Technology Transfer of the ATLAS and ATHENA Programs

描述(申请人提供)：每年有超过750万高中生参加高中体育项目，另外还有200万学生加入这些运动队。青少年运动员使用提高成绩的药物有风险，如合成类固醇、不受监管的运动补充剂以及非法药物和酒精。不幸的是，很少有基于证据的药物滥用预防计划是为高中设计的。针对高中男运动员的ATLAS(运动员训练和学习避免类固醇)计划和针对高中女运动员的雅典娜(以健康锻炼和营养替代品为目标的运动员)计划，与国家药物滥用支持研究所共同研究，证实了在1)防止药物使用和2)促进健康行为方面的有效性。这些项目是由高中运动队内部的教练进行同伴教育和促进的。尽管这些计划已经传播到36个州和大约70,000名学生运动员及其教练，但这只占同期参加体育运动的高中运动员的不到0.25%。更广泛地实施ATLAS和雅典娜的一个重大障碍是在实施干预措施时损失团队练习时间，因为ATLAS有10个45分钟的课程，雅典娜有8个45分钟的课程。此外，学校体育属于课外活动，通常没有用于基于课程的干预的预算。为了克服这些障碍，STTR提案的第一阶段将启动将ATLAS和雅典娜转移到创新的在线版本。6项活动(3项ATLAS和3项雅典娜)将被转移到内容丰富的在线版本，可以由学生高保真地实施。将评估新版本的可行性和接受程度，并将其与学生运动员和教练团体的标准版本进行比较。这将为第二阶段做好准备，在此阶段，其他活动将放在网上，并增加学生运动员的社交网络和教练培训视频。该团队的影响力将继续，但会以一种简短的方式。最终的在线版本将使指导人员花费的时间减少约66%，而干预成本将减少75%。这对学校管理者(课程购买者)和教练(课程实施者)都很有吸引力。此外，计划的可用性将增加到每周7天、每天24小时。这种循证课程的技术转让将克服采用、实施和可持续性方面的障碍，同时保留行为改变的调解人，并减少青年中的药物滥用。 与公共卫生相关：该项目将启动ATLAS和雅典娜项目，科学证明这两个项目可以防止高中运动员使用毒品和酒精，改善健康行为，并将这些项目转移到低成本、创新的网络版本。这个增强的、内容丰富的版本将以一种高效的方式，以极低的成本加强ATLAS和雅典娜在高中中的广泛使用。

DESCRIPTION (provided by applicant): Over 7.5 million high school students participate in high school sports programs and an additional 2 million students join these athletic teams each year. Adolescent athletes are at risk for using performance enhancing drugs, such as anabolic steroids, unregulated sport supplements, and illicit drugs and alcohol. Unfortunately, few evidence-based substance abuse prevention programs are designed for high schools. The ATLAS (Athletes Training & Learning to Avoid Steroids) program for high school male athletes and the ATHENA (Athletes Targeting Healthy Exercise & Nutrition Alternatives) program for high school female athletes, studied with National Institute on Drug Abuse support, have established evidence of effectiveness in 1) preventing substance use and 2) enhancing healthy behaviors. The programs are peer taught and facilitated by coaches within the high school sport team. Although the programs have been disseminated to 36 states and approximately 70,000 student-athletes and their coaches, this represents less than 0.25% of the high school athletes participating in sports during the same time frame. A significant barrier to more widespread implementation of ATLAS and ATHENA is the loss of team practice time when implementing the interventions, as there are ten, 45 minute sessions for ATLAS and eight, 45 minute sessions for ATHENA. Also, school sports are extracurricular, often without a budget for curriculum based interventions. To overcome these barriers, Phase I of this STTR proposal will initiate the transfer of ATLAS and ATHENA to an innovative online version. Six activities, (3 ATLAS and 3 ATHENA) will be transferred to a content-rich online versions that can be implemented by students with high fidelity. The new version's feasibility and level of acceptance will be assessed, comparing it with the standard version of the programs with groups of student-athletes and coaches. This will set the stage for Phase II, wherein other activities will be placed online, augmented with student-athlete social networking and training videos for coaches. The influence of the team will continue, but in an abbreviated fashion. The final online version will reduce the time spent by coaching staff by approximately 66%, while intervention costs will be decreased by 75%. This will be appealing to both the school administrators (purchasers of the programs) and coaches (program implementers). Furthermore, program availability will be increased to 24 hours/day, 7 days each week. This technological transfer of evidence-based curricula will overcome impediments to adoption, implementation and sustainability, while retaining the mediators of behavior change, and reducing substance abuse among youth. PUBLIC HEALTH RELEVANCE: The project will initiate transfer the ATLAS and ATHENA programs, scientifically proven to prevent drug and alcohol use and improve health behaviors among high school athletes, to a low-cost, innovative web-based version of the programs. This enhanced, content-rich version will enhance ATLAS and ATHENA's widespread use among high schools at a fraction of the cost, in a highly efficient manner.