iKinnect2.0 for Juvenile Justice Involved Youth at Risk for Suicide Diversity Supplement

iKinnect2.0 涉及青少年司法 自杀风险青少年多样性补充

• 批准号: 10815920
• 负责人: Linda A Dimeff
• 金额: $ 18.97万
• 依托单位: EVIDENCE-BASED PRACTICE INSTITUTE, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-10 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10815920
• 关键词: Address; Adolescent; Age; Android; Area; Awareness; Behavior; Behavioral; Black race; Clinical; Drug usage; Effectiveness; Ethnic Population; Evaluation; Evidence based practice; Feeling suicidal; Government; Intervention; Justice; Parents; Participant; Phase; Problem behavior; Public Health; Randomized, Controlled Trials; Recording of previous events; Reporting; Self Efficacy; Self-Injurious Behavior; Suicide; Suicide prevention; Systemic Therapy; Techniques; Youth; active control; conduct problem; coping; design; design,build,test; emotional distress; evidence base; externalizing behavior; formative assessment; ideation; improved; iterative design; juvenile justice system; mobile application; pilot test; prevent; preventive intervention; racial population; recidivism; reducing suicide; skills; suicidal; suicidal adolescent; suicidal behavior; suicidal morbidity; suicidal risk; suicide rate; usability

PROJECT SUMMARY/ABSTRACT Suicidal behaviors (ideation, planning, attempts) and non-suicidal self-injurious behaviors (NSSI) are highly prevalent among juvenile justice-involved transition-age (TA) youth. More than half of youth in the juvenile justice (JJ) system report suicidal ideation; one-third report a history of suicidal behavior. Black youth are disproportionately represented in juvenile justice and are also at increased risk of suicide, as rates of suicidal behavioral and death by suicide among Black youth have risen at an alarming rate, faster than other racial/ethnic groups. This increase has resulted in a number of government initiatives to increase suicide prevention efforts for Black youth. Reducing suicide risk among JJ-involved youth must occur in conjunction with interventions addressing their broader needs for reduced externalizing behavior and in ways that are culturally appropriate for Black youth. iKinnect is a paired mobile app platform that supports parents (in delivering) and youth (in receiving) evidence-based practices to reduce youth problem behaviors. Based on Multisystemic Therapy principles, iKinnect1.0 was originally designed to help youth with serious conduct problems. Results from a randomized controlled trial (RCT; N=72) demonstrated its efficacy in reducing externalizing behaviors and improving parent effectiveness. This fast-track proposal seeks to significantly expand iKinnect to prevent NSSI, suicidal behaviors (ideation, planning, attempts), and death by suicide in JJ-involved TA youth while continuing to decrease externalizing behaviors and prevent recidivism. Leaders in the area of suicide risk among Black youth and cultural appropriateness of interventions will guide these efforts. This 33-month fast track will include three primary phases of evaluation: (1) a proof-of-concept formative evaluation phase during which we will iteratively design, test, and build a central portion of iKinnect2.0 to achieve its usability, acceptability, and relevance (Months 1-10); (2) a product design-and-build formative evaluation phase, where we will design, build, and test all remaining features for iOS and Android phones, while also preparing the platform for clinical use (Months 11-23); and (3) a summative evaluation phase involving a pilot test (N=15) of iKinnect2.0 and an RCT (N=120) comparing iKinnect2.0 to an active control condition; and results will then be analyzed, reported, and disseminated (Months 24-33). We predict that iKinnect2.0 TA youth and parents will report a significantly greater decrease in suicidal and NSSI behaviors and in conduct problem behaviors in TA youth. Furthermore, iKinnect2.0 participants (TA youth and parents) will report significantly greater use of behavioral skills, as well as self-efficacy in coping with emotional distress and other challenging situations. iKinnect2.0 parents will report greater awareness of and confidence in applying evidence-based strategies to prevent suicide/NSSI and support their suicidal youth through a suicide crisis.

项目摘要/摘要 自杀行为(构思、计划、企图)和非自杀性自残行为(NSSI)的发生率很高 在涉及少年司法的过渡年龄(TA)青年中很普遍。青少年中有一半以上的青年 司法部(JJ)系统报告有自杀意念；三分之一报告有自杀行为史。黑人青年是 在少年司法中有不成比例的代表，自杀风险也增加，因为自杀率 黑人青年的自杀行为和死亡人数以惊人的速度上升，比其他国家上升得更快 种族/民族群体。这一增长导致了政府采取了一些措施来增加自杀率 针对黑人青年的预防工作。减少与JJ有关的年轻人的自杀风险必须同时进行 通过干预解决他们减少外部化行为的更广泛需求，并以以下方式 在文化上适合黑人青年。 IKinnect是一个配对的移动应用平台，支持父母(在交付中)和年轻人(在接收中) 减少青少年问题行为的循证做法。基于多系统治疗原则， IKinNett1.0最初是为了帮助有严重品行问题的青少年而设计的。来自随机调查的结果 对照试验(RCT；N=72)证实了其在减少外化行为和改善父母方面的有效性 有效性。这项快速通道提案寻求显著扩展iKinnect，以防止NSSI、自杀 JJ参与的TA青少年的行为(构思、计划、尝试)和自杀死亡 减少外化行为，防止再犯罪。黑人自杀风险领域的领导者 干预措施的青年和文化适当性将指导这些努力。 这一33个月的快速通道将包括三个主要评估阶段：(1)概念验证形成性 评估阶段，在此阶段，我们将迭代地设计、测试和构建iKinNett2.0的核心部分，以 实现其可用性、可接受性和相关性(1-10个月)；(2)形成产品设计和构建 评估阶段，我们将设计、构建和测试iOS和Android手机的所有剩余功能， 同时还准备平台供临床使用(11-23个月)；和(3)总结性评估阶段 涉及iKinNett2.0的试验性测试(N=15)和比较iKinNett2.0与主动对照的RCT(N=120 然后将对结果进行分析、报告和传播(24-33个月)。我们预测 IKinNett2.0 TA青少年和父母报告的自杀和NSSI行为的减少幅度明显更大 以及在助教青少年的行为问题上。此外，iKinNett2.0参与者(助教青少年和家长) 将报告更多地使用行为技能以及应对情绪困扰的自我效能感 以及其他具有挑战性的情况。IKinNett2.0的家长将报告更多的意识和信心 应用循证策略预防自杀/NSSI并通过自杀支持其自杀青年 危机。