Technology-based Training Tool for an Empirically-Supported Group-Based HIV and STI Prevention Intervention for Juvenile Offenders

基于技术的培训工具，用于针对青少年罪犯进行实证支持的基于群体的艾滋病毒和性传播感染预防干预

• 批准号: 10384017
• 负责人: GERI R DONENBERG
• 金额: $ 67.56万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-18 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10384017
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adolescent; Affect; Age; Aggressive behavior; Behavioral Research; Benchmarking; Caring; Chicago; Collaborations; Communities; Competence; Complex; Comprehension; Criminal Justice; Development; Diagnosis; Dissemination and Implementation; Distal; Education; Employment; Ensure; Evaluation; Evidence based intervention; Evidence based program; Feedback; HIV; HIV/STD; Health; Health Educators; Human Resources; Illinois; Indigenous; Individual; Internet; Intervention; Justice; Knowledge; Knowledge acquisition; Language; Learning; Life; Mental Health; Mental disorders; Methods; Minority; Multimedia; Narration; Oregon; Outcome; Personal Satisfaction; Persons; Phase; Privatization; Process; Program Sustainability; Public Health; Randomized; Research; Resources; Risk Behaviors; Role playing therapy; STI prevention; Sex Behavior; Small Business Innovation Research Grant; Societies; Substance abuse problem; Supervision; Support Groups; System; Technology; Teenagers; Testing; Time; Training; Training Programs; Universities; Videoconferencing; Work; Youth; acceptability and feasibility; arm; base; commercialization; commercially viable technology; comorbidity; cost; cost effective; cost effectiveness; efficacy trial; experience; follow-up; implementation fidelity; implementation outcomes; improved; innovation; interactive multimedia; juvenile delinquent; juvenile justice system; mobile application; prevent; preventive intervention; probation; programs; prototype; public health priorities; recidivism; satisfaction; scale up; screening; sexual risk taking; skills; substance use; tool; uptake; usability

Project Summary Youth under age 18 involved in the criminal justice system are disproportionately minorities and affected by substance abuse, mental illness, and HIV/STI. Most young offenders are released on community supervision without the STI, mental health, or substance use screening, diagnosis, and treatment afforded detained youth, despite similar rates of risk behavior. Their long-term trajectory is poor, the costs to society are high, and lasting effects on community well-being and individual employment prospects are profound. Altering this trajectory is a public health priority. Preventing HIV Among Teens (PHAT) Life is an evidence-based program that meets the need in juvenile justice to address youths' co-morbid health problems. The next––and perhaps most critical–– step in ensuring that this decade-long line of research produces actual, real-world improvements in the lives of probation youth is to develop a PHAT Life training strategy that is effective, cost-effective, and sustainable within juvenile justice settings. This private/public collaboration between Oregon Research Behavioral Intervention Strategies and the University of Illinois at Chicago will leverage existing resources and competencies to create a commercially viable technology-based training tool for PHAT Life with great potential for sustainability and cost-effectiveness. Building on SBIR Phase I research, in this Phase II application proposes to use a formative process to refine, enhance and complete the technology-based training tool to include: (a) an interactive multimedia web browser and mobile application, (b) dynamic multimedia presentations and interactive queries, (c) video examples of mock intervention delivery, (d) audio narration along with scripted language, (e) brief quizzes to ensure comprehension and knowledge acquisition, (f) opportunities to “learn more” by clicking on tabs for supplemental information, (g) targeted referrals to appendix materials, (h) games to promote engagement, and (i) other adaptations based on Phase I feedback. The proposed technology-based training tool should be highly sustainable, because it (a) relies on “indigenous” personnel to deliver the intervention, (b) is likely to prove cost-effective since we will utilize a technology that can deliver training at scale, and (c) will improve fidelity by leveraging technology to provide consistent training experiences to para-professionals. We will evaluate the training tool via a 2-arm RCT with 130 individuals who work with justice-involved youth. All trainees will receive the technology-based training tool and half will be randomized to receive supervision prior to real-life delivery. We will evaluate facilitator knowledge and satisfaction, and fidelity to PHAT Life following real-time intervention delivery. We will assess key implementation outcomes, including cost, feasibility, acceptability and sustainability. The proposed study is highly significant with strong commercialization opportunities for a scalable training solution that supports implementation fidelity and program sustainment addressing a key public health imperative.

项目摘要 参与刑事司法系统的18岁以下青年是不成比例的少数群体，受 药物滥用、精神疾病和艾滋病毒/性传播感染。大多数少年犯在社区监管下获释 如果没有性传播感染、精神健康或药物使用筛查、诊断和治疗， 尽管风险行为的比率相似。他们的长期轨迹很差，对社会的成本很高，而且是持久的 对社区福祉和个人就业前景的影响是深远的。改变这一轨迹是一种 公共卫生优先事项。在青少年中预防艾滋病毒(Phat)生活是一个基于证据的计划，符合 需要在少年司法方面解决青少年共同存在的健康问题。下一个--也许也是最关键的-- 确保这一长达十年的研究路线能够切实改善老年人的生活 试用期青年是开发一个有效的，成本效益高的，可持续的内部生活培训战略 少年司法环境。这是俄勒冈州研究机构行为干预部门之间的私人/公共合作 战略和伊利诺伊大学芝加哥分校将利用现有资源和能力创建 为Phat Life提供商业上可行的基于技术的培训工具，具有巨大的可持续性和 成本效益。在SBIR第一阶段研究的基础上，在此第二阶段应用程序中建议使用形成式 完善、加强和完善以技术为基础的培训工具的进程，以包括：(A)互动 多媒体网络浏览器和移动应用，(B)动态多媒体演示和交互查询， (C)模拟干预发言的视频实例；(D)音频叙述和脚本语言；(E)简报 确保理解和知识获取的测验，(F)通过点击选项卡来“了解更多”的机会 关于补充信息，(G)有针对性地转介附录材料，(H)促进参与的游戏， 以及(I)基于阶段I反馈的其他适应。拟议的以技术为基础的培训工具应为 高度可持续，因为它(A)依靠“土著”人员进行干预，(B)很可能证明 具有成本效益，因为我们将利用可提供大规模培训的技术，以及(C)将通过以下方式提高保真度 利用技术向辅助专业人员提供一致的培训体验。我们将评估 通过与130名从事涉及司法的青年工作的个人进行的双臂区域工作队，提供了一种培训工具。所有实习生都将收到 基于技术的培训工具和一半将在实际交付之前随机接受监督。 我们将评估辅导者的知识和满意度，以及在实时干预后对Phat Life的忠诚度 送货。我们将评估关键的实施成果，包括成本、可行性、可接受性和可持续性。 建议的研究具有非常重要的意义，因为可扩展的培训具有强大的商业化机会 支持解决关键公共卫生问题的实施保真度和计划支持的解决方案 势在必行。