Using Mobile Technology to Enhance MST Outcomes

使用移动技术增强 MST 成果

• 批准号: 8313372
• 负责人: Linda A Dimeff
• 金额: $ 34.01万
• 依托单位: EVIDENCE-BASED PRACTICE INSTITUTE, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-23 至 2015-08-22
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8313372
• 关键词: Address; Administrator; Adolescent; Behavior; Car Phone; Cellular Phone; Child; Clinic; Clinical; Communication; Communications Media; Communities; Data; Development; Doctor of Philosophy; Drops; Drug abuse; Drug usage; Educational workshop; Effectiveness; Ensure; Evaluation; Event; Family; Feedback; Glosso-Sterandryl; Goals; Health Services Accessibility; Heavy Drinking; Hour; Household; Illicit Drugs; Institutes; Intelligence; Internet; Intervention; Interview; Juvenile Delinquency; Length; Marketing; Mental Health; Modeling; Monitor; National Institute of Drug Abuse; Outcome; Parents; Penetration; Phase; Practice Management; Process; Provider; Psychological reinforcement; Punishment; Randomized Controlled Trials; Research; Resources; Rewards; Sales; Schools; Services; Social support; Staging; Substance abuse problem; System; Target Populations; Technology; Teenagers; Telephone; Testing; Text; Time; Work; Youth; adolescent drug abuse; anti social; base; behavior change; cost; cost effectiveness; design; deviant; digital; effective intervention; evidence base; experience; improved; information gathering; innovation; innovative technologies; meetings; multidisciplinary; parental monitoring; prevent; probation; prototype; public health relevance; quality assurance; response; skills; social networking website; success; therapy outcome; usability

DESCRIPTION (provided by applicant): Each year over 2 million adolescents are arrested in the U.S.[4], and many more (9-18 percent of all youth) engage in serious delinquent behavior, such as heavy drinking, illicit drug use, and school drop-out[5]. The most effective interventions to address these problems are family-based, with a strong clinical emphasis on helping parents regain control of youth behavior through better monitoring of activities and consistent use of contingencies (rewards and punishments) for appropriate and deviant behavior[6]. The fact that 21st century youth are technologically "wired" (75 percent now own a cell phone[1], spending an average of 33 minutes talking and 1.5 hours texting each day;[2] in addition, 93 percent of households with children now have Internet access[45]) offers an opportunity for parents to monitor youth more accurately and to provide more frequent, contingent rewards for good behavior than previously possible. The primary aim of this application is to develop and evaluate a sophisticated multi-component technology suite designed to enhance parents' ability to manage youth behavior. At the core of this VillageWhere suite is a mobile phone app for youth cell phones that uses contextual intelligence (notifies parents of youth activities and prompts youth to change behavior) and gamification (rewards youth and maintains youth engagement). The app will integrate with an Internet-based dashboard for parents (www.villagewhere.com) that will show youth whereabouts and consolidate information critical for parental management. This suite will be developed within the context of Multisystemic Therapy (MST), an empirically-supported and widely-disseminated intervention for youth antisocial behavior designed for the most serious subset of the target population. When incorporated into interventions such as MST, VillageWhere could enhance clinical outcomes while reducing treatment length and cost and expanding treatment access. We will use an iterative development process involving feedback from end-users during all stages of prototype development. Given the novelty of VillageWhere, in Phase I we will conduct an extensive formative evaluation to confirm and ensure proof of concept, and a summative evaluation to examine the product's usability, acceptability, and feasibility. Throughout Phase I we will gather in-depth qualitative and quantitative data from parents, youth, and clinicians drawn from an extensive network of MST providers. In the event of a successful Phase I formative evaluation, we will propose a Phase II plan to conduct a between subjects RCT comparing the fully completed VillageWhere system delivered within MST to MST as usual and examine a range of youth-, parent-, and therapist-level outcomes.

描述（申请人提供）：美国每年有超过200万青少年被捕[4]还有更多的人（占所有青少年的9%-18%）从事严重的违法行为，如酗酒、非法吸毒和辍学[5]。解决这些问题的最有效的干预措施是以家庭为基础的，临床上强调通过更好地监测活动和对适当和异常行为持续使用意外事件（奖励和惩罚）来帮助父母重新控制青少年行为[6]。事实上，21世纪的世纪青年是技术“有线”（75%的人现在拥有手机，平均每天通话33分钟，发短信1.5小时;[2]此外，93%的有孩子的家庭现在可以上网[45]）为父母提供了一个更准确地监测青少年的机会，比以前更容易获得对良好行为的偶然奖励。该应用程序的主要目的是开发和评估一个复杂的多组件技术套件，旨在提高父母的能力，管理青年的行为。这个VillageWhere套件的核心是一个面向青少年手机的移动的手机应用程序，它使用情境智能（通知父母青少年的活动并提示青少年改变行为）和游戏化（奖励青少年并保持青少年参与）。该应用程序将与一个基于互联网的家长仪表板（www.villagewhere.com）集成，该仪表板将显示青少年的行踪，并整合对家长管理至关重要的信息。该套件将在多系统治疗（MST）的背景下开发，MST是一种为目标人群中最严重的子集设计的针对青少年反社会行为的药物支持和广泛传播的干预措施。当纳入MST等干预措施时，VillageWhere可以提高临床结果，同时减少治疗时间和成本，并扩大治疗范围。我们将使用一个迭代开发过程，在原型开发的所有阶段都涉及最终用户的反馈。鉴于VillageWhere的新奇，在第一阶段，我们将进行广泛的形成性评估，以确认和确保概念证明，并进行总结性评估，以检查产品的可用性，可接受性和可行性。在整个第一阶段，我们将从家长、青少年和来自广泛的MST提供者网络的临床医生那里收集深入的定性和定量数据。如果第一阶段形成性评价成功，我们将提出第二阶段计划，进行受试者之间的随机对照试验，将MST内提供的完全完成的VillageWhere系统与通常的MST进行比较，并检查一系列青少年，父母和治疗师水平的结果。