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.

摘要 青少年司法系统中的青少年表现出非常高的烟草、酒精和其他毒品使用率 （ATOD），据估计，这一比率比不参与司法的青年高出三倍。物质- 虐待青少年-特别是那些涉及少年司法系统的青少年-的风险高于 精神健康问题，包括抑郁症，行为问题，人格障碍，自杀 自杀未遂，自杀未遂，自杀未遂。此外，有证据表明， 大脑发育和应激反应神经生物学系统从药物滥用。人们越来越 有证据表明，基于正念的干预措施是对各种疾病的有效干预。 问题，包括青少年使用药物。我们建议调整和测试可行性， 智能手机应用程序（app）干预原型的有效性，这将有助于青少年物质使用者 减少或停止使用药物。该计划，题为重新布线，是基于主要物质的使用 在我们以前的工作中测试了涉及青少年司法的青少年和 干预成分被证明是戒烟的核心，并应用正念方法作为 干预的指导框架。十二模块程序，包括24个组件（12 教学部分和12个实践部分），将评估380个高风险 涉及少年司法系统的青少年。该计划将是唯一一个 基于正念的移动的应用程序，专门针对减少或停止青少年物质使用; 对于该计划的需求很高，既可以作为现有治疗的辅助手段，也可以用于青少年 司法系统。我们的研发团队在青少年工作方面拥有丰富的经验， 使用ATOD，我们一直在使用正念作为对青少年进行面对面干预的框架， 青少年司法系统以及通过第一阶段的发展重新线应用程序。研究小组将 与Twenty Ideas合作，Twenty Ideas在智能手机移动的应用程序开发方面拥有丰富的经验， 也是第一阶段的软件开发公司我们将评估导航和可用性， 目前报告使用药物的风险青少年。额外的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岁的青少年 参与少年司法系统的人使用该应用程序1个月，并完成基线、1个月和3个月的随访- 起来可用性数据，项目参与，态度，情绪和行为的变化，以及自我报告 物质使用将用于确定Rewire移动的应用程序的有效性。