Phone app for grounding (de-escalation) of substance-abusing transition-age youth

用于帮助药物滥用的过渡年龄青少年接地（降级）的手机应用程序

• 批准号: 8780836
• 负责人: LISA M NAJAVITS
• 金额: $ 22.5万
• 依托单位: TREATMENT INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8780836
• 关键词: Accidents; Age; Aging; Alcohol or Other Drugs use; Anger; Anxiety; Biometry; Books; Caring; Client; Clinical Trials; Cognitive; Coin; Collaborations; Complex; County; Depressed mood; Development; Distress; Educational process of instructing; Emotional; Emotions; Environment; Family; Feasibility Studies; Feedback; Feeling; Focus Groups; Forcible intercourse; Glosso-Sterandryl; Goals; HIV; Healthcare; Heart; Heart Rate; Home environment; Hormones; Housing; Impairment; Individual; Informal Social Control; Language; Learning; Left; Manuals; Marble; Mental Depression; Mental Health; Methodology; Methods; Mind; Modeling; Nature; Panic; Paper; Pathway interactions; Peer Group; Phase; Population; Process; Proxy; Psyche structure; Psychiatric Diagnosis; Psychiatric Hospitals; Public Health; Q-Sort; Rage; Reading; Recruitment Activity; Relative (related person); Relaxation; Risk; Safety; Sensory; Sexuality; Side; Small Business Innovation Research Grant; Spottings; Staging; Stress; Substance Use Disorder; Substance abuse problem; Technology; Telephone; Time; Training; Translating; Violence; Viral; Work; Youth; base; college; craving; design; driving under influence; emerging adulthood; emotion regulation; evidence base; experience; fighting; foster care; innovation; mindfulness; mobile application; phase 2 study; product development; programs; public health relevance; satisfaction; sensor; sexual assault; skills; substance abuse treatment; therapy development; treatment program; user-friendly; web site

DESCRIPTION (provided by applicant): Substance use disorder (SUD) is the second most common psychiatric diagnosis in the U.S. population, with 14.6% developing it in their lifetime. Transition-age youth (TAY) from ages 18-24 are especially vulnerable to substance use, misuse, and SUD. This developmental period, termed the "age of instability" includes tasks such as leaving home; entering college; working for the first time; body and sexuality changes; coalescing with a peer group; and for some, aging out of foster care or state custody, which end at age 18. This period is also prime for experimentation with substance use and associated risks such as driving under the influence, accidents, fighting and violence, HIV, and vulnerability to sexual assault. In this project, we focus on a major strategy, grounding, for helping to de-escalate (reduce) intense negative emotions and impulses. Grounding has long been used in psychiatric hospitals to provide a safe, quick, and powerful way to reduce any intense negative feeling, including impulses to hurt self or others, substance craving, anger, anxiety, etc. Described in detail in the book "Seeking Safety" (SS), grounding uses three pathways to focus the mind (mental), the body (physical), and the heart (soothing). Grounding provides a way to regulate emotion, which is a major challenge for youth, especially given their hormone changes and emotional intensity. Indeed, substance use is often described as a short-term way to regulate emotion. Grounding is a key module of SS, a widely-implemented, evidence-based SUD treatment model. In this proposal we focus exclusively on grounding as it is an essential skill and widely identified as easy to learn across even the most complex and vulnerable clients. We propose to turn grounding into a smartphone app because grounding should be used in the environment in which the distress is experienced; it capitalizes on TAY use of smartphones; promotes self-regulation; and is a stand- alone skill and sensory-oriented, thus ideal for a mobile app approach. Our specific aims are: (1) to develop a new product, a smartphone Grounding App. This will be an exciting, interactive Android app that uses state-of- the-art gaming technology to engage TAY in grounding, in collaboration with an outstanding company for the technology side of the project. (2) To use an iterative product development methodology based on end-user feedback. We propose various methods to obtain initial input from TAY with SUD before beginning app programming. (3) To conduct a small feasibility study of the app. This cross-sectional pilot will obtain information on end-users experience, usage, and satisfaction with the app, which can inform a phase II study. We will assign 24 TAY with SUD to the grounding app (n=12) versus receiving hard-copy grounding handouts from the SS book (n=12), to evaluate the relative impact of the app. Our team represents an exceptional mix of expertise in SUD, TAY, app and gaming technology innovation, grounding, SBIRs, treatment development, and public-health oriented products based on evidence-based care.

描述（由申请人提供）：药物使用障碍 (SUD) 是美国人口中第二常见的精神疾病诊断，14.6% 的人在一生中患有此病。 18-24 岁的过渡年龄青少年 (TAY) 特别容易受到药物滥用、滥用和 SUD 的影响。这个发展时期被称为“不稳定时期”，其中包括离开家、离开家等任务。进入大学；第一次工作；身体和性行为的变化；与同侪团体合并；对于某些人来说，他们会在 18 岁时脱离寄养或国家监护。这一时期也是尝试药物滥用和相关风险的黄金时期，例如酒后驾驶、事故、打架和暴力、艾滋病毒以及易受性侵犯的风险。在这个项目中，我们重点关注一个主要策略，即基础，以帮助降低（减少）强烈的负面情绪和冲动。接地疗法长期以来一直在精神病院中使用，以提供一种安全、快速和有效的方式来减少任何强烈的负面情绪，包括伤害自己或他人的冲动、物质渴望、愤怒、焦虑等。《寻求安全》（SS）一书中详细描述了接地疗法，它使用三种途径来集中思想（精神）、身体（身体）和心灵（舒缓）。接地提供了一种调节情绪的方法，这对年轻人来说是一个重大挑战，特别是考虑到他们的激素变化和情绪强度。事实上，药物滥用通常被描述为调节情绪的短期方法。接地是 SS 的一个关键模块，SS 是一种广泛实施的、基于证据的 SUD 治疗模型。在本提案中，我们专门关注接地，因为它是一项基本技能，并且被广泛认为即使是最复杂和最脆弱的客户也很容易学习。我们建议将接地变成智能手机应用程序，因为接地应该在经历遇险的环境中使用；它利用智能手机的 TAY 使用；促进自我监管；并且是一项独立的技能并且以感官为导向，因此非常适合移动设备 应用程序方法。我们的具体目标是：（1）开发一款新产品，智能手机接地应用程序。这将是一款令人兴奋的交互式 Android 应用程序，它使用最先进的游戏技术让 TAY 与一家杰出的公司合作进行该项目的技术方面的工作。 (2) 使用基于最终用户反馈的迭代产品开发方法。我们提出了各种方法，以便在开始应用程序编程之前使用 SUD 从 TAY 获取初始输入。 (3) 对应用程序进行小型可行性研究。这个横断面试点将获取有关最终​​用户体验、使用情况和应用程序满意度的信息，这可以为第二阶段研究提供信息。我们将 24 个带有 SUD 的 TAY 分配给接地应用程序 (n=12)，而不是从 SS 书籍接收硬拷贝接地讲义 (n=12)，以评估该应用程序的相对影响。我们的团队在 SUD、TAY、应用程序和游戏技术创新、基础、SBIR、治疗开发以及基于循证护理的公共卫生导向产品方面拥有出色的专业知识组合。