Staying Off Substances: A Tailored Early Recovery Program for Teens

描述（由申请人提供）：大多数在早期恢复期间努力避免使用药物的青少年也在应对许多其他问题（例如，（3）需要持续支持的伙伴关系。我们建议为青少年开发一个名为“远离物质”（SOS）的在线复发预防计划。该计划中的具体内容将根据其客户的a）年龄，B）当前的动机水平，以及（如果可用）c）青少年综合健康评估（CHAT（R））报告的需求和优势推荐给咨询师，CHAT（R）是一种用于治疗环境的网络交互式青少年自我报告评估。虽然目前针对青少年的在线计划是针对初级预防的，但CHAT（R）：SOS将是一种用于临床人群的干预措施。咨询师将根据其临床判断分配客户的用户名以访问该内容和/或其他内容的权限。我们预计CHAT（R）：SOS最终将有六个与CHAT（R）子量表相对应的模块（即，心理健康、家庭关系、同伴关系、烟草使用、酒精使用、药物使用）。CHAT（R）：SOS将包括通过在线互动练习、写作活动和获得支持性在线社区来加强青少年在治疗中学习的技能和理念的机会。这些资源将在治疗期间和治疗后提供给他们，以帮助他们应对早期恢复的挑战。青少年将收到量身定制的建议和个性化的用户体验，因为CHAT（R）：SOS将利用一个创新的内容管理和逻辑解决方案称为Ektron。CHAT（R）：SOS还将为咨询师提供如何与客户一起使用该程序的指导方针（例如，在疗程中，在康复期间）和自定义用户报告。为了证明该计划概念的可行性，第一阶段的研究集中在同伴关系领域。符合所有可行性标准，结果表明：（1）拟议内容是基于概念图的高度积极的结果，以及客户和专家的可用性和验收测试。对潜在效力和吸引力的评价很高。(2)可用性测试表明，该计划是可用的目标受众，技能和成果是相关的目标受众，该计划被认为是潜在的非常有帮助的治疗过程。我们超越了客户和专家的可行性基准。(3)我们的技术/设计团队a）制作了一个演示程序，被主要利益相关者视为高度可用和吸引人的多媒体程序，B）确定了在第二阶段制作完整程序所需的技术。在第二阶段，我们将开发该程序，然后在田间试验中测试其功效。现场试验将检验主要假设，即相对于对照条件（仅CHAT（R）），CHAT（R）：SOS将与显著更高的动机，更高的自我效能，更多的复发应对和更低的物质使用相关。 公共卫生相关性：青少年药物滥用是一个重大的公共卫生问题。不幸的是，2005年联邦治疗事件数据集表明，不到15万青少年接受了治疗。通常情况下，75%接受治疗的人在第二年内复发。为了满足成本效益评估的需要，Inflexxion，Inc.开发了青少年综合健康评估（CHAT（R）），这是一种用于治疗环境的网络交互式自我报告评估。我们建议开发一个补充性的在线复发预防计划，称为CHAT（R）：远离物质（SOS）。聊天：SOS将使用青少年的1）年龄，2）动机水平，3）对CHAT（R）评估的反应，以推荐基于网络的复发预防内容，以满足青少年的个人需求。这些资源将在治疗期间和治疗后提供给青少年，以帮助他们应对早期恢复的挑战。

DESCRIPTION (provided by applicant): The majority of adolescents struggling to avoid substance use during early recovery are also coping with many other issues (e.g., peer relationships) for which they require consistent support. We propose to develop an online relapse prevention program for adolescents called Staying Off Substances (SOS). Specific content in the program will be recommended to counselors based on their client's a) age, b) current motivation level, and, when available, c) reported needs and strengths on the Comprehensive Health Assessment for Teens (CHAT(R)), a Web-enabled interactive adolescent self-report assessment for use in treatment settings. Whereas current online programs for adolescents are geared for primary prevention, CHAT(R): SOS will be an intervention for use in clinical populations. Counselors will assign the client's user name to access privileges for that content and/or other content per their clinical judgment. We expect that CHAT(R): SOS will ultimately have six modules corresponding with the CHAT(R) subscales (i.e., Psychological Health, Family Relationships, Peer Relationships, Tobacco Use, Alcohol Use, Drug Use). CHAT(R): SOS will include opportunities to reinforce the skills and philosophies that adolescents learn in treatment through online interactive exercises, writing activities, and access to a supportive, online community. This resource will be available to them during treatment and post-treatment to help them navigate challenges in early recovery. Adolescents will receive tailored recommendations and an individualized user experience because CHAT(R): SOS will utilize an innovative content management and logic solution called Ektron. CHAT(R): SOS will also provide counselors with guidelines on how to use this program with their clients (e.g., in sessions, during aftercare) and custom user reports. To demonstrate the feasibility of the program concept, the Phase I study focused on the Peer Relationships domain. All feasibility criteria were met and findings indicated: (1) Proposed content was based on highly positive findings from concept mapping, as well as usability and acceptance testing with clients and experts. Ratings of potential effectiveness and appeal were high. (2) Usability testing indicated that the program was usable by the target audience, the skills and outcomes were relevant to the target audience, and the program was regarded as potentially very helpful to the treatment process. We surpassed feasibility benchmarks for both clients and experts. (3) Our technical/design team a) produced a demonstration program that was perceived by key stakeholders as highly usable and engaging multimedia program and b) determined the necessary technologies to produce the complete program in Phase II. In Phase II we will develop the program then test its efficacy in a field trial. The field trial will examine the primary hypotheses that, relative to the control condition (CHAT(R) only), CHAT(R): SOS will be associated with significantly higher motivation, higher self-efficacy, more relapse coping, and lower substance use. PUBLIC HEALTH RELEVANCE: Adolescent substance abuse is a significant public health issue. Unfortunately, the 2005 federal Treatment Episode Data Set indicated that less than 150,000 adolescents received treatment. Typically, 75% of those who receive treatment relapse within the following year. To address the need for cost-effective assessment, Inflexxion, Inc. developed the Comprehensive Health Assessment for Teens (CHAT(R)), a Web-enabled interactive self report assessment for use in treatment settings. We propose developing a supplemental online relapse prevention program called CHAT(R): Staying Off Substances (SOS). CHAT: SOS will use an adolescent's 1) age, 2) motivational level, and, when available, 3) responses to the CHAT(R) assessment to recommend Web-based relapse prevention content to address the adolescent's individual needs. This resource will be available to adolescents during treatment and post-treatment to help them navigate challenges in early recovery.