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: 9084914
• 负责人: Margo Adams Larsen
• 金额: $ 59.91万
• 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 2018-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9084914
• 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; 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; Sexual Health; Sexual Partners; Small Business Innovation Research Grant; Small Business Technology Transfer Research; Subgroup; Technology; Therapeutic; Thinking; Time; Training; Universities; Youth; adolescent HIV prevention; cognitive reappraisal; computerized; design; digital; evidence base; follow-up; group intervention; improved; innovation; models and simulation; multidisciplinary; novel; peer; product development; programs; prototype; 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.

描述（由申请人提供）：接受心理健康治疗的青少年比同龄人面临更高的艾滋病毒和其他性传播感染风险，因为他们发生性行为的年龄较早，性行为受到的保护较少，性伴侣较多，并且物质使用更加频繁。这种更大的风险是由多种因素造成的，包括认知错误、情感失调和自我效能感降低。许多青少年在日间医院项目、治疗学校和住宿中心等各种环境中接受心理健康治疗。这些计划提供各种卫生服务，但没有专门定制的有效的艾滋病毒预防计划 除本项目中描述的问题外，针对青少年心理健康治疗问题。 STAR（“安全思维和情感调节”）是一项屡获殊荣且有效的十四节小组干预措施，成功地将性情境中的情感调节和认知监测作为改善性安全的关键、新颖要素。这项十四节小组干预措施于 2012 年获得了美国儿童和青少年精神病学学会颁发的里格科学成就奖。这是第一个也是唯一一个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，该群体处于危险之中，并且没有针对他们的问题进行干预措施。这 该 SBIR 快速通道项目的目标是将 STAR 转变为一种引人入胜的数字多媒体格式 Digital STAR (D*STAR)，以便为青少年提供心理健康治疗的护理机构轻松可靠地使用。为了改变这种干预措施，Virtually Better（一家在生产和分销尖端技术干预措施方面拥有成功历史的公司）与罗德岛医院和布朗大学的 STAR 研究开发人员合作。在这个快速通道项目的两个阶段中，数字会议的开发将通过 Virtually Better、STAR 开发者、心理健康治疗青少年和社区咨询委员会之间的反馈和完善的迭代过程来完成。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，并且具有吸引力和乐趣。将在 120 名接受心理健康治疗的 13 至 18 岁青少年中进行 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，以确保 D*STAR 在提高艾滋病毒知识和相关态度以及增加安全性行为方面有效。该项目具有创新性，因为 D*STAR 将包含经过验证、屡获殊荣的干预措施的基本要素；其数字格式将实现可靠且一致的交付能力；无需经过广泛培训或高度专业化的协调员即可使用它；它将使用最能吸引年轻人的引人入胜的沉浸式技术。制定这一高质量的实施方案以方便传播，对于通过这种经过验证的针对青少年的艾滋病毒预防干预措施在心理健康治疗中实现更大的公共卫生影响至关重要。