iHeLP: Interactive Technology to Prevent Substance Use in Foster Youth

iHeLP：防止寄养青少年吸毒的互动技术

• 批准号: 8663863
• 负责人: Jordan Michel Braciszewski
• 金额: $ 23.15万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-01 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8663863
• 关键词: 17 year old; Abstinence; Address; Adolescent; Age; Aging; Alcohol or Other Drugs use; Alcohols; Car Phone; Caring; Child; Communication; Computers; Confidentiality; Data; Data Collection; Development; Drops; Drug usage; Employment; Enrollment; Evidence based intervention; Evidence based treatment; Face; Feedback; Focus Groups; Fostering; Frequencies; Future; Goals; Grant; Guidelines; Health; Health Services; Health Services Accessibility; Health financing; Heavy Drinking; Home environment; Homelessness; Housing; Institution; Intervention; Intervention Studies; Mediator of activation protein; Mental Depression; Mental disorders; Methods; Modeling; Motivation; Outcome; Participant; Pharmaceutical Preparations; Pilot Projects; Plant Roots; Population; Populations at Risk; Prevalence; Prevention; Preventive Intervention; Problem behavior; Professional counselor; Provider; Public Health; Randomized; Randomized Controlled Trials; Readiness; Recording of previous events; Reporting; Research; Resources; Risk; Security; Self Efficacy; Services; Social support; Staging; Substance Use Disorder; Substance abuse problem; Supportive care; System; Technology; Testing; Text; Theoretical model; Time; Unemployment; Vulnerable Populations; Youth; abuse neglect; aged; base; care systems; clinically significant; computerized; cost; design; efficacy testing; efficacy trial; emerging adult; experience; foster care; health disparity; high risk; improved; innovation; maltreatment; meetings; motivational enhancement therapy; neglect; novel; peer; post intervention; preference; programs; prototype; public health relevance; reduced substance use; response; screening; screening and brief intervention; social cognitive theory; substance use prevention; usability

DESCRIPTION (provided by applicant Each year, roughly 30,000 youth exit the foster care system due to "aging out" at age 18, losing access to support services while also becoming fully responsible for their own financial, health, employment, and housing needs. Progressing from homes disproportionately high in neglect, maltreatment, and parental substance use, these emerging adults face independence with an increased likelihood of developing substance use disorders. Once removed from foster care, these youth have far less access to health services compared to their non- foster care peers. Moreover, substance use services offered within the foster care system are often difficult to access. The proposed pilot intervention study seeks to address these gaps in availability, accessibility, and use of substance use services for youth aging out of the foster care system. Computer- and mobile phone-based interventions have the capacity to provide evidence-based treatment content while reducing many of the barriers relevant to substance use service delivery for foster youth. The proposed study will begin a program of research to synthesize the benefits of these approaches in a way that addresses the needs of a vulnerable population with many barriers to care. More specifically, this project involves the development and pilot data collection of a preventive intervention (iHeLP) targeting the reduction of problematic substance use among foster youth who are aging out of care. Rooted in motivational interviewing, the transtheoretical model, and social cognitive theory, iHeLP is a one-time computerized screening and brief intervention (SBI), supplemented by six months of tailored text messaging based on participants' SBI results and subsequent fluctuations in their readiness to change. The goal of this pilot study is to obtain preliminary daa on acceptability, feasibility, and initial efficacy. Focus groups will be conducted in which twenty four 17-year old foster youth will provide qualitative feedback on the perceived utility, likelihoo of use, and preferences for the content, interface, and functionality of the proposed intervention components. Results will be used to modify the intervention content/format, which then will be delivered to sixteen foster youth in an open trial of iHeLP. Further alterations may result from the qualitative and quantitative results of the open trial. Finally, thirty youth will participate n a pilot randomized controlled trial, testing the efficacy of iHeLP against a contact-control conditio. The use of daily text messaging represents a novel method for delivering intervention boosters. Low-intensity, high-frequency interactions are a marked change from traditional interventions and have high potential for extending initial gains. In addition, tailoring of these messages through dynamic, text-based communication with participants is innovative. Given the potential of wide dissemination to multiple at-risk populations at low cost, the proposed study has high potential public health and clinical significance.

描述（由申请人提供 每年，大约有 30,000 名青少年因 18 岁时“超龄”而退出寄养系统，失去了获得支持服务的机会，同时还要对自己的财务、健康、就业和住房需求承担全部责任。从忽视、虐待和父母药物滥用严重程度不成比例的家庭中发展出来的这些新兴成年人面临独立，患上药物滥用障碍的可能性也增加。一旦脱离寄养， 与非寄养同龄人相比，这些青少年获得医疗服务的机会要少得多。此外，寄养系统内提供的药物使用服务往往难以获得。拟议的试点干预研究旨在解决寄养系统外青少年物质使用服务的可用性、可及性和使用方面的差距。基于计算机和移动电话的干预措施能够提供基于证据的治疗内容，同时减少与物质使用服务提供相关的许多障碍。 培育青年。拟议的研究将启动一项研究计划，综合这些方法的好处，以满足护理方面存在许多障碍的弱势群体的需求。更具体地说，该项目涉及预防性干预措施 (iHeLP) 的开发和试点数据收集，旨在减少失养的寄养青年中的问题药物使用。植根于动机访谈、跨理论模型和社会认知理论， iHeLP 是一种一次性计算机化筛查和简短干预 (SBI)，并根据参与者的 SBI 结果和随后的改变准备程度波动，辅以六个月的定制短信。该试点研究的目标是获得关于可接受性、可行性和初步功效的初步数据分析。将进行焦点小组讨论，其中 20 四名 17 岁的寄养青年将就所提议的干预措施的感知效用、使用可能性以及对内容、界面和功能的偏好提供定性反馈。结果将用于修改干预内容/格式，然后将其交付给 iHeLP 公开试验中的 16 名寄养青少年。公开试验的定性和定量结果可能会导致进一步的改变。最后，三十名青少年将参加一项试点随机对照试验，测试 iHeLP 针对接触控制条件的功效。每日短信的使用代表了一种提供干预助推器的新颖方法。低强度、高频互动是传统干预措施的显着变化，并且具有扩大初始收益的巨大潜力。此外，通过与参与者动态的、基于文本的通信来定制这些消息是创新的。鉴于以低成本向多个高危人群广泛传播的潜力，拟议的研究具有很高的潜在公共卫生和临床意义。