Computerized Stage-Matched Intervention for Juvenile Offenders

少年犯计算机化阶段匹配干预

• 批准号: 8420471
• 负责人: DEBORAH A LEVESQUE
• 金额: $ 55.17万
• 依托单位: PRO-CHANGE BEHAVIOR SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-15 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8420471
• 关键词: 17 year old; Abstinence; Accounting; Adherence; Adolescent; Age; Alcohol or Other Drugs use; Alcohols; Behavioral; Computers; Crime; Criminal Justice; Development; Drug user; Environment; Evidence based practice; Evidence based treatment; Expert Systems; Feedback; Female; Freedom; Frequencies; Funding; Goals; Health Services Research; Individual; Individual Differences; Intervention; Investments; Justice; Laws; Life; Modeling; Motivation; Multimedia; National Institute of Drug Abuse; Online Systems; Outcome; Outcome Measure; Pain; Participant; Patient Self-Report; Pharmaceutical Preparations; Phase; Population; Price; Printing; Professional counselor; Property; Protocols documentation; Quality of life; Randomized; Randomized Clinical Trials; Readiness; Records; Reporting; Research; Resort; Resources; Risk; Small Business Innovation Research Grant; Societies; Staging; Structure; Substance abuse problem; Supervision; System; Technology; Time; Training; Treatment Efficacy; Urine; Ursidae Family; Violence; Wages; Youth; aged; base; behavior change; career; community setting; computerized; cost; court; criminal behavior; drug testing; effective therapy; emotional distress; experience; follow-up; high risk; improved; individualized feedback; innovation; intervention program; juvenile arrest; juvenile delinquent; male; neglect; offender; prevent; primary outcome; probation; programs; prototype; recidivism; reduced substance use; research to practice; secondary outcome; therapy design; tool; web site

DESCRIPTION (provided by applicant): Juvenile crime imposes enormous costs on victims, on society, and on juvenile offenders themselves. However, research assessing the efficacy of interventions for young offenders show, on average, only small effects on recidivism, substance abuse, and other behavioral outcomes. A major problem with existing interventions is that they tend to neglect individual differences in motivation and readiness to make positive changes. In earlier research, we used an empirically validated model of behavior change, the Transtheoretical Model (TTM, the "stage" model), and expert system technology to develop the Rise Above Your Situation program (RAYS), a prototype of a multimedia computerized tailored intervention designed as an adjunct to traditional juvenile justice programs. The intervention delivers assessments and individualized feedback matched to readiness to stay out of trouble with the law and quit alcohol and drugs. At the end each session the program also generates counselor report that summarizes the youth's feedback and presents concrete, easy-to-implement strategies counselors can use to reinforce stage-matched concepts. In the current research, the goals are to complete development of the computerized tailored intervention; develop training and other support materials for counselors; and assess the efficacy of the intervention package in a randomized clinical trial involving 1,000 court-involved juveniles aged 13-17. Primary outcomes will be criminal recidivism and substance abuse abstinence at 6 and 12 months follow-up.

描述（由申请人提供）：青少年犯罪给受害者、社会以及青少年犯罪者本身带来巨大的成本。然而，评估针对年轻罪犯的干预措施效果的研究表明，平均而言，对累犯、药物滥用和其他行为结果的影响很小。现有干预措施的一个主要问题是，它们往往忽视了做出积极改变的动机和准备程度的个体差异。在早期的研究中，我们使用经过经验验证的行为改变模型、跨理论模型（TTM，“阶段”模型）和专家系统技术来开发“超越你的处境”计划（RAYS），这是一个多媒体计算机定制干预的原型，旨在作为传统青少年司法计划的辅助手段。该干预措施提供评估和个性化反馈，与避免触犯法律和戒烟戒毒的准备相匹配。在每次会议结束时，该计划还会生成辅导员报告，总结青少年的反馈，并提出具体的、易于实施的策略，辅导员可以用来强化阶段匹配的概念。目前的研究目标是完成计算机化定制干预的开发；为辅导员制定培训和其他支持材料；并在一项涉及 1,000 名 13-17 岁法庭青少年的随机临床试验中评估干预方案的效果。主要结果将是 6 个月和 12 个月随访时的犯罪累犯和药物滥用戒断。