Neighborhood perceptions and response to a technology-assisted parenting intervention for youth substance use

项目总结 青少年的邻里关系与他们患上药物使用障碍的可能性有关。 技术辅助干预(Tais)已被吹捧为扩大药物使用治疗的覆盖范围。 为生活在服务不足社区的青年和家庭提供服务。一个关键的问题是，社区是否 特征(例如，社区暴力、安全、获得社区资源的机会)影响有效性 由于这种干预措施通常植根于青年的自然环境中，因此，这些干预措施在青年的自然环境中发挥着重要作用。家长助学金 支持这一多样性补充的是对Parent Smart的全面评估，Parent Smart是为年轻父母提供的TAI 最近从居住物质使用治疗中出院(R37DA052918；PI：Becker)。在初选下 萨拉·贝克尔博士的指导，候选人扎宾·帕特尔博士将通过以下方式延长父母赠款的目标 对青少年和家长的影响进行多回应和多维度的评估 邻里对TAI有效性的认知。目标1将识别最多的邻里特征 使用青少年和家长报告对家长聪明的反应进行预测。然后，Aim 2将探索 与父母SMART的接触作为一种假定的行动机制解释了 社区特征和TIA结果。这份多样性副刊的候选人之前 在公共卫生和临床科学方面的专业知识，并致力于作为独立资助的职业生涯 研究人员侧重于提高青少年和家庭药物使用服务的有效性。这 多样性补充将支持候选人的职业生涯从博士后研究员过渡到独立人士 调查员在三个领域接受有指导的培训：(A)在青年中进行务实有效性试验 (B)评价毒品和犯罪问题办公室在促进公平获得和参与药物使用方面的作用 药物使用护理；和(C)多层次纵向数据分析。候选人之前的工作是 表明居住地影响青年的治疗反应。语境邻里 在tais的临床有效性试验中，主要未被研究的因素也可能影响干预参与度。 和回应。然而，邻里特征与TAI反应之间的预测关系 以前没有被调查过，并且假设tais改善了 居住在服务不足社区的家庭很少接受测试。结果具有推动公众进步的强大潜力 通过找出影响对TAIS反应的关键背景因素，如父母聪明和告知 TAI是否需要量身定做，以满足生活在服务不足社区的年轻人的独特需求。 此外，这项研究将支持帕特尔博士的职业轨迹，他是一位有前途的学者，其背景是 在美国国立卫生研究院的研究中代表性不足。来自这份多样性补充的初步数据将为R34 应用程序专注于使Parent Smart适应居住在服务不足社区的高需求家庭 并启动候选人的职业生涯，成为一名成瘾科学的独立研究员。

PROJECT SUMMARY An adolescent’s neighborhood is associated with their likelihood of developing a substance use disorder. Technology-assisted interventions (TAIs) have been touted to enhance the reach of substance use treatment for youth and families living in underserved communities. A key question is whether neighborhood characteristics (e.g., neighborhood violence, safety, access to community resources) impact the effectiveness of TAIs as such interventions are typically embedded within a youth’s natural environment. The parent grant supporting this Diversity Supplement is a fully powered evaluation of Parent SMART, a TAI for parents of youth recently discharged from residential substance use treatment (R37DA052918; PI: Becker). Under the primary mentorship of Dr. Sara Becker, the candidate, Dr. Zabin Patel, will extend the aims of the parent grant by conducting a multi-respondent and multi-dimensional evaluation on the impact of youth and parent neighborhood perceptions on TAI effectiveness. Aim 1 will identify neighborhood characteristics most predictive of response to Parent SMART using both youth and parent reports. Aim 2 will then explore whether engagement with Parent SMART acts as a putative mechanism of action explaining the relationship between neighborhood characteristics and TIA outcomes. The candidate for this Diversity Supplement has prior expertise in public health and clinical science and is committed to a career as an independently funded researcher focused on improving the effectiveness of substance use services for youth and families. This Diversity Supplement will support the candidate’s career transition from postdoctoral fellow to an independent investigator via mentored training in three areas: (a) conducting pragmatic effectiveness trials with youth substance use populations; (b) evaluating the role of TAIs in increasing equitable access to and engagement in substance use care; and (c) multi-level longitudinal data analysis. The candidate’s prior work has demonstrated that place of residence affects treatment response among youth. Contextual neighborhood factors, majorly understudied in clinical effectiveness trials of TAIs, may also impact intervention engagement and response. However, the predictive relationships between neighborhood characteristics and TAI response have not been previously investigated and the assumption that TAIs improve substance use outcomes for families living in underserved neighborhoods is rarely tested. Results hold strong potential to advance public health by pinpointing key contextual factors that influence response to TAIs like Parent SMART and to inform whether TAIs require tailoring to address the unique needs of youth living in underserved neighborhoods. Further, this study will support the career trajectory of Dr. Patel, a promising scholar with a background that is underrepresented in NIH research. Preliminary data from this Diversity Supplement will inform an R34 application focused on adapting Parent SMART for high-need families living in underserved neighborhoods and launch the candidate’s career as an independent researcher in addiction science.