mHealth Intervention via Mentors: Preventing Substance Use, Sexual Risk and Violence among Inner City Youth through Technology-Enhanced Mentoring

通过导师进行移动健康干预：通过技术增强的指导预防内城青少年的药物使用、性风险和暴力

• 批准号: 10220000
• 负责人: Michelle R. Kaufman
• 金额: $ 17.86万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-15 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10220000
• 关键词: Address; Adolescent; Adult; African American; Alcohol consumption; American; Area; Attention; Award; Baltimore; Behavior; Big Data; Cellular Phone; Child; Cities; Collaborations; Communication; Community Networks; Coping Behavior; Crime; Data; Development; Drug usage; Early identification; Effectiveness; Enhancement Technology; Ensure; Environment; Face; Feeling; Female; Fostering; Frequencies; Funding; Goals; Grant; Health; Health Promotion; Health Technology; Health behavior; Health behavior change; Imprisonment; Interpersonal Violence; Interruption; Intervention; K-Series Research Career Programs; Knowledge; Lead; Learning Skill; Link; Low income; Male Adolescents; Measures; Mentors; Mentorship; Modeling; Outcome; Parents; Pathway interactions; Persons; Pharmaceutical Preparations; Play; Population; Poverty; Prevention; Public Health; Qualitative Methods; Randomized Controlled Trials; Research; Research Personnel; Resources; Risk; Risk Behaviors; Role; Social support; Stress; Stress and Coping; Structural Racism; Technology; Time; Training; Trauma; Trust; Underemployment; United States National Institutes of Health; Violence; Work; Youth; acceptability and feasibility; adolescent health; adolescent health outcomes; adolescent substance use; career; career development; catalyst; early onset substance use; experience; field study; health disparity; high risk; implementation intervention; improved; inner city; innovation; interest; mHealth; male; meetings; peer; perpetrators; prevent; preventive intervention; programs; reduced substance use; sexual debut; sexual risk behavior; smartphone Application; social; social media; stress management; substance use; substance use prevention; success; teacher; tool; universal prevention; urban area

PROJECT SUMMARY This K01 proposal, “mHealth Intervention via Mentors: Preventing Substance Use, Sexual Risk, and Violence among Inner City Baltimore Youth through Technology-Enhanced Mentoring,” addresses two fields of study relevant to adolescent health that deserve further attention, particularly in how they can intersect to improve public health: youth mentoring and mobile health (mHealth) prevention interventions. Adolescents growing up in low-income urban areas such as Baltimore are at particularly high risk for unhealthy practices such as substance use, sexual risk, and engagement in violence. For adolescents who lack socially protective resources such as parents, attentive teachers, or community networks, mentors can play a significant role in helping to reduce stress, prevent negative health behaviors, and model positive health behaviors. However, little is known about the pathways by which mentee health behavior change occurs, especially for the prevention of substance use, how matched mentors can effectively communicate health promotion messages, or how mHealth technology might be leveraged to enhance existing mentoring models. Utilizing knowledge and training gained through this award in the areas of adolescent substance use, mHealth interventions, and analysis of dyadic and “big” social media and smartphone data, the goal of the proposed study is to develop a prevention intervention in the form of a smartphone application (app), as well as training materials for using the app, to enhance existing mentoring models for highly vulnerable African American male adolescents in urban Baltimore. The training, professional development, and pilot data gained under this award will allow me to propose an R01 to conduct a naturalistic study or randomized controlled trial to measure effect sizes in the reduction of substance use and related health risk behaviors among mentored adolescent males. Support under a K award and the linked career development experiences will allow me to become an independent investigator focused on a new area of expertise—substance use prevention with urban American youth using mHealth—and to learn the skills required for successfully pursing NIH research funding. My long-term career goal is to answer the following research questions: 1) How can mentoring help improve health outcomes for at-risk adolescents and reduce health disparities in adulthood? and 2) How can mHealth be used in prevention intervention with this population? Fully understanding how to set up a systematic research program that intersects the fields of youth mentoring and effective mHealth intervention has great potential to lead me towards an innovative and productive independent research career in a new area. My intermediate career goals under this training grant are to focus work locally with African American adolescent males in Baltimore City, understand how technology-enhanced mentoring can serve as a universal prevention tool for urban male adolescents, build capacity to analyze dyadic data and data produced by social media and smartphone applications, and to develop collaborations with leading investigators in substance use prevention, youth mentoring, and mHealth research.

项目总结 这份K01提案名为《通过导师进行mHealth干预：预防药物使用、性风险和暴力 在内城巴尔的摩青年中通过技术增强的指导，“解决两个研究领域 与青少年健康有关，值得进一步关注，特别是在它们如何相互交汇以改进方面 公共卫生：青年辅导和流动卫生(MHealth)预防干预措施。成长中的青少年 在低收入城市地区，如巴尔的摩，不健康行为的风险特别高，如 药物使用、性风险和参与暴力。针对缺乏社会保护资源的青少年 例如父母、细心的老师或社区网络，导师可以在帮助 减轻压力，预防消极健康行为，树立积极健康行为榜样。然而，人们对此知之甚少 关于被辅导者健康行为发生变化的途径，特别是为了预防物质 使用，匹配的导师如何有效地传达健康促进信息，或者mHealth如何 可以利用技术来增强现有的指导模式。利用所获得的知识和培训 通过该奖项在青少年药物使用、移动健康干预以及分析二元性和 社交媒体和智能手机的大数据，拟议研究的目标是开发一种预防干预 以智能手机应用程序(App)的形式，以及使用该应用程序的培训材料，以增强 针对巴尔的摩市区高度脆弱的非裔美国男性青少年的现有辅导模式。这个 根据该奖项获得的培训、专业发展和试点数据将使我能够建议R01 进行自然主义研究或随机对照试验，以测量物质减少的效果大小 接受指导的青春期男性的使用和相关健康危险行为。在K奖下的支持和 相关的职业发展经验将使我成为一名独立调查员，专注于一种新的 专业领域-使用mHealth预防美国城市青年使用药物使用-并学习技能 成功募集美国国立卫生研究院研究经费所必需的。我的长期职业目标是回答以下问题 研究问题：1)辅导如何帮助改善高危青少年的健康状况，并减少 成年后的健康差距？以及2)如何将mHealth用于预防干预 人口？充分认识如何建立一个跨越青年领域的系统研究计划 指导和有效的mHealth干预具有巨大的潜力，可以引导我走向创新和 在一个新领域从事富有成效的独立研究事业。我在这笔培训补助金下的中级职业目标 将重点放在巴尔的摩市与非裔美国青少年男性的当地工作上，了解如何 技术强化的辅导可以作为城市男性青少年的普遍预防工具， 能够分析二元数据和社交媒体和智能手机应用程序产生的数据，并 与主要研究人员在药物使用预防、青少年指导和移动健康方面开展合作 研究。

项目成果

"This show hits really close to home on so many levels": An analysis of Reddit comments about HBO's Euphoria to understand viewers' experiences of and reactions to substance use and mental illness.

• DOI: 10.1016/j.drugalcdep.2020.108468
• 发表时间: 2021-03-01
• 期刊: Drug and alcohol dependence
• 影响因子: 4.2
• 作者: Kaufman MR;Bazell AT;Collaco A;Sedoc J
• 通讯作者: Sedoc J

Mentoring in the Time of COVID-19: An Analysis of Online Focus Groups with Mentors to Youth.

• DOI: 10.1002/ajcp.12543
• 发表时间: 2022-03
• 期刊: American journal of community psychology
• 影响因子: 3.1
• 作者: Kaufman MR;Wright K;Simon J;Edwards G;Thrul J;DuBois DL
• 通讯作者: DuBois DL

E-Mentoring to Address Youth Health: A Systematic Review.

• DOI: 10.1007/s40894-021-00172-3
• 发表时间: 2022
• 期刊: Adolescent research review
• 影响因子: 4.7
• 作者: Kaufman MR;Levine D;Casella A;DuBois DL
• 通讯作者: DuBois DL

Age Differences in Perceptions of and Motivations for Voluntary Medical Male Circumcision Among Adolescents in South Africa, Tanzania, and Zimbabwe.

• DOI: 10.1093/cid/cix951
• 发表时间: 2018-04-03
• 期刊: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
• 作者: Patel EU;Kaufman MR;Dam KH;Van Lith LM;Hatzold K;Marcell AV;Mavhu W;Kahabuka C;Mahlasela L;Njeuhmeli E;Seifert Ahanda K;Ncube G;Lija G;Bonnecwe C;Tobian AAR
• 通讯作者: Tobian AAR

Impact of Counseling Received by Adolescents Undergoing Voluntary Medical Male Circumcision on Knowledge and Sexual Intentions.

接受自愿医疗男性包皮环切术的青少年接受的咨询对知识和性意向的影响。

• DOI: 10.1093/cid/cix973
• 发表时间: 2018
• 期刊: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
• 作者: Kaufman,MichelleR;Patel,EshanU;Dam,KimH;Packman,ZoeR;VanLith,LynnM;Hatzold,Karin;Marcell,ArikV;Mavhu,Webster;Kahabuka,Catherine;Mahlasela,Lusanda;Njeuhmeli,Emmanuel;SeifertAhanda,Kim;Ncube,Getrude;Lija,Gissenge;Bonnecwe
• 通讯作者: Bonnecwe