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

• 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
• 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

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.

抽象的 少年司法系统中的青少年表现出很高的烟草，酒精和其他药物使用率 （ATOD），估计比非涉案年轻人高三倍。物质- 虐待青年，尤其是参与青少年司法系统的年轻人的风险高于 精神健康问题的非用户，包括抑郁，行为问题，人格障碍，自杀 思想，自杀未遂并完成了自杀。此外，还有证据表明对 脑发育和压力响应性神经生物学系统，滥用药物。有增长 证据表明，基于正念的干预措施已成为各种有效的干预措施 问题，包括青少年中的物质使用。我们建议适应和测试可行性和 智能手机应用程序（APP）干预原型的效率，该原型将帮助青少年用户 减少或退出其物质使用。该程序标题为Rewire，是基于主要物质使用的 在我们以前与青少年司法青少年的工作中测试的戒烟组件以及 干预组件证明是戒烟的核心，并将正念方法应用于 指导干预框架。十二个模块程序，其中包括24个组件（12个组件 每个模块的教学组件和12个实践组件）将以380高风险进行评估 参与青少年司法系统的青少年。拟议的计划将是唯一的 基于正念的移动应用专门针对青少年物质使用的减少或停止； 该程序既需要作为现有治疗的辅助和在少年使用 司法系统。我们的研发团队在与青少年合作方面拥有丰富的经验 使用ATOD，我们一直在使用正念作为与年轻人的面对面干预的框架 少年司法系统以及Rewire应用程序的第一阶段开发。研究小组将 与二十个想法合作，他们在开发智能手机的移动应用程序方面拥有丰富的经验， 谁是第1阶段的软件开发公司 当前正在报告药物使用的风险青少年。其他试点测试将用于指导 开发Rewire应用程序进行评估。评估研究将涉及380名13-18岁的青年 参与青少年司法系统使用该应用程序1个月，并完成基线，1个月和3个月的后续 向上。可用性数据，计划参与，出勤变化，情绪和行为以及自我报告 物质使用将用于确定Rewire移动应用程序的效率。