Brief Group MI Intervention for AOD and Sexual Risk Behavior in Homeless Youth

针对无家可归青少年 AOD 和性危险行为的简短团体 MI 干预

• 批准号: 10398031
• 负责人: JOAN S TUCKER
• 金额: $ 29.69万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-06-05 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10398031
• 关键词: Address; Affect; Alcohol abuse; Alcohol consumption; Alcohols; Awareness; Behavior; Budgets; California; Caring; Climate; Collaborations; Control Groups; Data; Drops; Drug usage; Education; Employment; Epidemiology; Evaluation; Exhibits; Feedback; General Population; Goals; Health; Homeless Youth; Homelessness; Housing; Individual; Intervention; Los Angeles; Minority Groups; Motivation; Multiple Partners; Participant; Persons; Population; Population Programs; Pregnancy; Prevention; Prevention program; Psyche structure; Randomized; Recording of previous events; Reporting; Research; Resources; Risk; Risk Behaviors; Risk Reduction; Sampling; Self Efficacy; Services; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Speech; Substance Use Disorder; Testing; Time; Unsafe Sex; Work; Youth; acceptability and feasibility; alcohol and other drug; alcohol intervention; alcohol research; base; behavioral outcome; brief intervention; brief motivational intervention; condoms; contextual factors; emerging adult; follow-up; health related quality of life; improved; injection drug use; innovation; meetings; motivational enhancement therapy; outreach; peer; pilot test; prevention service; programs; response; satisfaction; secondary outcome; service delivery; sex; sexual risk behavior; sexually active; skills; social; standard care; substance use; treatment effect; young adult

PROJECT SUMMARY Homeless emerging adults (18-25 year olds) have alarmingly high rates of alcohol and other drug use (AOD), which is associated with a range of sexual risk behaviors such as unprotected sex, trading sex, and sex with multiple casual partners. Few risk reduction programs for this population have been developed and rigorously evaluated, particularly those that address both of these interrelated behaviors, use a collaborative and non-judgmental approach, and are feasible to deliver in settings where homeless young people seek services. Our team recently developed and pilot tested AWARE, a brief Motivational Interviewing (MI)-informed group risk reduction intervention for homeless 18-25 year olds that incorporates education, skills building, and personalized feedback. AWARE consists of four 45-minute sessions that focus on both AOD use and sexual risk behavior. Pilot results demonstrate the acceptability and feasibility of AWARE, as well as positive effects on AOD and sexual risk behavior outcomes over a 3 month period. The proposed R01 continues this line of research by conducting a larger-scale evaluation of AWARE. In collaboration with four agencies serving homeless youth in Southern California, we propose to randomize N=400 homeless 18-25 year olds to receive either the AWARE program or standard drop-in center care and evaluate substance use and sexual risk behavior at 3, 6, and 12 month follow-up. In addition, we will significantly extend our pilot work by evaluating whether AWARE, by motivating homeless emerging adults to make healthier choices, has positive secondary effects on health-related quality of life and social stability. Finally, we will examine the effects of group-level change talk (one hypothesized mechanism of action for group MI) on individual AOD and sexual risk behavior outcomes. Results from this innovative study have the potential to fill a significant gap in prevention services for homeless emerging adults by demonstrating that a brief intervention, feasible to deliver within settings where this population typically seeks services, can significantly reduce the interrelated problems of AOD use and sexual risk behavior.

项目摘要 无家可归的新兴成年人（18-25奥尔兹）的酒精和其他药物使用率（AOD）高得惊人， 与一系列性风险行为有关，如无保护的性行为，交易性行为，以及与多个人发生性关系。 临时搭档很少有针对这一人群的风险降低计划得到制定和严格评估， 特别是那些同时处理这两种相互关联的行为的人， 这是一种新的方法，在无家可归的年轻人寻求服务的环境中是可行的。我们团队最近 开发和试点测试AWARE，一个简短的动机访谈（MI）知情的群体风险降低干预 为无家可归的18-25岁的年轻人提供教育、技能培养和个性化反馈。意识 包括四个45分钟的会议，重点是使用AOD和性风险行为。试点结果表明， AWARE的可接受性和可行性，以及对AOD和性风险行为结果的积极影响 在3个月的时间里。拟议的R 01通过对以下方面进行更大规模的评估来继续这一研究路线： 意识到。我们与四个为南加州无家可归青年服务的机构合作， 随机选择N=400名18-25奥尔兹无家可归的青少年，接受AWARE计划或标准的救助中心护理 并在3个月、6个月和12个月随访时评估物质使用和性风险行为。此外，我们将 通过评估是否意识到，通过激励无家可归的新兴成年人， 更健康的选择，对与健康有关的生活质量和社会稳定具有积极的次级影响。最后我们将 研究小组层面的变化谈话（一种假设的小组MI的作用机制）对个人的影响。 AOD和性风险行为结果。这项创新研究的结果有可能填补一个重要的 为无家可归的新兴成年人提供预防服务的差距，证明一种可行的短期干预措施， 在这一人群通常寻求服务的环境中提供服务，可以大大减少相互关联的 使用AOD和性风险行为的问题。

项目成果

COVID-19 Vaccination Rates and Attitudes Among Young Adults With Recent Experiences of Homelessness.

• DOI: 10.1016/j.jadohealth.2021.11.017
• 发表时间: 2022-03
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Tucker JS;D'Amico EJ;Pedersen ER;Garvey R;Rodriguez A;Klein DJ
• 通讯作者: Klein DJ

Secondary Outcomes of a Brief Group Alcohol and Risky Sex Intervention for Emerging Adults Experiencing Homelessness.

对无家可归的新兴成年人进行短暂的集体酒精和危险性行为干预的次要结果。

• DOI: 10.1177/21676968231156647
• 发表时间: 2023
• 期刊: Emerging adulthood (Print)
• 作者: Pedersen,EricR;D'Amico,ElizabethJ;Klein,DavidJ;Rodriguez,Anthony;Tucker,JoanS
• 通讯作者: Tucker,JoanS

Sociodemographic and Behavioral Risk Correlates of PrEP Interest and Use Among Young Adults Experiencing Homelessness in Los Angeles.

洛杉矶无家可归的年轻人对 PrEP 的兴趣和使用与社会人口学和行为风险相关。

• DOI: 10.1007/s10461-023-04144-7
• 发表时间: 2024
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Storholm,ErikD;Klein,DavidJ;Pedersen,EricR;D'Amico,ElizabethJ;Rodriguez,Anthony;Garvey,Rick;Tucker,JoanS
• 通讯作者: Tucker,JoanS

Predictors of Housing Trajectories Among Young Adults Experiencing Homelessness in Los Angeles.

• DOI: 10.1007/s11414-023-09863-2
• 发表时间: 2024-01
• 期刊: JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH
• 影响因子: 1.9
• 作者: Pedersen, Eric R.;Diguiseppi, Graham;D'Amico, Elizabeth J.;Rodriguez, Anthony;Tran, Denise D.;Jose, Rupa;Tucker, Joan S.
• 通讯作者: Tucker, Joan S.

A randomized controlled trial of a brief motivational interviewing-based group intervention for emerging adults experiencing homelessness: 12-Month effects on substance use and sexual risk behavior.

对无家可归的新兴成年人进行基于简短动机访谈的团体干预的随机对照试验：对药物使用和危险性行为的 12 个月影响。

• DOI: 10.1016/j.josat.2023.209114
• 发表时间: 2023
• 期刊: Journal of substance use and addiction treatment
• 作者: Tucker,JoanS;D'Amico,ElizabethJ;Rodriguez,Anthony;Garvey,Rick;Pedersen,EricR;Klein,DavidJ
• 通讯作者: Klein,DavidJ