Adolescent Screening and Personalized Intervention Resource for Mild/Moderate Substance Abuse and Co-Occurring Problems

针对轻度/中度药物滥用和并发问题的青少年筛查和个性化干预资源

• 批准号: 10624233
• 负责人: Ken C WINTERS
• 金额: $ 27.76万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10624233
• 关键词: Address; Adolescent; Anger; Area; Behavior; Behavioral; Caring; Cellular Phone; Characteristics; Clinical; Cognitive; Decision Making; Development; Drug abuse; Early Intervention; Early treatment; Electronics; Elements; Emotions; Equity; Exhibits; Feedback; Feeling; Focus Groups; Friends; Goals; Health Resources; Health Services; Health Services Accessibility; Impulsive Behavior; Internet; Interpersonal Relations; Intervention; Justice; Link; Literature; Low income; Mental Depression; Minority; Motivation; Online Systems; Outcome; Participant; Patients; Population; Problem behavior; Research; Resources; Risk; Rural Community; Screening procedure; Self Direction; Service delivery model; Severities; Stress; Substance abuse problem; System; Technology; Thinking; Training; Trauma; Underserved Population; Waiting Lists; Youth; behavior change; behavioral health; behavioral health intervention; comorbidity; coping; design; digital health; eHealth; empowerment; ethnic minority; evidence base; follow-up; handheld mobile device; improved; intervention cost; juvenile justice system; mHealth; mobile computing; negative mood; personalized approach; personalized intervention; pilot test; prevent; probation; programs; racial minority; research and development; rural area; rural setting; satisfaction; screening; service intervention; skill acquisition; skills; substance use; therapy development; treatment services; usability

Project Summary We propose to design and pilot-test a technology-based, multicomponent behavioral health intervention for JIY. The design and functionality of the mobile health intervention is grounded in two pivotal developmental frameworks. First, the intervention will address the well-established bidirectional relationship between substance use (SU) and co-occurring problems (CP), a defining characteristic of JJS-involved youth (JIY). Second, in keeping with contemporary patient- and youth-centered health care delivery models, the mobile health intervention will have an interactive design permitting youth to receive feedback and make active choices about the care they receive. This youth-centered approach is a clear departure from traditional JJS service models. These conceptually informed design features and functionalities will optimize youth engagement, empowerment, and agency in order to maximize clinical outcomes. A digital health resource scalable to any smart phone would avert the need for delivery by highly trained professionals, and could be easily accessed across the JJS, including rural settings. The goal of the proposed Stage 1a/1b Treatment Development research is to refine and pilot test “ePACE” (eHealth Personalized Approach for Change Efficacy), designed as a JJS- and JIY-friendly personalized, youth-centered, mobile health resource. ePACE is composed of a multi-problem screener to guide the implementation of a set of key integrated behavior change modules (Drug Abuse, Interpersonal Relations, Negative Emotions, Stress) providing a cohesive focus on SU and CPs. The specific aims of are: Aim 1: Finalize ePACE development by: 1) Conducting separate focus groups with JJS staff and JIY to seek input on the functionality, feasibility, and initial acceptability of the resource’s screening tool and initial version of the behavior change modules, and 2) Revise program features based on focus group results and new research literature. Aim 2: Evaluate the impact of ePACE and a “fixed” non-personalized version (eFACE) counterpart for JIY with co- occurring problems, relative to a waiting list group (WLG) on SU and CP outcomes. We expect better SU and CP outcomes for both ePACE and eFACE vs WLG over the 6-month follow-up and expect that ePACE vs WLG effects will be larger than eFACE vs WLG effects. Aim 3: Evaluate the direct effects of ePACE and eFACE on targeted areas of functioning and skill development hypothesized to produce change in SU and CP. We expect youth assigned to ePACE and eFACE to exhibit greater improvements compared to those assigned to WLG, with the effects of ePACE larger than those of eFACE. Aim 4: Examine factors associated with successful implementation of ePACE, including participant ratings of usability, acceptability, and satisfaction. The proposed brief, personalized, youth-centered, early intervention approach, web and smart-phone friendly, offers a promising solution for the JJS to address the underserved needs of youth, potentially mitigating the need for more intensive, costly interventions later and potentially accommodating a youth-serving system that often lacks accessible and affordable behavior health services.

项目概要 我们建议为 JIY 设计并试点测试基于技术的多成分行为健康干预措施。 移动健康干预的设计和功能基于两个关键的发展 首先，干预措施将解决物质之间既定的双向关系。 使用（SU）和同时发生的问题（CP），这是参与 JJS 的青少年（JIY）的一个决定性特征。 与当代以患者和青年为中心的医疗保健提供模式保持一致，移动医疗 干预措施将采用互动设计，让青少年能够收到反馈并做出积极的选择 这种以年轻人为中心的方法明显不同于传统的 JJS 服务模式。 这些概念性的设计特点和功能将优化青年参与度、赋权、 和机构，以最大限度地提高临床效果。可扩展至任何智能手机的数字医疗资源将是可行的。 无需由训练有素的专业人员进行交付，并且可以通过 JJS 轻松访问，包括 拟议的 1a/1b 阶段治疗开发研究的目标是完善和试点测试。 “ePACE”（电子健康个性化改变功效方法），设计为 JJS 和 JIY 友好型 个性化、以青少年为中心的移动健康资源由多问题筛查仪组成，用于指导。 实施一套关键的综合行为改变模块（药物滥用、人际关系、 负面情绪、压力）集中关注 SU 和 CP，其具体目标是： 目标 1：最终确定。 ePACE 的开发方式如下： 1) 与 JJS 员工和 JIY 开展单独的焦点小组，以寻求对 ePACE 的意见 资源筛选工具的功能、可行性和初始可接受性以及行为的初始版本 更改模块，以及 2) 根据焦点小组结果和新的研究文献修改计划特征。 2：评估 ePACE 和 JIY 的“固定”非个性化版本 (eFACE) 对应物的影响 相对于 SU 和 CP 等待名单组 (WLG) 而言，我们预计 SU 和 CP 结果会更好。 6 个月随访期间 ePACE 和 eFACE 与 WLG 的 CP 结果，并预计 ePACE 与 WLG 影响将大于 eFACE 与 WLG 的影响 目标 3：评估 ePACE 和 eFACE 对的直接影响。 我们期望开发功能和技能发展的目标领域，以产生 SU 和 CP 的变化。 与分配到 WLG 的青年相比，分配到 ePACE 和 eFACE 的青年表现出更大的进步， ePACE 的影响大于 eFACE 的影响 目标 4：检查与 eFACE 相关的因素。 ePACE 的成功实施，包括参与者对可用性、可接受性和满意度的评级。 拟议的简短、个性化、以青年为中心、早期干预方法、网络和智能手机友好、 为 JJS 提供了一个有前途的解决方案，以满足青年人未得到充分满足的需求，从而有可能缓解这一需求 以便以后采取更密集、成本更高的干预措施，并可能适应经常出现的青年服务系统 缺乏可获得且负担得起的行为健康服务。