Technology-based Training Tool for an Empirically-Supported Group-Based HIV and STI Prevention Intervention for Juvenile Offenders

基于技术的培训工具，用于针对青少年罪犯进行实证支持的基于群体的艾滋病毒和性传播感染预防干预

• 批准号: 10650431
• 负责人: GERI R DONENBERG
• 金额: $ 39.76万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-18 至 2024-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10650431
• 关键词: 2 arm randomized control trial; AIDS prevention; Address; Adolescent; Affect; Age; Aggressive behavior; Behavioral Research; Benchmarking; Caring; Chicago; Collaborations; Communities; Competence; Complex; Comprehension; Criminal Justice; Development; Diagnosis; Dissemination and Implementation; Distal; Education; Educational process of instructing; Employment; Ensure; Evaluation; Evidence based intervention; Evidence based program; Feedback; HIV; HIV/STD; Health; Health Educators; Human Resources; Illinois; Indigenous; Individual; Internet; Intervention; Justice; Knowledge; Knowledge acquisition; Language; Learning; Life; Marketing; Mental Health; Mental disorders; Methods; Minority; Multimedia; Narration; Oregon; Outcome; Personal Satisfaction; Persons; Phase; Privatization; Process; Program Sustainability; Public Health; Randomized; Research; Resources; Risk Behaviors; Role playing therapy; STI prevention; Sex Behavior; Small Business Innovation Research Grant; Societies; Substance abuse problem; Supervision; Support Groups; System; Technology; Teenagers; Time; Training; Training Programs; Universities; Videoconferencing; Work; Youth; acceptability and feasibility; commercialization; commercially viable technology; comorbidity; cost; cost effective; cost effectiveness; efficacy trial; experience; follow-up; implementation fidelity; implementation outcomes; improved; innovation; interactive multimedia; intervention delivery; juvenile delinquent; juvenile justice system; mobile application; pilot test; prevent; preventive intervention; probation; programs; prototype; public health priorities; recidivism; satisfaction; scale up; screening; sexual risk taking; skills; substance use; tool; uptake; usability

Project Summary Youth under age 18 involved in the criminal justice system are disproportionately minorities and affected by substance abuse, mental illness, and HIV/STI. Most young offenders are released on community supervision without the STI, mental health, or substance use screening, diagnosis, and treatment afforded detained youth, despite similar rates of risk behavior. Their long-term trajectory is poor, the costs to society are high, and lasting effects on community well-being and individual employment prospects are profound. Altering this trajectory is a public health priority. Preventing HIV Among Teens (PHAT) Life is an evidence-based program that meets the need in juvenile justice to address youths' co-morbid health problems. The next––and perhaps most critical–– step in ensuring that this decade-long line of research produces actual, real-world improvements in the lives of probation youth is to develop a PHAT Life training strategy that is effective, cost-effective, and sustainable within juvenile justice settings. This private/public collaboration between Oregon Research Behavioral Intervention Strategies and the University of Illinois at Chicago will leverage existing resources and competencies to create a commercially viable technology-based training tool for PHAT Life with great potential for sustainability and cost-effectiveness. Building on SBIR Phase I research, in this Phase II application proposes to use a formative process to refine, enhance and complete the technology-based training tool to include: (a) an interactive multimedia web browser and mobile application, (b) dynamic multimedia presentations and interactive queries, (c) video examples of mock intervention delivery, (d) audio narration along with scripted language, (e) brief quizzes to ensure comprehension and knowledge acquisition, (f) opportunities to “learn more” by clicking on tabs for supplemental information, (g) targeted referrals to appendix materials, (h) games to promote engagement, and (i) other adaptations based on Phase I feedback. The proposed technology-based training tool should be highly sustainable, because it (a) relies on “indigenous” personnel to deliver the intervention, (b) is likely to prove cost-effective since we will utilize a technology that can deliver training at scale, and (c) will improve fidelity by leveraging technology to provide consistent training experiences to para-professionals. We will evaluate the training tool via a 2-arm RCT with 130 individuals who work with justice-involved youth. All trainees will receive the technology-based training tool and half will be randomized to receive supervision prior to real-life delivery. We will evaluate facilitator knowledge and satisfaction, and fidelity to PHAT Life following real-time intervention delivery. We will assess key implementation outcomes, including cost, feasibility, acceptability and sustainability. The proposed study is highly significant with strong commercialization opportunities for a scalable training solution that supports implementation fidelity and program sustainment addressing a key public health imperative.

项目摘要 涉及刑事司法系统的18岁以下青年是不成比例的少数群体， 药物滥用、精神疾病和艾滋病毒/性传播感染。大多数青少年罪犯在社区监督下获释 如果没有为被拘留的青少年提供性传播感染、心理健康或药物使用筛查、诊断和治疗， 尽管风险行为的发生率相似。他们的长期轨迹是糟糕的，社会成本很高，而且是持久的 对社区福祉和个人就业前景的影响是深远的。改变这个轨迹是一个 公共卫生优先。预防青少年艾滋病毒（PHAT）生活是一个以证据为基础的计划，符合 需要在少年司法中解决青少年的共病健康问题。下一个--也许是最关键的-- 确保这一长达十年的研究产生实际的，现实世界的生活改善的一步， 缓刑青年是制定一个PHAT生活培训战略，这是有效的，具有成本效益的，可持续的， 少年司法机构。俄勒冈州行为干预研究所与美国政府的合作 战略和伊利诺伊大学芝加哥分校将利用现有的资源和能力， 一个商业上可行的技术为基础的培训工具，为PHAT生命具有巨大的潜力，可持续发展和 成本效益。在SBIR第一阶段研究的基础上，在第二阶段应用中，建议使用一个形成性的 改进、加强和完善技术培训工具的进程，包括：（a）互动 多媒体web浏览器和移动的应用，（B）动态多媒体呈现和交互式查询， (c)模拟干预实施的视频示例，（d）带有脚本语言的音频叙述沿着，（e）简要 测验，以确保理解和知识的获取，（f）通过点击标签“了解更多”的机会 补充信息，（g）有针对性地推荐附录材料，（h）游戏，以促进参与， 以及（i）基于阶段I反馈的其他适应。拟议的技术培训工具应 高度可持续，因为它（a）依赖“土著”人员提供干预，（B）可能证明 具有成本效益，因为我们将利用一种可以大规模提供培训的技术，以及（c）将通过以下方式提高保真度 利用技术为辅助专业人员提供一致的培训经验。我们将评估 培训工具，通过双臂随机对照试验与130个人谁与正义参与青年工作。所有学员将获得 基于技术的培训工具和一半将被随机分配到现实生活中交付之前接受监督。 我们将评估辅导员的知识和满意度，以及实时干预后对PHAT Life的忠诚度 交付.我们将评估主要的实施成果，包括成本、可行性、可接受性和可持续性。 拟议的研究是非常重要的，具有强大的商业化机会，可扩展的培训 一种解决方案，支持实施的精确性和项目的可持续性，解决关键的公共卫生问题 势在必行

项目成果

A Technology-Based Training Tool for a Health Promotion and Sex Education Program for Justice-Involved Youth: Development and Usability Study.

• DOI: 10.2196/31185
• 发表时间: 2021-09-30
• 期刊: JMIR formative research
• 影响因子: 2.2
• 作者: Snow-Hill NL;Donenberg G;Feil EG;Smith DR;Floyd BR;Leve C
• 通讯作者: Leve C