Intervention to Prevent Peer Violence & Depressive Symptoms Among At-Risk Adolescents

预防同伴暴力的干预措施

基本信息

  • 批准号:
    10357894
  • 负责人:
  • 金额:
    $ 59.59万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2018
  • 资助国家:
    美国
  • 起止时间:
    2018-03-01 至 2025-02-28
  • 项目状态:
    未结题

项目摘要

PROJECT SUMMARY Adolescent peer violence and depressive symptoms are common, inter-related problems with major long-term developmental consequences. Accessible, easy-to-disseminate interventions to prevent these problems are a public health imperative. Existing multi-session preventive interventions are time-consuming and generally unavailable to the highest-risk youth. Emergency departments (ED) visits are a potential engagement point for at-risk youth without other access to preventive interventions. ED-initiated brief interventions and text- messaging interventions show promise in reducing violence and depressive symptoms, and may have greater reach and greater disseminability than existing interventions. This research project proposes to build on our prior work, to determine the most potent and parsimonious ED-initiated intervention for reducing peer violence and depressive symptoms among at-risk youth. We are proposing an innovative, rigorous factorial clinical trial of a previously piloted two-part intervention with high acceptability and a signal of efficacy. We will enroll 800 adolescents (age 13-17) presenting to the ED for any reason who report past-year peer violence and current mild-to-moderate depressive symptoms. A major innovation is that we will use a 2x2 factorial randomized trial to both test overall intervention efficacy, and determine the optimal combination of intervention components. Participants will be randomized at baseline to 1) Brief ED Intervention (BI) (a 20 minute CBT- and motivational interviewing intervention during the ED visit) or No BI; and 2) Text (an automated, tailored, two- way “pushed” text-message curriculum started after the ED visit, reinforcing cognitive reappraisal, emotional regulation, and self-efficacy skills) or No Text. Reflecting our pilot RCT findings and others' research, Text participants who do not show signs of improvement at 7 days (based on their daily Text mood assessment) will be re-randomized at day 7 to either continue standard Text intervention, or to additionally receive LiveText (a more intensive micro-counseling with a text interventionist). We will measure improvements in peer violence, depressive symptoms, and potential mediators of effect at 2, 4, 8, and 12 months through validated self-report measures and medical record review. We intend to determine: (a) the effect of iDOVE (BI + Text) and of each of its components (BI alone, Text alone), as compared to controls (no BI, no Text) on peer violence and depressive symptoms; (b) whether adaptively increasing intensity with LiveText improves efficacy for participants with early signals of no improvement; (c) the role of potential mediators and moderators of intervention efficacy. SIGNIFICANCE: If all or part of the intervention components show efficacy, this intervention could have great potential impact on the co-existing, common adolescent conditions of peer violence and depressive symptoms. This project will also inform understanding of underlying intervention mechanisms, particularly for adaptive technology-based interventions, in correspondence with NIH objectives.
项目概要 青少年同伴暴力和抑郁症状是常见的、相互关联的问题,与重大的长期问题有关。 发展后果。预防这些问题的可行且易于传播的干预措施是 公共卫生势在必行。现有的多阶段预防干预措施耗时且普遍 风险最高的青少年无法获得。急诊科 (ED) 就诊是潜在的接触点 无法获得其他预防性干预措施的高危青少年。教育部发起的简短干预和文本- 信息传递干预措施在减少暴力和抑郁症状方面显示出希望,并且可能有更大的效果 比现有干预措施具有更广泛的影响力和更大的传播性。该研究项目旨在建立在我们的 之前的工作,以确定 ED 发起的减少同伴暴力的最有效和最简约的干预措施 和高危青少年的抑郁症状。我们正在提议一项创新、严格的析因临床试验 之前试点的两部分干预措施具有很高的可接受性和有效性。我们将报名800名 青少年(13-17 岁)因任何原因向教育署报告过去一年的同伴暴力行为和当前的同伴暴力行为 轻度至中度抑郁症状。一项重大创新是我们将使用 2x2 析因随机试验 既测试总体干预效果,又确定干预措施的最佳组合。 参与者将在基线时被随机分配到 1) 简短的 ED 干预 (BI)(20 分钟的 CBT 和 急诊就诊期间的动机性访谈干预)或无 BI; 2) 文本(自动化的、定制的、两层的) 急诊科就诊后开始“推送”短信课程,加强认知重新评估、情感评估 监管和自我效能技能)或无文字。反映我们的试点随机对照试验结果和其他人的研究,文本 7 天后没有表现出改善迹象的参与者(基于他们每日的文本情绪评估)将 在第 7 天重新随机选择继续标准文本干预,或额外接收 LiveText( 与文本干预专家进行更深入的微观咨询)。我们将衡量同伴暴力的改善情况, 通过经过验证的自我报告,了解抑郁症状以及 2、4、8 和 12 个月时的潜在影响因素 措施和病历审查。我们打算确定:(a) iDOVE(BI + Text)和每个的效果 与同伴暴力的控制措施(无 BI,无文本)相比,其组成部分(仅 BI,仅文本)的 抑郁症状; (b) 自适应地增加 LiveText 的强度是否可以提高效率 早期没有改善迹象的参与者; (c) 潜在调解者和缓和者的作用 干预效果。意义:如果全部或部分干预措施显示出有效性,则 干预可能会对同龄人共存的、常见的青少年状况产生巨大的潜在影响 暴力和抑郁症状。该项目还将有助于理解潜在的干预措施 机制,特别是基于适应性技术的干预措施,与 NIH 的目标相一致。

项目成果

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THOMAS H CHUN其他文献

THOMAS H CHUN的其他文献

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{{ truncateString('THOMAS H CHUN', 18)}}的其他基金

Intervention to Prevent Peer Violence & Depressive Symptoms Among At-Risk Adolescents
预防同伴暴力的干预措施
  • 批准号:
    10771601
  • 财政年份:
    2018
  • 资助金额:
    $ 59.59万
  • 项目类别:
Rhode Island Child Clinical Trials Collaborative
罗德岛州儿童临床试验合作组织
  • 批准号:
    10688062
  • 财政年份:
    2016
  • 资助金额:
    $ 59.59万
  • 项目类别:
Rhode Island Child Clinical Trials Collaborative
罗德岛州儿童临床试验合作组织
  • 批准号:
    10242952
  • 财政年份:
    2016
  • 资助金额:
    $ 59.59万
  • 项目类别:
Rhode Island Child Clinical Trials Collaborative
罗德岛州儿童临床试验合作组织
  • 批准号:
    10063649
  • 财政年份:
    2016
  • 资助金额:
    $ 59.59万
  • 项目类别:
Rhode Island Child Clinical Trials Collaborative
罗德岛州儿童临床试验合作组织
  • 批准号:
    10475663
  • 财政年份:
    2016
  • 资助金额:
    $ 59.59万
  • 项目类别:
Teaching An Alcohol Intervention To Pediatric ER Staff
向儿科急诊室工作人员教授酒精干预措施
  • 批准号:
    7035931
  • 财政年份:
    2005
  • 资助金额:
    $ 59.59万
  • 项目类别:
Teaching An Alcohol Intervention To Pediatric ER Staff
向儿科急诊室工作人员教授酒精干预措施
  • 批准号:
    7357516
  • 财政年份:
    2005
  • 资助金额:
    $ 59.59万
  • 项目类别:
Teaching An Alcohol Intervention To Pediatric ER Staff
向儿科急诊室工作人员教授酒精干预措施
  • 批准号:
    7192538
  • 财政年份:
    2005
  • 资助金额:
    $ 59.59万
  • 项目类别:
Teaching An Alcohol Intervention To Pediatric ER Staff
向儿科急诊室工作人员教授酒精干预措施
  • 批准号:
    7578349
  • 财政年份:
    2005
  • 资助金额:
    $ 59.59万
  • 项目类别:
Teaching An Alcohol Intervention To Pediatric ER Staff
向儿科急诊室工作人员教授酒精干预措施
  • 批准号:
    6866164
  • 财政年份:
    2005
  • 资助金额:
    $ 59.59万
  • 项目类别:

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检查自然主义的社会参与:使用移动眼动追踪来研究青少年行为、注意力和神经处理的个体差异和人内差异
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