Computerized Stage-Matched Intervention for Juvenile Offenders

少年犯计算机化阶段匹配干预

• 批准号: 8314329
• 负责人: DEBORAH A LEVESQUE
• 金额: $ 56.81万
• 依托单位: PRO-CHANGE BEHAVIOR SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-15 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8314329
• 关键词: 17 year old; Abstinence; Accounting; Adherence; Adolescent; Age; Alcohol or Other Drugs use; Alcohols; Behavioral; Computers; Crime; Criminal Justice; Development; Drug user; Environment; Evidence based practice; Evidence based treatment; Expert Systems; Feedback; Female; Freedom; Frequencies; Funding; Goals; Health Services Research; Individual; Individual Differences; Intervention; Investments; Justice; Laws; Life; Modeling; Motivation; Multimedia; National Institute of Drug Abuse; Online Systems; Outcome; Outcome Measure; Pain; Participant; Patient Self-Report; Pharmaceutical Preparations; Phase; Population; Price; Printing; Professional counselor; Property; Protocols documentation; Quality of life; Randomized; Randomized Clinical Trials; Readiness; Records; Reporting; Research; Resort; Resources; Risk; Small Business Innovation Research Grant; Societies; Staging; Structure; Substance abuse problem; Supervision; System; Technology; Time; Training; Treatment Efficacy; Urine; Ursidae Family; Violence; Wages; Youth; aged; base; behavior change; career; community setting; computerized; cost; court; criminal behavior; drug testing; effective therapy; emotional distress; experience; follow-up; high risk; improved; individualized feedback; innovation; intervention program; juvenile arrest; juvenile delinquent; male; neglect; offender; prevent; primary outcome; probation; programs; prototype; recidivism; research to practice; secondary outcome; therapy design; tool; web site

DESCRIPTION (provided by applicant): Juvenile crime imposes enormous costs on victims, on society, and on juvenile offenders themselves. However, research assessing the efficacy of interventions for young offenders show, on average, only small effects on recidivism, substance abuse, and other behavioral outcomes. A major problem with existing interventions is that they tend to neglect individual differences in motivation and readiness to make positive changes. In earlier research, we used an empirically validated model of behavior change, the Transtheoretical Model (TTM, the "stage" model), and expert system technology to develop the Rise Above Your Situation program (RAYS), a prototype of a multimedia computerized tailored intervention designed as an adjunct to traditional juvenile justice programs. The intervention delivers assessments and individualized feedback matched to readiness to stay out of trouble with the law and quit alcohol and drugs. At the end each session the program also generates counselor report that summarizes the youth's feedback and presents concrete, easy-to-implement strategies counselors can use to reinforce stage-matched concepts. In the current research, the goals are to complete development of the computerized tailored intervention; develop training and other support materials for counselors; and assess the efficacy of the intervention package in a randomized clinical trial involving 1,000 court-involved juveniles aged 13-17. Primary outcomes will be criminal recidivism and substance abuse abstinence at 6 and 12 months follow-up. PUBLIC HEALTH RELEVANCE: Juvenile crime imposes enormous costs on victims, on society, and on juvenile offenders themselves. The RAYS TTM-based intervention, which delivers assessments, individualized feedback, and counselor reports matched to youths' readiness to stay out of trouble with the law and reduce substance use, has the potential to increase programs' responsivity to youths' needs; make more efficient use of scarce program resources; improve professional adherence to evidence-based practices; and improve outcomes.

描述（由申请人提供）：青少年犯罪给受害者、社会和青少年罪犯本身带来了巨大的代价。然而，评估干预措施对青少年罪犯的有效性的研究表明，平均而言，对累犯，药物滥用和其他行为结果的影响很小。现有干预措施的一个主要问题是，它们往往忽视个体在动机和做出积极改变的意愿方面的差异。在早期的研究中，我们使用了经验验证的行为改变模型，跨理论模型（TTM，“阶段”模型），和专家系统技术开发的超越你的情况程序（射线），原型的多媒体计算机定制的干预设计作为一个辅助传统的少年司法程序。干预提供评估和个性化的反馈，以配合准备远离法律的麻烦，戒酒和戒毒。在每一次会议结束时，该计划还生成辅导员报告，总结青年的反馈，并提出具体的，易于实施的战略辅导员可以用来加强阶段匹配的概念。在目前的研究中，目标是完成计算机化定制干预的开发;为辅导员开发培训和其他支持材料;并在涉及1，000名13-17岁青少年的随机临床试验中评估干预包的有效性。主要结果将是6个月和12个月随访时的犯罪累犯和药物滥用戒断。 青少年犯罪给受害者、社会和青少年罪犯本身带来了巨大的代价。射线TTM为基础的干预，提供评估，个性化的反馈，和辅导员报告相匹配的青少年的准备远离麻烦的法律和减少物质的使用，有可能增加方案的响应青少年的需求;更有效地利用稀缺的方案资源;提高专业坚持循证实践;和改善结果。