Click City: Marijuana - An Interactive, Scalable, High-Fidelity, Digital Prevention Program for Youth

摘要 到高中结束时，近一半的12年级学生报告使用大麻。虽然年轻人经常认为 大麻使用风险低，特别是随着越来越多的州将大麻合法化用于娱乐和医疗用途， 青少年使用会产生严重后果，包括神经损伤、精神健康 问题，以及未来的依赖。目前许多以学校为基础的毒品预防计划不是以证据为基础的， 努力实现忠实性，不符合当前的课程标准。作为一个有效的， 参与，和可扩展的学校为基础的数字预防计划，点击城市®：玛丽蒂姆将解决 现有方案的不足。Click City®：Maritime，专为8年级学生和9年级学生设计 助推器，将集中在防止或减少青少年使用大麻。该计划将针对所有常见的 青少年吸食大麻的方法，包括吸电子烟、吸烟、涂抹和食用，以及计划 内容开发将以理论为指导。拟议的计划建立在我们团队开发的两个 其他有效的以学校为基础的物质预防计划，针对酒精和烟草的使用。多 学校管理人员要求我们开发一个类似的，以证据为基础的，数字大麻预防 计划，因为他们看到学生大麻使用的增加，特别是通过vaping。Click City®： Maritime将与来自全国各地的学生以及 关键利益攸关方咨询委员会。它将在线提供，并可跨设备和平台访问， 确保程序实现的可伸缩性和保真度。此外，我们将根据经验评估每个计划 在纳入最终计划之前，确保有效性，从而提高有效性。在这 第一阶段的项目，我们建议完成以下目标：1）故事板潜在的程序组件 与八年级学生的焦点小组，并创建一个简短的介绍模块; 2）开发两个程序 针对预测使用大麻的特定风险因素的组件，由迭代开发提供信息 流程包括对我们的目标人群进行焦点和用户测试，以及与我们的顾问委员会进行磋商; 和3）使用交叉设计对两个新组件进行严格评估，假设 每个组成部分将改变它被设计来改变的风险因素，并将减少意图， 在未来使用大麻。如果这些组件是可接受的，参与的，并满意的， 使用者，如果他们改变了目标病因机制，这将支持第二阶段的可行性。 study.第二阶段计划包括开发其余组件并进行短期有效性评估 评估八年级的课程。由于技术在学校现在是司空见惯的，拟议的计划， 具有很高的商业价值。Click City®：Maritime有潜力覆盖全球数百万青少年， 国家，预防严重的神经，心理健康和依赖性问题，通过延迟，减少，或 防止过早吸食大麻

ABSTRACT By the end of high school, close to half of 12th graders report marijuana use. While youth often perceive marijuana use as low risk, particularly as more states legalize marijuana for recreational and medical use, there are serious consequences of use by adolescents, including neurological impairment, mental health issues, and future dependence. Many current school-based drug prevention programs are not evidence-based, struggle with fidelity of implementation, and do not meet current curriculum standards. As an effective, engaging, and scalable school-based digital prevention program, Click City®: Marijuana will address the weaknesses of existing programs. Click City®: Marijuana, designed for 8th grade students with a 9th grade booster, will focus on preventing or decreasing youth use of marijuana. The program will target all common methods of marijuana consumption by youth, including vaping, smoking, dabbing, and edibles, and program content development will be guided by theory. The proposed program builds on our team's development of two other effective school-based substance prevention programs, targeting alcohol and tobacco use. Multiple school administrators have asked us to develop a similar, evidence-based, digital marijuana prevention program, as they are seeing an increase in student marijuana use, particularly by vaping. Click City®: Marijuana will be developed iteratively in collaboration with students from across the country, as well as with an Advisory Board of key stakeholders. It will be delivered online and accessible across devices and platforms, ensuring scalability and fidelity of program implementation. Further, we will empirically evaluate each program component to assure efficacy prior to inclusion in the final program, thus increasing effectiveness. Within this Phase I project, we propose to accomplish the following aims: 1) Storyboard potential program components with focus groups of 8th grade students and create a short introductory module; 2) Develop two program components targeting specific risk factors predictive of use of marijuana, informed by an iterative development process including focus and user testing with our target population and consultations with our Advisory Board; and 3) Conduct a rigorous evaluation of the two new components, using a crossover design, hypothesizing that each component will change the risk factor it was designed to change, and will decrease intentions and willingness to use marijuana in the future. If these components are acceptable, engaging, and satisfactory for users, and if they change the targeted etiological mechanisms, this will support the feasibility of the Phase II study. Phase II plans include developing the rest of the components and conducting a short-term effectiveness trial to evaluate the 8th grade program. As technology in schools is now commonplace, the proposed program has high commercial value. Click City®: Marijuana has the potential to reach millions of adolescents across the country, preventing serious neurological, mental health, and dependence issues by delaying, decreasing, or preventing early marijuana use.