Preventing Drug Abuse among Sexual-Minority Youth

防止性少数青少年滥用药物

基本信息

批准号：
10425383
负责人：
Traci M Schwinn
金额：
$ 68.04万
依托单位：
COLUMBIA UNIV NEW YORK MORNINGSIDE
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-07-01 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10425383
关键词：
15 year old 17 year old Address Adolescent Age Applications Grants Assertiveness Attention Authorization documentation Behavioral Belief Bisexual Centers for Disease Control and Prevention (U.S.)Cognitive Coping Skills Data Data Analyses Data Collection Development Disclosure Drug usage Elements Ensure Ethics Event Facebook Family Feedback Feeds Friends Gays Gender Identity Goals Health Heterogeneity Heterosexuals Homophobia Institute of Medicine (U.S.)Internet Intervention Lesbian Lesbian Gay Bisexual Transgender Link Measurement Measures Mediator of activation protein Online Systems Outcome Participant Pharmaceutical Preparations Placebo Control Placebos Play Population Prevention program Privacy Problem Solving Procedures Publishing Randomized Randomized Controlled Trials Recommendation Reporting Research Resources Risk Risk Factors Role Sampling Schools Self Efficacy Seminal Sex Orientation Site Social support Socialization Sports Stress Stress and Coping Surface Teenagers Testing Time United States Youth adolescent drug use aged arm base community setting design drug abuse prevention efficacy testing emerging adulthood family management fitness fluidity follow-up high school indexing innovation intervention delivery intervention effect member negative mood news novel online delivery peer peer influence programs psychological distress recruit sexual minority sexual minority group sexual minority youth simulation skills social influence social networking website theories transgender treatment arm waiver web site web-based intervention

项目摘要

ABSTRACT The randomized controlled trial proposed in this grant application addresses the problem of disproportionately high rates of drug use among sexual-minority adolescents in the United States. Sexual- minority adolescents are youth who self-identify as gay, lesbian, bisexual, or unsure of their sexual orientation. In this application, our sample of sexual-minority youth will also include youth who identify as transgender or unsure of their gender identity. We propose to develop and test a tailored, web-based program to prevent drug use and delay drug use initiation among sexual-minority youth. To date, no such program exists. Study participants will be 15- to 17-year-old youth recruited from Facebook. As the largest and most popular social networking site in the United States, Facebook has approximately 3.8 million registered U.S. users, aged 15 to 17 years. With national data indicating that approximately 7.5% of youth identify as a sexual- minority group member, Facebook provides unparalleled access to this difficult to reach population. The 10-session intervention will be delivered online. The sessions will be housed on a customizable homepage with features youth seek: feeds to current events, entertainment and sports news, fitness and fashion tips, links to popular gaming and social-networking sites, and health-related resources. To address the risk factors for drug use that are salient for all youth—namely managing peer and social influences—session content will provide youth with opportunities to acquire, try out, receive feedback on, and master cognitive-behavioral skills related to: goal setting, problem solving, drug refusal, assertiveness, and normative beliefs. Unlike extant programs, these sessions will be tailored at the surface (e.g., characters, elements of design, lexicon) and structural levels (e.g., scenarios, role-plays) to reflect the everyday realities of sexual-minority youth. To address sexual-minority youths’ specific risk factors for drug use—namely the stress associated with internalized homophobia, harassment from peers, and managing family rejection—additional session content will focus on: enhancing self-worth, coping strategies, building social supports, and managing negative moods. The randomized controlled trial will include 890 sexual-minority youth from the United States. All youth will complete pretest measures online. Intervention-arm youth will then interact with the 10-session program; youth in the control arm will have access to an attention-placebo website. All youth will then complete posttest measures and 1-, 2-, and 3-year follow-up measures. Across posttest and annual follow-up measurement occasions, data analyses will examine rates of 30-day drug use and drug use initiation between study arms. We will also examine intervention effects on mediator variables associated with drug use and assess the extent to which changes in mediator variables explain differences in drug use between arms.

抽象的本赠款申请中提出的随机对照试验解决了美国性少数青少年中的药物使用率不成比例。性的少数民族青少年是年轻人，他们自称是同性恋，女同性恋，双性恋或不确定自己的性取向。在此应用中，我们的性少年青年样本还将包括识别跨性别者或不确定他们的性别认同。我们建议开发和测试一个量身定制的基于网络的程序，以防止药物性少年青年的使用和延迟吸毒开始。迄今为止，尚无此类程序。学习参与者将是从Facebook招募的15至17岁的青年。是最大，最大的美国流行的社交网站在美国，Facebook约有380万处注册的美国用户，15至17岁。国家数据表明，大约7.5％的年轻人认为是性的 Facebook少数民族成员提供了无与伦比的访问，难以获得这一难以达到人口。 10条干预将在线交付。会议将安置在可定制的具有青年搜索功能的主页：供应，娱乐和体育新闻，健身和时尚技巧，流行游戏和社交网站的链接以及与健康相关的资源。解决对所有年轻人的毒品使用危险因素，即管理同伴和社会影响力 - Sessive Content将为青年提供获取，尝试，接收反馈和的机会大师认知行为技能与：目标设定，解决问题，拒绝，自信和普通信念。与额外的程序不同，这些会话将在表面量身定制（例如，角色，设计元素，词典）和结构级别（例如场景，角色扮演），以反映日常现实性少年青年。解决性少年青年的药物使用危险因素，即压力与内部恐同症，同龄人的骚扰和管理家庭拒绝相关 - 会议内容将重点关注：增强自我价值，应对策略，建立社会支持和管理负面情绪。随机对照试验将包括来自美国的890个性少年青年。所有年轻人将在线完成预测试措施。然后，干预武器青年将与10条课程计划进行互动；控制臂中的青年将可以访问一个注意地点网站。然后所有年轻人都会完成测试措施以及1年，2年和3年的随访测量。跨测试和年度后续测量在研究臂之间，数据分析将检查30天药物使用和药物使用计划的速度。我们还将检查对与药物使用和评估相关的调解人变量的干预影响中介变量变化的程度解释了手臂之间药物使用的差异。