Strengthening Families Program Online for Teens and Families

摘要 在第二阶段SBIR中，我们提供了一个研究和商业化活动的综合平台， 制定、实施和评估一个10节的娱乐性网络家庭技能培训和青年毒品问题 加强家庭计划（SFP Online）。的 拟议的研究建立在第一阶段混合方法形成性评价的基础上，该评价导致了 单会话原型。在第二阶段，我们将这些努力扩展到开发一个可扩展的，可访问的和负担得起的 技能培训方案覆盖面更广，可以远程提供给家庭。传统主持人主导 团体计划是昂贵的和劳动密集型的;研究一致记录了许多障碍， 广泛的可用性。使家庭技能培训方案负担得起，并提供替代方案 需要建立机制，广泛宣传有效的初级预防工作。电脑- 当它们能够保存时，媒介化的“数字”环境提供了替代的程序交付方式 计划的有效成分的实施保真度，避免计划漂移，并确保高依从性。 这是我们第一阶段活动的主要目标，也是alpha原型开发的主要关注点。 为此，我们进行了参与式行动研究，与目标消费者进行焦点小组讨论 （父母和青少年），与家庭服务机构提供者进行了关键的知情人访谈， 支持该计划，并采访了电子学习专家和预防科学家。然后我们用这个 信息，以产生一个新的互动，多媒体网络版的SFP。我们还进行 广泛的生产后可用性测试。在第二阶段，我们建议在线测试SFP的完整测试版 与所有10个会议，使用迷你模块格式（每周提供多个会议）在纵向三- 条件随机对照试验（SFP在线，注意力控制家用DVD/视频，和等待 最小接触控制条件）。我们将对在线课程进行广泛的认知预测试 易于理解、接受、参与、游戏吸引力和文化多样性的材料。 我们还建议使用短期纵向3个月随访来测试持久效果。其他分析将 检查项目结果的主持人，包括参与度的测量（即，会话曝光， 性能标准和使用度量），以确定促进或抑制计划有效性的因素。 使用三个条件的非劣效性试验，我们将比较SFP在线程序的结果与（1） 注意力控制家庭使用DVD/视频成果，（2）传统的14节课小组课堂主持人- 领导方案成果。比较这三种情况之间的效应大小可以得出重要的结论， 关于交互性是否实现上级编程结果的信息。这个项目的长期目标 建议是建立一个可行的商业化平台，扩大以家庭为基础的技能培训的范围， 同时也为那些最需要的人带来负担得起的产品。

ABSTRACT In this Phase II SBIR we provide an integrated platform of research and commercialization activities to develop, implement, and evaluate a 10-session entertaining web-based family skills training and youth drug prevention program derived from the evidence-based Strengthening Families Program (SFP Online). The proposed research builds off of Phase I mixed-methods formative evaluation that led to the development of a single session prototype. In Phase II we extend these efforts to develop a scalable, accessible and affordable skills training program with wider reach that can be remotely delivered to families. Traditional facilitator-led group programs are costly and labor intensive; and research consistently documents numerous barriers to their widespread availability. Making family skills training programs affordable and providing alternative delivery mechanisms is required for wide spread dissemination of effective primary prevention efforts. Computer- mediated ‘digital’ environments provide alternative means of program delivery when they can preserve implementation fidelity of the program’s active ingredients, avoid program drift, and ensure high adherence. This was the main goal of our Phase I activities and a major concern in the alpha prototype development. Toward this end, we engaged participatory action research conducting focus groups with targeted consumers (parents and youth), key informant interviews conducted with family service agency providers who would champion the program, and interviewed experts in e-learning and prevention scientists. We then used this information to produce a novel interactive, multimedia web-based version of SFP. We also conducted extensive post-production usability testing. In Phase II we propose to test the full beta version of SFP Online with all 10 sessions, using a mini module format (multiple sessions delivered weekly) in a longitudinal three- condition randomized control trial (SFP Online, attention control Home-use DVD/videos, and wait-listed minimal-contact control condition). We will conduct extensive cognitive pretesting of the online curriculum materials for ease of comprehension, acceptance, engagement, gaming attractiveness, and cultural diversity. We also propose testing durable effects using a short-longitudinal 3-month follow-up. Additional analyses will examine moderators of program outcomes including measures of engagement (i.e., session exposure, performance criteria, and usage metrics), to determine factors that facilitate or inhibit program effectiveness. Using a three-condition non-inferiority trial, we will then contrast SFP Online program outcomes with (1) attention control Home-use DVD/videos outcomes and, (2) traditional 14-session group-classroom facilitator- led program outcomes. Comparison of the effect sizes between the three conditions can yield important information about whether interactivity achieves superior program outcomes. The long-range goals of this proposal are to create a viable commercialization platform to extend the reach of family-based skills training, while also bringing an affordable product to those in greatest need.