A Trauma-Informed, Mindfulness-Based Yoga Intervention for Juvenile Justice-Involved Youth

项目总结/摘要 有一些干预措施旨在减少青少年司法中的青少年累犯 (JJ)系统，其中一些有文件证明的有效性。然而，平均减少 实施这些计划后的累犯率充其量是适度的，让大多数JJ参与其中 有累犯风险的青年。以前的许多干预措施并不是为了解决与创伤有关的问题。 尽管有证据表明JJ系统中的大多数年轻人都有创伤和暴露于 创伤性事件是累犯的预测因素创伤暴露可能导致 永久性犯罪可以解释为一些生存导向的生物学变化，发生在 暴露于创伤的儿童的大脑-即受损的自我调节系统， 负责奖励/激励，痛苦容忍和执行功能。因此，青年与 有创伤史人调节他们的行为和认知反应的能力常常受损， 压力源的范围。因此，鉴于这一人群中创伤暴露的普遍性，JJ的干预措施- 参与的青年应解决创伤，特别是为青年提供与增强自我有关的资源， 管理技能。尽管一些创伤干预措施已经证明了 有效性与JJ参与青年，许多人有方法上的局限性，并没有测试是否 补充正念或躯体导向的干预可以通过增强自我， 在这个人群中，我们建议完善，实施和评估创伤知情，正念- 基于瑜伽干预，将提高自我调节青年在格鲁吉亚部青少年 司法（DJJ）系统。这种混合方法调查的目的是完善和试点的创伤- 知情，正念瑜伽（TIMBY）计划，评估该计划对青年的初步影响 行为和心理社会结果，并测试研究设计的关键方面，以告知一个完整的设计， 规模试验本建议的目的是：（1）采用迭代的起草和修订过程， 专门针对JJ系统青少年的创伤知情瑜伽干预，（2）进行初步试点草案 在2个DJJ设施中对JJ参与青年进行TIMBY干预，以及（3）进行并评估小规模 TIMBY干预的可行性研究。拟议研究的预期产品包括一个完善的 干预方案和程序手册，关于干预对 受试者结局，以及干预可接受性、依从性、保真度、剂量/持续时间、受试者 招聘、留用和自然减员、评估可行性以及大规模培训的其他障碍和促进因素 实施.这些产品和数据将使后续的大规模务实的快速推出成为可能。 通过未来的应用程序资助的集群RCT。

PROJECT SUMMARY/ABSTRACT There are a number of interventions that aim to reduce recidivism among youth in the juvenile justice (JJ) system, some of which have documented evidence of effectiveness. However, the average reduction in recidivism following the implementation of these programs is modest at best, leaving a majority of JJ-involved youth at risk for recidivism. Many previous interventions have not been designed to address trauma-related symptoms despite evidence that most youth in the JJ system have a history of trauma and exposure to traumatic events is a predictor of recidivism. The pathway by which trauma exposure can lead to and perpetuate delinquency may be explained by some of the survival-oriented biological changes that occur in the brain of children who have been exposed to trauma – namely the compromised self-regulation systems that are responsible for reward/motivation, distress tolerance and executive function. As a result, youth with a history of trauma often have an impaired ability to modulate their behavioral and cognitive responses to a wide range of stressors. Thus, in light of the prevalence of trauma exposure in this population, interventions for JJ- involved youth should address trauma and, specifically, provide youth with resources related to enhancing self- regulation skills. Though some trauma-informed interventions have demonstrated empirical evidence of effectiveness with JJ-involved youth, many have methodological limitations and have not tested whether complementary mindfulness or somatically-oriented interventions can reduce recidivism by enhancing self- regulation in this population. We propose to refine, implement and evaluate a trauma-informed, mindfulness- based yoga intervention that will enhance self-regulation among youth in the Georgia Department of Juvenile Justice (DJJ) system. The objectives of this mixed-methods investigation are to refine and pilot a trauma- informed, mindfulness-based yoga (TIMBY) program, assess the preliminary impact of this program on youth behavioral and psychosocial outcomes and test key aspects of the study design to inform the design of a full scale trial. The aims of this proposal are: (1) employ an iterative drafting and revision process to refine a trauma-informed yoga intervention specifically for youth in the JJ system, (2) conduct an initial pilot of the draft TIMBY intervention with JJ-involved youth at 2 DJJ facilities and (3) conduct and evaluate a small scale feasibility study of the TIMBY intervention. The expected products of the proposed research include a refined intervention protocol and manual of procedures, preliminary data regarding the impact of the intervention on participant outcomes, and data on intervention acceptability, adherence, fidelity, dose/duration, participant recruitment, retention and attrition, assessment feasibility and other barriers and facilitators to large-scale implementation. These products and data will enable a rapid launch of a subsequent, large-scale pragmatic cluster RCT funded through a future application.