭访客的培训和支持以及持续的实践机会 和反思。我们提出的解决方案 VisitBoost 包括解决多层次耻辱和问题的策略 改善围产期 SUD 患者的家访服务。拟议第一阶段的总体目标 该项目旨在创建 VisitBoost 并展示减少家庭访客污名化的可行性 面向 SUD 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 VisitBoost 移动应用程序原型的形成过程，以开发模块 支持组织领导人和家访者的去污名化做法。 2. 评估 VisitBoost 使用混合方法程序评估的可接受性、可用性和有效性原型 与我们的顾问委员会接触。我们将评估家庭访客的态度、知识、自我效能、实践、 与 52 位家庭访客练习意图（仅限培训后）和可用性，以优化成功使用 移动应用程序。