Cultural Adaptation of an Alcohol and Other Drug Use Treatment for Black Justice Involved Youth

针对涉及青少年的黑人正义的酒精和其他药物使用治疗的文化适应

• 批准号: 10708959
• 负责人: Brittany Bryant
• 金额: $ 3.52万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2023-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10708959
• 关键词: Address; Adolescent; Affect; Aggressive behavior; Alcohol consumption; Alcohol or Other Drugs use; Anxiety; Applications Grants; Applied Research; Automobile Driving; Award; Awareness; Black race; Cannabis; Caring; Clinical; Communities; Coping Skills; Criminal Justice; Data Analyses; Development; Discrimination; Distress; Drug usage; Event; Evidence based intervention; Exclusion; Exposure to; Feasibility Studies; Feedback; Focus Groups; Foundations; Goals; Health; Individual; Institutional Racism; Intervention; Justice; Knowledge; Law Enforcement; Lead; Learning; Light; Link; Manuals; Mental Depression; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methods; Mission; Modeling; Modification; National Institute on Alcohol Abuse and Alcoholism; Outcome; Outcome Study; Parents; Personal Satisfaction; Pharmaceutical Preparations; Phase; Police; Police officer; Policies; Population; Procedures; Process; Publications; Race; Randomized, Controlled Trials; Reporting; Research; Research Methodology; Research Personnel; Risk; Series; Strategic Planning; Stress; Stressful Event; Symptoms; System; Time; Training; Treatment outcome; United States National Institutes of Health; Violence; Youth; acceptability and feasibility; adolescent alcohol and drug use; adolescent substance use; adverse outcome; alcohol abuse therapy; alcohol and other drug; alcohol comorbidity; alcohol effect; alcohol misuse; alcohol related consequences; alcohol risk; career; career development; clinical practice; community based research; coping; coping mechanism; cost effective; early onset; ethnic discrimination; ethnic disparity; evidence base; experience; externalizing behavior; gender difference; gender disparity; improved; individualized medicine; marijuana use; member; negative affect; novel; prevent; probation; programs; racial bias; racial discrimination; racial disparity; racial population; recidivism; reduced alcohol use; reduced substance use; skills; social health determinants; substance use; substance use treatment; theories; tool; traumatic event; treatment program; underage drinking; women of color

PROJECT SUMMARY/ ABSTRACT The goal of the proposed NIAAA K23 Mentored Patient-Oriented Research Career Development Award is to support Dr. Brittany Bryant in gaining the knowledge, skills, and expertise required for the successful transition from clinical practice to building a career as an independent clinical researcher focused on improving treatment options for Black justice-involved youth (JIY). Black JIY are overrepresented in the criminal justice system due to institutional racism and discrimination. The General Strain Theory posits that high levels of ethnic and racial discrimination (ERD), paired with elevated levels of witnessing or experiencing police brutality, places Black JIY at unique risk of increased alcohol and other drug use (AOD) as a means of coping with stressful events. Black JIY report engaging in comorbid alcohol and cannabis use to achieve temporary respite from discrimination- induced stress. While JIY engage in higher rates of comorbid alcohol and cannabis use compared to non-justice- involved youth, overall, Black JIY are less likely to be diverted to substance use treatment programs, less likely to engage in care after being released on probation, less likely to benefit from substance use treatment in terms of reduced risk of recidivism, and are more adversely affected by early onset of AOD activity than White JIY. To date, no known adolescent substance use treatment directly addresses ERD, the increased risk of AOD due to ERD, or explicitly presents tools on how to appropriately respond to AOD and discrimination distress among Black JIY. To address this problem, Dr. Bryant’s research program aspires to improve the understanding of 1) the impact of ERD on adolescent AOD within the Black JIY population; 2) culturally adapt the evidence-based Cannabis Youth Treatment Series (CYT) using the ADAPT-ITT model to address ERD, reduce AOD, and reduce recidivism with input from Black JIY, parents, and community members; and 3) pilot the culturally adapted intervention to assess feasibility, acceptability, and changes in substance use and discrimination distress. For the duration of the award, Dr. Bryant will 1) increase her record of scholarly publications; 2) expand knowledge and skills in mixed methods research and applied research methods; 3) develop expertise in effectively conducting community-based research; and 4) obtain training in effectively culturally adapting evidence based interventions. The training and mentorship afforded to Dr. Bryant will enhance her career development and long- term goals of becoming an independent community-based clinical researcher focused on improving treatment options, policies, and procedures to decriminalize substance use and prioritize diverting Black JIY to substance use treatment. Moreover, the proposed project aligns with NIAAA’s strategic plan to 1) prioritize the development of culturally appropriate interventions to prevent or reduce alcohol misuse and related consequences, 2) improve the implementation, accessibility, and use of alcohol treatment tailored to the needs of individuals, and 3) raise awareness about the effects of alcohol on health and well-being, while supporting an underrepresented woman of color trained in AOD research.

项目概要/摘要 拟议的 NIAAA K23 指导的以患者为导向的研究职业发展奖的目标是 支持布列塔尼·布莱恩特博士获得成功过渡所需的知识、技能和专业知识 从临床实践到成为专注于改善治疗的独立临床研究员的职业生涯 参与黑人正义的青年 (JIY) 的选择。由于黑人 JIY 在刑事司法系统中的比例过高 制度性种族主义和歧视。一般应变理论认为，高水平的民族和种族 歧视（ERD），再加上目击或经历警察暴行的程度升高，使黑人 JIY 存在增加酒精和其他药物使用（AOD）作为应对压力事件的手段的独特风险。黑色的 JIY 报告参与共病酒精和大麻使用，以暂时摆脱歧视 - 诱发的压力。虽然 JIY 与非司法人员相比，酗酒和吸食大麻的比例更高，但 总体而言，黑人 JIY 参与的青少年不太可能被转移到药物使用治疗计划，不太可能 缓刑释放后接受护理，不太可能从药物滥用治疗中受益 累犯风险降低，并且比 White JIY 更容易受到早期 AOD 活动的不利影响。到 迄今为止，还没有已知的青少年物质使用治疗方法可以直接解决 ERD，即 AOD 风险增加，因为 ERD，或明确提出如何适当应对 AOD 和歧视困扰的工具 黑吉伊.为了解决这个问题，布莱恩特博士的研究计划旨在提高对以下问题的理解：1) ERD 对黑人 JIY 人群中青少年 AOD 的影响； 2）在文化上适应循证的 大麻青少年治疗系列 (CYT) 使用 ADAPT-ITT 模型解决 ERD、减少 AOD 和减少 在 Black JIY、家长和社区成员的意见下累犯； 3）试点文化适应 干预措施以评估药物使用和歧视困扰的可行性、可接受性以及变化。为了 在获奖期间，布莱恩特博士将 1) 增加她的学术出版物记录； 2）扩大知识面 以及混合方法研究和应用研究方法的技能； 3）有效地发展专业知识 开展社区研究； 4) 获得有效的文化适应循证培训 干预措施。为布莱恩特博士提供的培训和指导将促进她的职业发展和长期发展 成为专注于改善治疗的独立社区临床研究人员的长期目标 将物质使用非刑罪化并优先将 Black JIY 转向物质的选项、政策和程序 使用治疗。此外，拟议的项目符合 NIAAA 的战略计划：1）优先发展 采取文化上适当的干预措施来预防或减少酒精滥用及相关后果，2) 改善 根据个人需求量身定制酒精治疗的实施、可及性和使用，以及 3) 提高 认识酒精对健康和福祉的影响，同时支持代表性不足的女性 接受过 AOD 研究的色彩培训。