Brief Positive Image Communications for Adolescents

描述（由申请人提供）： 本申请的主要目的是测试的有效性，可行性和有效性的简短的，创新的筛选和预防性干预措施，使用健身和积极的形象通信，经济上处于不利地位的高风险青少年在市中心的初级卫生保健设置。这项研究将：1）评估一个名为“健康与健康行为屏幕”（FHBS）的简单多健康行为筛查工具的可行性和有效性，该工具使用触摸屏软件提供量身定制的行为预防信息; 2）测试在初级卫生保健诊所内实施一对一咨询和简短的护理人员/父母干预的可行性; 3）检查由简短筛查和定制咨询组成的累积干预的功效，有或没有护理者/父母策略; 4）检查再干预的影响（即，助推器），以提高短暂的干预结果随着时间的推移;和5）检查是否对大麻，香烟和酒精使用的预防性干预的影响是由各种药物特异性认知，社会和环境风险和保护因素介导的。该项目的长期目标是减少大麻、香烟和酒精的滥用，以及在预防研究和服务中经常被忽视的高风险老年青少年的问题。这项研究的第一阶段将涉及进行形成性研究，包括焦点小组，仪器调查，专家小组和预试点研究，旨在提高修改和扩展的筛选和结果工具的效用，有效性和吸引力，以及将大麻和吸烟与现有的酒精信息沿着整合到以健身和身体外观为主题的计划中的量身定制的青年和照顾者/家长信息。第二阶段将进行两项研究。第一个是一个试点研究测试的可行性，修改和扩大预防性干预，名为青少年健身形象（AFI）项目。第二项研究是一项纵向随机试验，检查简短的筛查和一对一咨询的有效性，有或没有护理人员/父母的干预，对标准护理控制。这项研究还将测试随着时间的推移，再次干预对改善结局的影响。

DESCRIPTION (provided by applicant): The primary purpose of this application is to test the validity, feasibility and efficacy of brief, innovative screening and preventive interventions using fitness and positive image communications for economically disadvantaged high-risk adolescents in an inner-city primary health care setting. This research will: 1) assess the feasibility and validity of a brief multi-health behavioral screening instrument titled the Fitness and Health Behavior Screen (FHBS), using touch screen software for providing tailored behavioral prevention messages; 2) test the feasibility of implementing both a one-on-one consultation and a brief caregiver/parent intervention within a primary health care clinic; 3) examine the efficacy of a cumulative intervention consisting of a brief screen and tailored consultation, with or without a caregiver/parent strategy; 4) examine the impact of re-interventions (i.e., boosters) on enhancing brief intervention outcomes over time; and 5) examine whether the effects of the preventive intervention on marijuana, cigarette and alcohol use were mediated by various drug-specific cognitive, social and environmental risk and protective factors. The long-term objective of this project is to reduce marijuana, cigarette, and alcohol abuse and problems among high-risk older adolescents who are often ignored in prevention research and services. The first phase of this research will involve conducting formative research, including focus groups, instrument surveys, expert panels, and a pre-pilot study, aimed at enhancing the utility, validity and appeal of modified and expanded screening and outcome instruments and tailored youth and caregiver/parent messages integrating marijuana and cigarette smoking, along with existing alcohol messages, into a fitness and physical appearance-themed program. The second phase will involve conducting two studies. The first is a pilot study testing the feasibility of a modified and expanded preventive intervention titled the Adolescent Fitness Image (AFI) Project. The second study is a longitudinal randomized trial examining the efficacy of a brief screen and one-on-one consultation, with or without a caregiver/parent intervention, against a standard care control. This study will also test the effects of re-interventions for enhancing outcomes over time.