Exploratory-Project 1
探索性项目 1
基本信息
- 批准号:10675043
- 负责人:
- 金额:$ 13.33万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-09-15 至 2026-07-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdolescentAdoptionAdultAffectAgeBehaviorBisexualCaringClinicalDataDevelopmentDiscriminationEvaluationEvidence based interventionFamilyFeeling suicidalFemaleFriendsFutureGaysGeneral PopulationGoalsHIV prevention trialHealthHeterosexualsIndividualInterventionLearningLesbian Gay Bisexual Transgender QueerLicensingLifeMental HealthModelingOutcomeParticipantPersonsPhiladelphiaPredictive FactorProtocols documentationRandomizedReach, Effectiveness, Adoption, Implementation, and MaintenanceRecording of previous eventsReportingResearchResourcesRiskRisk FactorsSafetySame-sexSamplingSeriesSexualitySocial EnvironmentSocial isolationSocial supportSuicideSuicide attemptSuicide preventionTestingTrainingYouthagedarmbiopsychosocialclinically significantcomparison controlcopingdepressive symptomsdesigneffectiveness/implementation designefficacy outcomesefficacy trialemerging adultemerging adulthoodethnic diversityevidence baseexperiencehigh riskimplementation frameworkimplementation interventionimplementation outcomesimplementation researchimprovedinnovationmarginalizationmenmobile applicationmotivational enhancement therapypeer coachingpeer supportpilot testpopulation basedprimary outcomeprogramsprospectiveracial diversityrecruitreducing suicidesecondary outcomesexual minorityskillssocial stigmastressorsuicidalsuicidal behaviorsuicidal risktelehealthtreatment armwillingnessyoung man
项目摘要
Emerging adult gay, bisexual, and same-sex attracted men (EAGBM; ages 18-24) are vulnerable to unique
sexuality-related stressors that increase risk for suicidal ideation and behaviors. Unique risk factors predict
suicidal ideation and attempts in EAGBM, yet there are few targeted interventions to reduce suicide risk in
EAGBM by improving social support, coping, and positive affect. While evidence-based interventions like the
safety planning intervention (SPI) significantly reduce suicide risk, research indicates that individuals struggle to
use the safety plan in suicidal crises. Thus, we propose to examine a mobile application (Supporting Transitions
to Adulthood and Reducing Suicide; STARS) that leverages peer mentoring and support to ensure that EAGBM
can implement their safety plan in times of crisis. We will use the ADAPT-ITT Model to adapt an online life skills
intervention to reduce suicidal ideation and behaviors among EAGBM. STARS will include suicide prevention
content, including safety planning and targeting positive affect, consider cultural factors that may impact the
efficacy of safety planning for EAGBM (e.g., access to LGBTQ+ safe spaces), and include supports that promote
use of a suicide safety plan. STARS peer mentors will also provide social support, reduce the impact of
discrimination, connect youth to safe spaces, and help them overcome obstacles to use their safety plan. Guided
by the RE-AIM implementation science framework, we then will pilot test STARS using a Type 1 Effectiveness-
Implementation Hybrid Design in a racially/ethnically diverse sample of EAGBM (n=60) living in Philadelphia who
report past-month suicidal ideation. Participants will be randomized to an in-person brief, evidence-based safety
planning protocol (Control arm) or to safety planning plus access to STARS (Intervention arm). We will follow
participants over six months, with evaluations at 2, 4, and 6 months. Consistent with our Type 1 design, we will
prioritize preliminary efficacy outcomes (suicidal ideation and behavior) and hypothesized mechanisms of
change (coping with discrimination, social support, positive affect) needed to estimate critical parameters for a
future trial as our primary outcomes. We also will assess key implementation indicators in both arms
(participants: willingness and adoption of safety plan intervention or STARS; staff: experiences adapting and
delivering the program) as secondary outcomes. Our Specific Aims are (1) To conduct a systematic suicide
prevention adaptation of iREACH (“STARS”) that incorporates safety planning content and targets coping, social
support, and positive affect using the ADAPT-ITT framework; (2) To examine preliminary efficacy (suicidal
ideation and behaviors) and mechanisms of action of STARS, relative to our control condition (safety planning
protocol alone), using a prospective RCT design, and (3) using RE-AIM metrics, to examine whether STARS
has preliminary evidence for impacting intervention implementation outcomes among EAGBM compared to the
control arm. This Exploratory Project will identify the potential clinical utility of STARS for suicide prevention in a
vulnerable, often marginalized, population based on key parameters needed to inform a future efficacy trial.
新兴成年同性恋、双性恋和同性吸引男性(EAGBM; 18-24岁)容易受到独特的影响
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Jose Arturo Bauermeister其他文献
Jose Arturo Bauermeister的其他文献
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{{ truncateString('Jose Arturo Bauermeister', 18)}}的其他基金
Scaling Up Implementation Strategies to Improve the DIAGNOSE and PREVENT Pillars for Young MSM in Florida
扩大实施战略以改善佛罗里达州年轻 MSM 的诊断和预防支柱
- 批准号:
10469026 - 财政年份:2022
- 资助金额:
$ 13.33万 - 项目类别:
Scaling Up Implementation Strategies to Improve the DIAGNOSE and PREVENT Pillars for Young MSM in Florida
扩大实施战略以改善佛罗里达州年轻 MSM 的诊断和预防支柱
- 批准号:
10676873 - 财政年份:2022
- 资助金额:
$ 13.33万 - 项目类别:
Increasing engagement and improving HIV care outcomes via stigma reduction in an online social networking intervention among racially diverse young men who have sex with men and transgender women
通过在线社交网络干预减少男男性行为和跨性别女性的种族不同的年轻男性的耻辱感,提高参与度并改善艾滋病毒护理结果
- 批准号:
10372060 - 财政年份:2018
- 资助金额:
$ 13.33万 - 项目类别:
Increasing engagement and improving HIV care outcomes via stigma reduction in an online social networking intervention among racially diverse young men who have sex with men and transgender women
通过在线社交网络干预减少男男性行为和跨性别女性的种族不同的年轻男性的耻辱感,提高参与度并改善艾滋病毒护理结果
- 批准号:
9765398 - 财政年份:2018
- 资助金额:
$ 13.33万 - 项目类别:
Increasing engagement and improving HIV care outcomes via stigma reduction in an online social networking intervention among racially diverse young men who have sex with men and transgender women
通过在线社交网络干预减少男男性行为和跨性别女性的种族不同的年轻男性的耻辱感,提高参与度并改善艾滋病毒护理结果
- 批准号:
10360761 - 财政年份:2018
- 资助金额:
$ 13.33万 - 项目类别:
Development of a Tailored HIV Prevention Intervention for Young Men
为年轻男性制定量身定制的艾滋病毒预防干预措施
- 批准号:
9241441 - 财政年份:2016
- 资助金额:
$ 13.33万 - 项目类别:
Development of a Tailored HIV Prevention Intervention for Young Men
为年轻男性制定量身定制的艾滋病毒预防干预措施
- 批准号:
9274460 - 财政年份:2016
- 资助金额:
$ 13.33万 - 项目类别:
Optimizing HIV counseling testing and referral through an adaptive drug use intervention
通过适应性药物使用干预优化艾滋病毒咨询测试和转诊
- 批准号:
9053599 - 财政年份:2015
- 资助金额:
$ 13.33万 - 项目类别:
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