A church-based prevention intervention for adolescents with a drug abusing parent

针对父母吸毒的青少年进行基于教会的预防干预

• 批准号: 9314105
• 负责人: Terrinieka Williams Powell
• 金额: $ 18.42万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-01 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9314105
• 关键词: Active Learning; Adolescence; Adolescent; Adult; Affect; African American; Age; Alcohol consumption; Alcohol or Other Drugs use; American; Award; Baltimore; Budgets; Caregivers; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Church; Cognitive; Communities; Data; Drug Addiction; Drug abuse; Drug usage; Drug user; Etiology; European; Evidence based intervention; Family; Focus Groups; Foundations; Frequencies; Future; Goals; Grant; Health; Health Professional; Health Services; Homeless Youth; Imprisonment; Individual; Intervention; Interview; K-Series Research Career Programs; Life; Medicine; Mentored Research Scientist Development Award; Mentors; Mentorship; National Institute of Drug Abuse; Neighborhoods; Outcome; Parents; Participant; Pharmaceutical Preparations; Phase; Pilot Projects; Population; Prevention; Prevention Research; Prevention program; Preventive Intervention; Process; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Reading; Recruitment Activity; Religion and Spirituality; Reporting; Research; Research Personnel; Resources; Risk; Risk Behaviors; Services; Sexual Health; Substance Use Disorder; Substance abuse problem; Support System; Surveys; Target Populations; Techniques; Testing; Training; Unsafe Sex; Youth; addiction; adolescent health; adolescent sexual health; base; career; computerized; cost efficient; design; drug abuser; evidence base; experience; family support; field study; follow-up; foster care; high risk; high risk population; improved; informant; insight; juvenile justice system; marijuana use; novel; prevent; prevention service; primary outcome; programs; public health relevance; sex; sex risk; skills; social; social stigma; substance use prevention; success; symposium; therapy design; therapy development; vulnerable adolescent

PROJECT SUMMARY Drug dependence is one of the most serious national public health problems, affecting millions of individuals and their families. African-American families experience disproportionate rates of negative health and social consequences of drug abuse, even though they use drugs at rates comparable to or lower than those of European-Americans. African-American children of drug abusers are at an extremely high risk for a range of problems throughout childhood and into adulthood. Many African-American families affected by drug abuse attend church, but integrated interventions for adolescents with a drug-abusing parent have not diffused to congregations. Effective implementation of integrated prevention interventions is critical to reducing the burden of substance use disorders and directly improving public health. This Career Development Award (K01) will allow me to obtain the additional mentoring, training and skills to achieve my long-term career goal of becoming an independent investigator with expertise in designing, implementing and evaluating prevention interventions for vulnerable African-American adolescents through partnerships with churches. This K01 proposal extends my previous research conducting church-based adolescent sexual health research and aligns with the future directions of addiction medicine and prevention research. My three training objectives are to: (1) obtain comprehensive training in the etiology of substance use among urban African-American families; (2) develop expertise in the theoretical underpinnings, processes and mechanisms of intervention development and adaptation; and (3) become proficient in implementing and evaluating randomized clinical trials using advanced statistical techniques. I will achieve these goals through didactic experiences, participation in professional conferences, directed readings, and experiential learning opportunities under the mentorship of a team of experts in relevant fields of study. This mentoring and training will directly contribute to the proposed research, which is designed to prevent substance use and sexual health risk behaviors among urban African-American adolescents (ages 13-16) with a drug- abusing parent through partnerships with Black churches. There are three specific aims laid out in the research plan to: (1) identify the opportunities and barriers (including stigma-related barriers) for engaging adolescents with a drug-abusing parent in prevention programs and health services; (2) adapt the evidence- based intervention, Focus on Youth with Informed Parents and Children Together (FOY+ImPACT) to be a church-based, targeted intervention for adolescents with a drug-abusing parent; and (3) conduct a pilot study to assess the feasibility and initial efficacy of the adapted church-based prevention intervention for adolescents with a drug-abusing parent. Findings from the proposed research will lay the foundation for collaborative efforts that facilitate Black churches' provision of evidence-based prevention interventions to vulnerable youth, including, but not limited to, adolescents with a drug-abusing parent, homeless youth, as well as youth involved in the foster care and juvenile justice systems. In the final year of this K01 award period, I will submit a R01 proposal to NIDA to conduct a Phase II randomized controlled trial of the adapted intervention.

项目摘要 毒品依赖是最严重的国家公共卫生问题之一，影响了数百万个人 和他们的家人。非裔美国人家庭经历不成比例的负面健康和社会率 药物滥用的后果，即使他们以比或低于或低于的毒品相比 欧洲人。非洲裔美国人的虐待者儿童的风险极高 整个童年和成年期的问题。许多受药物滥用影响的非裔美国人家庭 参加教堂，但为滥用毒品的父母的青少年进行综合干预措施并没有扩散到 会众。有效实施综合预防干预措施对于减轻负担至关重要 药物使用障碍并直接改善公共卫生。这个职业发展奖（K01）将 允许我获得额外的指导，培训和技能，以实现我的长期职业目标 成为具有设计，实施和评估专业知识的独立研究者 通过与 教堂。该K01提案扩展了我以前的研究，以教会为基于教会的青少年性爱 健康研究并与成瘾医学和预防研究的未来方向保持一致。我的三个 培训目标是：（1）在城市中使用物质使用的病因的全面培训 非裔美国人家庭； （2）在理论基础，过程和机制方面发展专业知识 干预开发和适应； （3）精通实施和评估 使用高级统计技术的随机临床试验。我将通过教学实现这些目标 经验，参加专业会议，定向阅读和体验式学习 在相关研究领域的专家团队的指导下的机会。这个指导和 培训将直接有助于拟议的研究，旨在防止药物使用 以及毒品的城市非裔美国青少年（13-16岁）中的性健康风险行为 通过与黑人教堂的伙伴关系虐待父母。在 研究计划：（1）确定参与的机会和障碍（包括与污名相关的障碍） 在预防计划和卫生服务领域拥有毒品滥用父母的青少年； （2）调整证据 - 基于干预措施，将重点放在有知情的父母和孩子的青年（Foy+Impact）上 基于教会的，针对毒品滥用父母的青少年的针对性干预； （3）进行试点研究 评估基于教会的预防干预措施的可行性和初始功效 与滥用毒品的父母。拟议研究的发现将为合作努力奠定基础 这促进了黑人教会提供基于证据的预防干预措施， 包括但不限于有毒品滥用父母的青少年，无家可归的青年以及涉及的年轻人 在寄养和少年司法系统中。在此K01奖励期的最后一年，我将提交R01 向NIDA提出的提案，以进行II期的随机对照试验，对改编的干预措施进行。