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Mindfulness Mobile App to Reduce Adolescent Substance Use

正念移动应用程序可减少青少年药物使用

基本信息

批准号：
9921320
负责人：
DANA K SMITH
金额：
$ 74.02万
依托单位：
OREGON RES BEHAVIORAL INTERVENTION STRAT
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-05-01 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9921320
关键词：
ATOD Adolescent Age Age of Onset Alcohol consumption Alcohol or Other Drugs use Attitude Behavior Brain Communities County Data Development Drug usage Educational process of instructing Effectiveness Emotional Emotions Evaluation Evaluation Studies Evidence based intervention Feedback Feeling suicidal Female Adolescents Goals Health Information Systems Internet Intervention Justice Lead Male Adolescents Measurement Meditation Mental Depression Mental Health Mindfulness Training Modification Neurobiology Oregon Outcome Participant Patient Self-Report Personality Disorders Persons Phase Policy Maker Population Preventive Intervention Public Health Randomized Recording of previous events Reporting Research Smoking Smoking Cessation Intervention Stress Substance abuse problem Suicide attempt System Testing Time Tobacco Tobacco use Work Youth accomplished suicide adolescent alcohol, tobacco and other drug use adolescent substance abuse adolescent substance use alcohol and other drug base commercial application conduct problem coping cost craving design effective intervention efficacy testing emotion regulation evidence base experience follow-up habituation high risk high-risk adolescents individualized medicine juvenile justice system mindfulness mobile application negative emotional state phase 1 testing programs prototype recruit reduced substance use research and development response satisfaction smartphone Application smoking cessation software development substance abuse prevention substance using adolescents success successful intervention treatment program usability

项目摘要

Abstract Adolescents in the juvenile justice system demonstrate very high rates of tobacco, alcohol, and other drug use (ATOD), with rates that are estimated to be three times higher than non-justice-involved youth. Substance- abusing youth – especially those who are involved in the juvenile justice system – are at higher risk than nonusers for mental health problems, including depression, conduct problems, personality disorders, suicidal thoughts, attempted suicide, and completed suicide. Additionally, there is evidence of detrimental effects on brain development and stress responsive neurobiological systems from substance abuse. There is growing evidence that interventions based on mindfulness have been an efficacious intervention for a variety of problems, including substance use among adolescents. We propose to adapt and test the feasibility and efficacy of a smart phone application (app) intervention prototype that would help adolescent substance users reduce or quit their substance use. The program, entitled Rewire, is based on the primary substance use cessation components tested in our previous work with juvenile justice-involved adolescents and on intervention components shown to be central to smoking cessation, and applies a mindfulness approach as the guiding framework for the intervention. The twelve module program, which includes 24 components (12 teaching components and 12 practice components) for each module, will be evaluated with 380 high risk adolescents that are involved in the juvenile justice system. The proposed program will be the only mindfulness-based mobile app specifically targeting the reduction or cessation of adolescent substance use; there is high level of need for the program both as an adjunct to existing treatments and for use in the juvenile justice system. Our research and development team has extensive experience in working with adolescents that use ATOD, and we have been using mindfulness as the framework for in-person interventions with youth in the juvenile justice system as well as through the Phase I development of the Rewire app. The research team will partner with Twenty Ideas, who has extensive experience in the development of mobile apps for smartphones, and who was the software development company for Phase I. We will assess navigation and usability with high risk adolescents who are currently reporting substance use. Additional pilot testing will be used to guide development of the Rewire app for evaluation. The evaluation study will involve having 380 youth ages 13-18 involved in the juvenile justice system use the app for 1 month and complete baseline, 1- and 3-month follow- up. Usability data, program engagement, changes in attitudes, emotions and behaviors, and self-reported substance use will be used to determine the efficacy of the Rewire mobile app.

摘要