A library-based prevention intervention for adolescents affected by parental drug use

针对受父母吸毒影响的青少年的基于图书馆的预防干预措施

• 批准号: 9981712
• 负责人: Terrinieka Williams Powell
• 金额: $ 17.77万
• 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/9981712
• 关键词: 16 year old; Active Learning; Adolescence; Adolescent; Adopted; Adult; Affect; African American; Age; Alcohol consumption; Alcohol or Other Drugs use; American; Award; Baltimore; Books; Caregivers; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Communities; Community Health; Data; Drug Addiction; Drug abuse; Drug usage; Etiology; European; Evidence based intervention; Family; Focus Groups; Foundations; Frequencies; Future; Goals; Grant; Health; Health Promotion; Health Services; High School Student; Homeless Youth; Imprisonment; Individual; Internet; Intervention; Interview; K-Series Research Career Programs; Librarians; Libraries; Life; Measures; Medicine; Mental Health; Mentored Research Scientist Development Award; Mentors; Mentorship; Minority; Naloxone; National Institute of Drug Abuse; Outcome; Overdose; Parents; Participant; Pharmaceutical Preparations; Phase; Pilot Projects; Play; Population; Prevention; Prevention Research; Prevention program; Preventive Intervention; Process; Public Health; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Reading; Religion and Spirituality; Research; Research Personnel; Resources; Risk; Risk Behaviors; Schools; Services; Sexual Health; Socialization; Substance Use Disorder; Substance abuse problem; Support System; Surveys; Target Populations; Techniques; Testing; Training; Unsafe Sex; Video Games; Visit; Youth; addiction; adolescent health; adolescent sexual health; base; career; cognitive interview; computerized; cost efficient; design; evidence base; experience; field study; follow-up; foster care; high risk; improved; informant; insight; junior high school; juvenile justice system; marijuana use; novel strategies; opioid epidemic; opioid use; peer; physical conditioning; prevent; prevention service; primary outcome; programs; recruit; response; sex; sexual risk behavior; skills; social; substance use prevention; success; symposium; therapy development; vulnerable adolescent

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 affected by parental drug use are at an extremely high risk for a range of problems throughout childhood and into adulthood. 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 public libraries. This K01 proposal extends my previous research conducting community-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 Black adolescents (ages 13-16) affected by parental drug use through partnerships with public libraries. There are three specific aims laid out in the research plan to: (1) identify the opportunities and 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 library-based, targeted intervention for adolescents affected by parental drug use and (3) conduct a pilot study to assess the feasibility and initial efficacy of the adapted library-based prevention intervention for adolescents affected by parental drug use. Findings from the proposed research will lay the foundation for collaborative efforts that facilitate libraries’ provision of evidence-based prevention interventions to vulnerable youth, including, but not limited to, adolescents affected by parental drug use, 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.

毒品依赖是最严重的国家公共卫生问题之一，影响了数百万个人及其家人。非裔美国人家庭的负面健康和滥用毒品的社会后果的比例不成比例，即使他们以与欧美人相比或更低的速度使用药物。受父母吸毒影响的非裔美国儿童在整个童年和成年期都面临着一系列问题的高风险。有效地实施综合预防干预措施对于减少伯恩的伯恩伯恩使用障碍并直接改善公共卫生至关重要。该职业发展奖（K01）将使我能够获得其他心理，培训和技能，以实现我的长期职业目标，即成为一名独立的研究者，在设计，实施和评估预防干预措施方面具有与公共图书馆的合作伙伴关系方面具有专业知识。该K01提案扩展了我以前的研究，该研究对基于社区的青少年性健康研究进行了研究，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）在城市非裔美国人家庭中对物质使用的病因进行全面培训； （2）在理论基础，干预开发和适应的过程和机制方面发展专业知识； （3）熟练使用高级统计技术实施和评估随机临床试验。在相关研究领域的专家团队的心态下，我将通过教学经验，参与专业会议，定向阅读和经验丰富的学习机会来实现这些目标。这种心理和培训将直接有助于拟议的研究，该研究旨在防止由父母与公共图书馆的合作伙伴关系影响的城市黑人青少年（13-16岁）的城市黑人青少年（13-16岁）的性健康风险行为。研究计划中提出了三个特定的目标：（1）确定使青少年与滥用毒品的父母参与预防计划和卫生服务的机会和障碍； （2）调整基于证据的干预措施，专注于有知情的父母和孩子（Foy+Impact）的年轻人，是一种基于图书馆的，针对受父母药物使用影响的青少年的有针对性干预措施，（3）进行试验研究，以评估受父母药物使用影响的青少年基于辅助的图书馆预防措施的可行性和初始效率。拟议研究的发现将奠定基础，以促进图书馆提供基于循证的预防干预措施对弱势青年的预防干预措施，包括但不限于受父母毒品使用，无家可归的青年以及参与寄养和少年司法系统的青少年影响的青少年。在此K01奖励期的最后一年，我将向NIDA提交R01提案，以进行II期随机对照试验，以对改编的干预措施进行。