Digital Star: HIV Prevention for Youth in Mental Health Treatment

数字之星：青少年心理健康治疗中的艾滋病毒预防

• 批准号: 8603205
• 负责人: LARRY K BROWN
• 金额: $ 35万
• 依托单位: VIRTUALLY BETTER, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-02 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8603205
• 关键词: 18 year old; AIDS prevention; Academy; Achievement; Address; Adolescent; Adolescent Psychiatry; Affect; African American; Aftercare; Age; Age of Onset; Alcohol or Other Drugs use; Ambulatory Care Facilities; American; Area; Attitude; Award; Caring; Child Psychiatry; Cognition; Cognitive; Communities; Computer Simulation; Development; Education; Elements; Ensure; Feedback; Goals; Group Homes; HIV; Health Promotion; Health Services; Homeless Youth; Hospitals; Industry; Intervention; Knowledge; Length of Stay; Marketing; Mental Health; Modality; Monitor; Multimedia; Outcome; Paper; Parents; Participant; Phase; Prevention; Prevention program; Preventive Intervention; Process; Production; Public Health; Qualitative Evaluations; Randomized Controlled Trials; Recording of previous events; Regulation; Reporting; Research; Residential Treatment; Rhode Island; Risk; Safe Sex; Safety; Schools; Self Efficacy; Sex Behavior; Sexual Health; Sexual Partners; Small Business Innovation Research Grant; Small Business Technology Transfer Research; Subgroup; Technology; Therapeutic; Thinking; Time; Training; Universities; Youth; computerized; design; digital; evidence base; follow-up; group intervention; improved; innovation; models and simulation; multidisciplinary; novel; peer; product development; programs; prototype; public health relevance; randomized trial; response; sex; skills; tool; treatment center

DESCRIPTION (provided by applicant): Adolescents in mental health treatment are at greater risk for HIV and other STIs than their peers due to an earlier age of onset of sex, less protected sex, more sexual partners, and more frequent substance use. This greater risk is due to multiple factors including cognitive misperceptions, affect dysregulation, and less self efficacy. The numerous adolescents who receive mental health treatment do so in a variety of settings such as day hospital programs, therapeutic schools and residential centers. These programs offer a variety of health services but there is no efficacious HIV prevention program specifically tailored for the issues of youth in mental health treatment, other than the one described in this project. STAR ("Safe Thinking and Affect Regulation") is an award winning and efficacious fourteen session group intervention that successfully targets affect regulation and cognitive monitoring in sexual situations as the key, novel elements to improve sexual safety. This fourteen session group intervention won the Rieger Award for Scientific Achievement from the American Academy of Child and Adolescent Psychiatry in 2012. It is the first and only intervention to have demonstrated an improvement in safer sexual behavior for youth in mental health treatment, a group that is at- risk and not otherwise targeted with interventions tailored for their issues. The goal of this SBIR Fast-Track project is to transform STAR into an engaging digital, multimedia format, Digital STAR (D*STAR), for easy and reliable use by care agencies that serve adolescents in mental health treatment. To transform this intervention, Virtually Better, a company with a successful history of production and distribution of cutting-edge technological interventions, has teamed with the research developers of STAR at Rhode Island Hospital and Brown University. During the two phases of this Fast-Track project, digital session development will be accomplished by an iterative process of feedback and refinement between Virtually Better, the developers of STAR, adolescents in mental health treatment, and a Community Advisory Board. The created multimedia intervention, D*STAR, will convey relevant information, offer realistic skills practice, and be engaging and enjoyable. A randomized control trial of D*STAR compared to a time-matched digital general health promotion condition will be conducted among 120 adolescents ages 13 to 18 in mental health treatment to ensure that D*STAR is efficacious in improving HIV knowledge and relevant attitudes, and increasing safer sexual behavior. This project is innovative because D*STAR will contain the essential elements of a proven, award winning intervention; its digital format will allow for reliable and consistent deliverability; it will be utilized without the need for extensively trained or highly specialized facilitators; and it will use engaging, immersive technologies that are maximally appealing to youth. Developing this high- quality implementation package for easy dissemination is essential to achieving a greater public health impact from this proven HIV prevention intervention for youth in mental health treatment.

说明(申请人提供)：接受精神健康治疗的青少年比他们的同龄人感染艾滋病毒和其他性传播疾病的风险更大，这是因为他们开始性行为的年龄较早，性行为保护较少，性伴侣更多，使用药物更频繁。这种更大的风险是由多种因素造成的，包括认知误解、影响调节失调和自我效能感较低。许多接受心理健康治疗的青少年在各种环境中接受治疗，如日间医院计划、治疗学校和寄宿中心。这些方案提供各种卫生服务，但没有专门针对艾滋病毒的有效预防方案 在心理健康治疗中的青年问题，而不是本项目中描述的问题。STAR(安全思维和情绪调节)是一种获奖的、有效的十四次团体干预，它成功地针对性行为的影响调节和认知监测作为提高性安全的关键、新颖的要素。这项为期十四次的小组干预在2012年获得了美国儿童和青少年精神病学学会颁发的里格奖。这是第一次也是唯一一次在心理健康治疗中证明青少年安全性行为有所改善的干预措施，这是一个处于危险之中的群体，没有针对他们的问题量身定做的干预措施。这个 该SBIR快速通道项目的目标是将STAR转换为一种引人入胜的数字、多媒体格式，即Digital STAR(D*STAR)，供为青少年心理健康治疗提供服务的护理机构方便可靠地使用。为了改变这种干预方式，拥有生产和分销尖端技术干预手段的成功历史的公司Viley Better与罗德岛医院和布朗大学的STAR研究开发人员展开了合作。在这一快速通道项目的两个阶段中，数字课程的开发将通过一个迭代的过程来完成，这些反馈和改进是在虚拟更好的开发商、STAR的开发商、心理健康治疗中的青少年和社区咨询委员会之间进行的。创建的多媒体干预D*STAR将传达相关信息，提供现实的技能练习，并具有吸引力和趣味性。D*STAR与时间匹配的数字一般健康促进条件的随机对照试验将在接受心理健康治疗的120名13至18岁的青少年中进行，以确保D*STAR在改善艾滋病毒知识和相关态度、增加安全的性行为方面有效。该项目具有创新性，因为D*STAR将包含久经考验、屡获殊荣的干预措施的基本要素；它的数字格式将允许可靠和一致的交付；它将在不需要经过广泛培训或高度专业化的主持人的情况下使用；它将使用对年轻人最具吸引力的引人入胜的身临其境的技术。制定这一易于传播的高质量执行一揽子计划，对于在心理健康治疗中通过这一行之有效的青年艾滋病毒预防干预措施实现更大的公共健康影响至关重要。