Developing a tailored substance use intervention for youth exiting foster care
Developing a tailored substance use intervention for youth exiting foster care
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DOI：
10.1016/j.chiabu.2018.01.013
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发表时间：
2018-03-01
影响因子：
4.8
通讯作者：
Vose-O'Neal, Adam
中科院分区：
文献类型：
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作者：
Braciszewski, Jordan M.;Wernette, Golfo K. Tzilos;Vose-O'Neal, Adam
脱离寄养系统的年老青年在获得药物使用治疗方面面临重大障碍。流动干预措施已显示出对几个心理和身体健康问题的有效性，并可能有助于克服寄养青少年面临的药物使用问题障碍。开发了一个减少药物使用的程序(IHeLP)，该程序使用了计算机化的筛选和简短干预(SBI)，然后是六个月的动态定制短信。该计划面向18-19岁的重点青少年群体(N=24)，他们最近离开了寄养家庭，有中度到重度的药物使用风险。在一项开放试验(N=16)中，在分娩之前使用焦点小组反馈来修改iHeLP。两个研究阶段都包括对可行性和可接受性的评估；开放试验还包括在3个月和6个月时对药物使用结果的评估。焦点小组表示，拟议的干预内容具有很高的可接受性。在为公开试验筛选的人中，43%符合条件，74%符合条件的人入选，这表明可行性很好。在最后一次随访中留存的比例为59%，退学与参与刑事司法系统有关。参与者对履行机构的喜好、易于合作、兴趣和尊重的评分很高。对短信部分的满意度也很高。减少药物使用风险的计算机化简短筛查干预和定制的短信在最近离开寄养机构的年轻人中既可行又高度可接受。
Youth who are aging out of the foster care system face significant barriers to accessing substance use treatment. Mobile interventions have shown efficacy for several mental and physical health issues and may be helpful in overcoming barriers facing foster youth with substance use problems. A program (iHeLP) for substance use reduction was developed that used a computerized screening and brief intervention (SBI) followed by six months of dynamically-tailored text messages. The program was shown to focus groups of youth (N = 24) ages 18-19 who recently left foster care and had moderate to severe substance use risk. Focus group feedback was used to modify iHeLP prior to delivery in an open trial (N = 16). Both study phases included assessments of feasibility and acceptability; the open trial also included assessments of substance use outcomes at 3 and 6 months. Focus groups indicated a high level of acceptability for the proposed intervention components. Of those screened for the open trial, 43% were eligible and 74% of those eligible enrolled, indicating good feasibility. Retention through the final follow-up was 59%, and drop out was associated with involvement in the criminal justice system. Participant ratings for liking, ease of working with, interest in and respectfulness of the SBI were high. Satisfaction ratings for the texting component were also high. A computerized brief screening intervention for substance use risk reduction together with tailored text messaging is both feasible and highly acceptable among youth who have recently aged-out of foster care.