Family Therapy via Video Teleconference for Substance-Abusing Rural Adolescents
通过视频电话会议为农村药物滥用青少年提供家庭治疗
基本信息
- 批准号:8415519
- 负责人:
- 金额:$ 64.21万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2012
- 资助国家:美国
- 起止时间:2012-02-01 至 2015-11-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdolescentAdolescent BehaviorAffectAftercareAlcohol or Other Drugs useAreaBehavior TherapyBehavioralChildChronicClinicalClinical effectivenessComplexCost Effectiveness AnalysisCountyDiagnosticDiffusion of InnovationDrug FormulationsDrug abuseEvaluationEvidence based treatmentFaceFamilyFamily psychotherapyFeasibility StudiesHIV riskHealth ServicesHealth Services AccessibilityHome environmentInterventionInvestigationLifeLifestyle-related conditionMedicineModalityModelingMotivationNew MexicoOnline SystemsOutcomeParentsParticipantPersonsPilot ProjectsPopulationProblem behaviorProcessPsychiatryPsychotherapyPublic PolicyRandomizedRandomized Clinical TrialsRelative (related person)ResearchRisk BehaviorsRuralRural CommunityServicesSubstance AddictionSubstance Use DisorderSubstance abuse problemTechnologyTechnology TransferTeleconferencesTestingTherapeuticTreatment EfficacyYouthadolescent drug useadolescent substance abuseadolescent substance usebasecommunity settingcostcost effectivefollow-uphealth care deliveryimplementation scienceimprovedmeetingspeerprobationrecidivismrural areasatisfactionsubstance abuse treatmenttheories
项目摘要
DESCRIPTION (provided by applicant): It has been well documented that only about 10% of adolescents with clinically diagnosable substance use problems receive treatment in any given year. One of the major contributing factors to chronic levels of unmet need for treatment among this population is the unavailability and inaccessibility of treatment services. Service accessibilty is particularly limited in rural areas. To address problems of service availability and accessibiliy in rural areas, the use of video teleconferencing technology to provide direct services has emerged within the fields of medicine and psychiatry in particular. The use of such technology to enhance the delivery of behavioral psychotherapy is beginning to emerge as well. A handful of primarily small-scale pilot and feasibility studies indicate that psychotherapy interventions administered using video teleconferencing technology may be as effective as traditional face-to-face interventions. Few randomized clinical trials of telepsychotherapy have been conducted to date, however, and virtually none have examined video teleconferencing interventions for any type of child or adolescent behavioral problem including substance abuse. The proposed study is intended to address the need for research evaluating the application of video teleconferencing technology as a means of service delivery for substance abusing adolescents and their families living in rural areas. Specifically, the current proposal is a randomized clinical trial testing th efficacy of Functional Family Therapy (FFT) administered by video teleconference (FFT-V) in the homes of substance abusing adolescents. In the proposed investigation, FFT-V will be compared with FFT administered face-to- face in the family home as well as to a services-as-usual (SAU) condition. The overarching objective of the study is to examine the degree to which an empirically based model of substance abuse treatment such as FFT can be effectively administered via video teleconferencing to adolescents and families living in rural and remote areas who would be otherwise unlikely to access treatment. The specific aims of the proposed study are to (1) evaluate the efficacy of FFT-V compared to FFT and SAU in reducing adolescent drug use, HIV risk behavior, delinquency, and recidivism, (2) evaluate the efficacy of FFT-V compared to FFT in establishing functional levels of therapeutic alliance formation, treatment attendance, retention, and satisfaction with treatment, (3) evaluate the efficacy of FFT-V compared to FFT and SAU in impacting core mechanisms of change in adolescent behavior including improved levels of family functioning and adolescent association with substance using peers, and (4) conduct a preliminary cost-effectiveness analysis to derive initial estimates of the relative costs of each treatment modality per outcome unit. .
描述(由申请人提供):有充分的证据表明,在任何一年中,只有约10%的青少年有临床诊断的物质使用问题接受治疗。造成这一人群长期得不到满足的治疗需求的主要因素之一是无法获得治疗服务。在农村地区,获得服务的机会特别有限。为了解决农村地区服务的提供和获取问题,特别是在医学和精神病学领域,出现了利用电视电话会议技术提供直接服务的做法。使用这种技术来加强行为心理治疗的实施也开始出现。少数主要是小规模的试点和可行性研究表明,使用视频电话会议技术管理的心理治疗干预可能与传统的面对面干预一样有效。然而,迄今为止,很少有远程心理治疗的随机临床试验,几乎没有一个研究过任何类型的儿童或青少年行为问题(包括药物滥用)的视频电话会议干预。拟议研究的目的是满足研究的需要,评价电视电话会议技术的应用,以此作为向生活在农村地区的药物滥用青少年及其家庭提供服务的一种手段。具体来说,目前的建议是一项随机临床试验,测试功能性家庭治疗(FFT)的有效性,通过视频电话会议(FFT-V)在物质滥用青少年的家庭。在拟议的调查中,FFT-V将与家庭中面对面管理的FFT以及常规服务(SAU)条件进行比较。该研究的首要目标是检查在何种程度上可以通过视频电话会议向生活在农村和偏远地区的青少年和家庭有效地管理基于经验的药物滥用治疗模式,如FFT,否则他们不可能获得治疗。拟议研究的具体目的是(1)评价FFT-V与FFT和SAU相比在减少青少年吸毒、HIV风险行为、犯罪和累犯方面的疗效,(2)评价FFT-V与FFT相比在建立治疗联盟形成、治疗出勤、保留和治疗满意度的功能水平方面的疗效,(3)评价FFT-V与FFT和SAU相比在影响青少年行为改变的核心机制方面的功效,包括改善家庭功能水平和青少年与使用物质的同龄人的联系,和(4)进行初步的成本效益分析,以得出每个结果单位的每种治疗方式的相对成本的初步估计。.
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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TIMOTHY J OZECHOWSKI其他文献
TIMOTHY J OZECHOWSKI的其他文献
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{{ truncateString('TIMOTHY J OZECHOWSKI', 18)}}的其他基金
Process and Outcome Analysis of Group Treatment for Adolescent Substance Abuse
青少年药物滥用群体治疗的过程和结果分析
- 批准号:
8601301 - 财政年份:2013
- 资助金额:
$ 64.21万 - 项目类别:
Process and Outcome Analysis of Group Treatment for Adolescent Substance Abuse
青少年药物滥用群体治疗的过程和结果分析
- 批准号:
8431207 - 财政年份:2013
- 资助金额:
$ 64.21万 - 项目类别:
Family Therapy via Video Teleconference for Substance-Abusing Rural Adolescents
通过视频电话会议为农村药物滥用青少年提供家庭治疗
- 批准号:
8582545 - 财政年份:2012
- 资助金额:
$ 64.21万 - 项目类别:
Family Therapy via Video Teleconference for Substance-Abusing Rural Adolescents
通过视频电话会议为农村药物滥用青少年提供家庭治疗
- 批准号:
8266280 - 财政年份:2012
- 资助金额:
$ 64.21万 - 项目类别:
Therapist-Family Interactions in Functional Family Therapy for Drug Abusing Youth
吸毒青少年功能性家庭治疗中治疗师与家庭的互动
- 批准号:
8019454 - 财政年份:2010
- 资助金额:
$ 64.21万 - 项目类别:
Therapist-Family Interactions in Functional Family Therapy for Drug Abusing Youth
吸毒青少年功能性家庭治疗中治疗师与家庭的互动
- 批准号:
7776724 - 财政年份:2010
- 资助金额:
$ 64.21万 - 项目类别:
A Pilot Test of the Functional Family Therapy Coding and Rating Scale
功能家庭治疗编码和评定量表的试点测试
- 批准号:
7314642 - 财政年份:2007
- 资助金额:
$ 64.21万 - 项目类别:
Item Response Theory for Sequential Data in Drug Therapy
药物治疗中顺序数据的项目反应理论
- 批准号:
7500673 - 财政年份:2007
- 资助金额:
$ 64.21万 - 项目类别:
A Pilot Test of the Functional Family Therapy Coding and Rating Scale
功能家庭治疗编码和评定量表的试点测试
- 批准号:
7474759 - 财政年份:2007
- 资助金额:
$ 64.21万 - 项目类别:
Item Response Theory for Sequential Data in Drug Therapy
药物治疗中顺序数据的项目反应理论
- 批准号:
7208402 - 财政年份:2007
- 资助金额:
$ 64.21万 - 项目类别:
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