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: 10490978
• 负责人: GERI R DONENBERG
• 金额: $ 63.05万
• 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/10490978
• 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; 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; intervention delivery; juvenile delinquent; juvenile justice system; mobile application; pilot test; 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.

项目概要 参与刑事司法系统的 18 岁以下青少年不成比例地属于少数群体，并受到以下因素的影响： 药物滥用、精神疾病和艾滋病毒/性传播感染。大多数青少年罪犯被社区监督释放 没有为被拘留青少年提供性传播感染、心理健康或药物滥用筛查、诊断和治疗， 尽管危险行为的发生率相似。他们的长期轨迹很差，社会成本很高，而且持久 对社区福祉和个人就业前景的影响是深远的。改变这个轨迹是 公共卫生优先。预防青少年艾滋病毒 (PHAT) Life 是一项基于证据的计划，符合 青少年司法需要解决青少年的共病健康问题。接下来——也许也是最关键的—— 确保这一长达十年的研究成果能够切实改善人们的生活 缓刑青少年的目标是制定一项有效、具有成本效益且可持续的 PHAT Life 培训策略 少年司法设置。俄勒冈州行为干预研究中心之间的私人/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来创建 PHAT Life 的商业可行的基于技术的培训工具，具有巨大的可持续性潜力和 成本效益。基于 SBIR 第一阶段研究，在此第二阶段申请中建议使用形成性 完善、增强和完成基于技术的培训工具的过程，包括：(a) 互动式培训工具 多媒体网络浏览器和移动应用程序，(b) 动态多媒体演示和交互式查询， (c) 模拟干预的视频示例，(d) 音频旁白以及脚本语言，(e) 简介 确保理解和知识获取的测验，(f) 通过单击选项卡“了解更多”的机会 如需补充信息，(g) 有针对性地参考附录材料，(h) 促进参与的游戏， (i) 基于第一阶段反馈的其他调整。拟议的基于技术的培训工具应是 高度可持续，因为它 (a) 依靠“本土”人员提供干预，(b) 可能证明 具有成本效益，因为我们将利用一种可以大规模提供培训的技术，并且（c）将通过以下方式提高保真度： 利用技术为专业人员提供一致的培训体验。我们将评估 通过 2 组随机对照试验（RCT）提供培训工具，该试验有 130 名从事正义事业的青少年参与。所有学员将获得 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。 我们将在实时干预后评估辅导员的知识和满意度以及对 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。 拟议的研究非常重要，具有可扩展培训的强大商业化机会 支持实施保真度和计划维持的解决方案，解决关键公共卫生问题 至关重要的。