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）：与同龄人相比，接受精神健康治疗的青少年感染艾滋病毒和其他性传播感染的风险更大，因为他们发生性行为的年龄更早、性保护措施更少、性伴侣更多、吸毒更频繁。这种更大的风险是由于多种因素造成的，包括认知误解、影响失调和自我效能降低。许多接受心理健康治疗的青少年在各种环境中接受治疗，如日间医院项目、治疗学校和寄宿中心。这些方案提供了各种各样的保健服务，但没有有效的专门针对艾滋病毒的预防方案