Technology-Based Prevention for Adolescent Substance Use, Sexual Assault, and Sexual Risk in Primary Care

基于技术的初级保健中青少年药物使用、性侵犯和性风险的预防

• 批准号: 10197066
• 负责人: Amanda Katherine Gilmore
• 金额: $ 19.98万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-17 至 2023-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10197066
• 关键词: Accounting; Adolescent; Adolescent Risk Behavior; Adult; Affect; Alcohol consumption; Area; Attitude; Behavior; Childhood; Clinic; Clinical Trials; Communities; Contracts; Data Analyses; Decision Making; Development; Elements; Ensure; Feasibility Studies; Feedback; Focus Groups; Goals; Grant; Health; Health Care Costs; Illicit Drugs; Impairment; Insurance; Intervention; Lead; Legal; Location; Longevity; Manuscripts; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentorship; Military Personnel; Modality; Modeling; National Institute of Drug Abuse; Nature; Outcome; Participant; Pediatrics; Phase; Physicians; Preparation; Prevention; Prevention program; Primary Health Care; Psychologist; Public Health; Randomized Controlled Trials; Reaction; Research; Research Activity; Research Ethics; Research Personnel; Research Project Grants; Resources; Risk; Risk Behaviors; Safety; Sex Behavior; Sexually Transmitted Diseases; Strategic Planning; Tablets; Technology; Testing; Time; Training; Training Activity; Unwanted pregnancy; Victimization; Visit; Work; Writing; adolescent health; adolescent substance use; aged; base; career; clinical trial analysis; college; design; efficacy testing; evidence base; experience; feasibility trial; health care availability; innovative technologies; longitudinal analysis; marijuana use; pediatrician; power analysis; prevent; primary care setting; programs; public health research; recruit; reduced substance use; screening; screening, brief intervention, referral, and treatment; sexual assault; sexual debut; sexual minority; sexual risk behavior; sexual victimization; skills; substance use; substance use prevention; usability

PROJECT ABSTRACT The overarching goal of this Mentored Patient-Oriented Research Career Development Award (K23) is to provide Dr. Amanda Gilmore with the training and research activities needed to become an independent investigator. Her program of research will focus on the development, testing, and dissemination of innovative, technology-based prevention focused on adolescent substance use, sexual assault (SA), and sexual risk behaviors (SRBs) in primary care settings. Substance use, sexual assault, and sexual risk behaviors are common among adolescents. They occur concurrently and are interrelated, making integrated prevention concerning these health risk behaviors imperative. Preventative visits in pediatric primary care settings are an ideal location to implement brief, integrated prevention due to their potential for wide reach. This proposal includes training activities to ensure that Dr. Gilmore achieves the following five new career goals: 1) Receive training in integrated prevention for adolescents to become a prevention researcher focused on preventing substance use, SA, and SRBs; 2) Receive training in implementing prevention-based clinical trials in primary care settings using screening, brief intervention, and referral to treatment (SBIRT) models; 3) Enhance statistical training in clinical trials and longitudinal analyses; 4) Enhance training in the use of innovative technologies as a mode of delivering prevention programs; 5) Increase manuscript writing, grant writing, and grant management skills; and 6) Enhance understanding of research ethics. The mentorship team includes expert psychologists and pediatricians in the following areas of research: integrated prevention of adolescent risk behavior (Danielson), substance use SBIRT in pediatrics (Levy), substance use prevention among sexual assault victims (Resnick), technology-based prevention programs for adolescents (Ruggiero), research within community pediatric practice research networks (Wallis), longitudinal data analyses from clinical trials (Ramakrishnan) and interventions for sexual minorities (Kaysen). Dr. Gilmore will apply the skills acquired during the training activities to a research project focused on the adaptation and integration of evidence-based prevention programs targeting adolescent substance use, sexual assault, and sexual risk behaviors to a tablet- based prevention program for primary care. The research project includes focus groups and expert input in the adaptation/integration phase, usability tests with both adolescents and physicians within community pediatric clinics, and a feasibility study within community pediatric clinics. The feasibility study will establish feasibility of conducting a larger randomized controlled trial testing the efficacy of the newly integrated and adapted prevention program. Preliminary efficacy of the prevention program will be examined. However, determining feasibility is the primary goal. The proposed training and research activities will prepare Dr. Gilmore for an independent research career focused on the development, testing, and dissemination of prevention focused on substance use, sexual assault, and sexual risk among adolescents in primary care settings.

项目摘要 该指导的以患者为导向的研究职业发展奖（K23）的总体目标是 为阿曼达吉尔摩博士提供成为独立专家所需的培训和研究活动。 调查员她的研究计划将侧重于开发，测试和传播创新， 以技术为基础的预防重点是青少年物质使用、性侵犯和性风险 行为（SRB）在初级保健设置。物质使用，性侵犯和性风险行为是 在青少年中很常见它们同时发生，相互关联，因此需要综合预防 对这些健康风险行为的关注势在必行。在儿科初级保健机构的重复访问是一个 由于其潜在的广泛影响，是实施简短、综合预防的理想地点。这项建议 包括培训活动，以确保吉尔摩博士实现以下五个新的职业目标：1）接收 对青少年进行综合预防培训，使其成为侧重于预防的预防研究人员 物质使用、SA和SRB; 2）接受在初级保健中实施基于预防的临床试验的培训 使用筛查、简短干预和转诊治疗（SBIRT）模式的护理环境; 3）加强 临床试验和纵向分析的统计培训; 4）加强使用创新方法的培训 技术作为提供预防方案的一种模式; 5）增加手稿写作，赠款写作， 基金管理技巧;及6）加强对研究道德的认识。导师团队包括 以下研究领域的心理学家和儿科专家： 危险行为（Danielson），儿科物质使用SBIRT（Levy），性行为中的物质使用预防 攻击受害者（雷斯尼克），基于技术的青少年预防方案（鲁杰罗），内部研究 社区儿科实践研究网络（沃利斯），临床试验纵向数据分析 （Ramakrishnan）和对性少数群体的干预（Kaysen）。吉尔摩博士会运用所学的技能 在培训活动期间，一个研究项目的重点是适应和整合基于证据的 针对青少年物质使用、性侵犯和性风险行为的预防计划， 预防为主的初级保健项目。该研究项目包括焦点小组和专家投入， 适应/整合阶段，青少年和社区儿科医生的可用性测试 在社区儿科诊所进行可行性研究。可行性研究将确定 进行一项更大规模的随机对照试验，测试新整合和调整的 预防方案。将检查预防方案的初步效果。然而，确定 可行性是首要目标。拟议的培训和研究活动将为吉尔摩博士 独立的研究生涯侧重于开发，测试和传播的预防重点是 初级保健机构中青少年的物质使用、性侵犯和性风险。