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

Click City：大麻 - 面向青少年的交互式、可扩展、高保真数字预防计划

• 批准号: 10383049
• 负责人: Judy A Andrews
• 金额: $ 25.65万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10383049
• 关键词: Address; Administrator; Adolescent; Adolescent marijuana use; Age; Alcohol consumption; Alcohols; Belief; Cities; Collaborations; Consultations; Consumption; Country; Crossover Design; Dependence; Development; Devices; Drug Prevention Program; Educational Curriculum; Effectiveness; Electronic cigarette; Ensure; Etiology; Evaluation; Focus Groups; Future; Goals; Health; Image; Impairment; Individual; Legal; Longevity; Marijuana; Medical; Medical Marijuana; Mental Health; Methods; Monitor; Neurologic; Online Systems; Parents; Phase; Predictive Factor; Prevalence; Prevention program; Privatization; Probability; Process; Public Health; Reporting; Reproducibility; Research; Rest; Risk; Risk Factors; Schools; Small Business Innovation Research Grant; Smoking; Students; Target Populations; Teacher Professional Development; Technology; Teenagers; Testing; Time; Tobacco; Tobacco use; Update; Voice; Youth; acceptability and feasibility; base; commercial application; decision research; design; digital; effectiveness evaluation; effectiveness trial; eighth grade; evidence base; experience; high school; impaired driving performance; implementation fidelity; marijuana legalization; marijuana prevention; marijuana use; marijuana vaping; ninth grade; online delivery; phase 1 study; phase 2 study; prevent; programs; risk perception; satisfaction; social; social influence; substance misuse; substance use; substance use prevention; theories; vaping; willingness

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.

抽象的 到高中结束时，近一半的 12 年级学生报告吸食过大麻。虽然年轻人常常认为 大麻使用风险较低，特别是随着越来越多的州将大麻用于娱乐和医疗用途合法化， 青少年使用会产生严重后果，包括神经损伤、心理健康 问题和未来的依赖。目前许多以学校为基础的毒品预防计划都没有证据基础， 与实施的保真度作斗争，并且不符合现行课程标准。作为一种有效的、 Click City®：大麻是一项引人入胜且可扩展的基于学校的数字预防计划 现有计划的弱点。 Click City®：大麻，专为 8 年级和 9 年级学生设计 助推器将重点预防或减少青少年吸食大麻。该计划将针对所有常见的 青少年吸食大麻的方法，包括吸食、吸食、涂抹和食用大麻，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项目的基础上 其他有效的基于学校的物质预防计划，针对酒精和烟草的使用。多种的 学校管理人员要求我们开发类似的、基于证据的数字大麻预防方法 计划，因为他们发现学生大麻的使用有所增加，特别是通过电子烟。单击城市®： 大麻将与来自全国各地的学生以及与 主要利益相关者的咨询委员会。它将在线交付并跨设备和平台访问， 确保程序实施的可扩展性和保真度。此外，我们将对每个程序进行实证评估 在纳入最终计划之前确保其有效性，从而提高有效性。在此范围内 第一阶段项目，我们建议完成以下目标： 1）Storyboard 潜在的程序组件 与八年级学生的焦点小组一起创建一个简短的介绍性模块； 2）开发两个程序 通过迭代开发，针对预测大麻使用的特定风险因素的组件 流程包括对我们的目标人群进行重点和用户测试以及与我们的顾问委员会进行协商； 3) 使用交叉设计对两个新组件进行严格评估，假设 每个组件都会改变其旨在改变的风险因素，并会降低意图和 未来使用大麻的意愿。如果这些组件对于用户来说是可以接受的、有吸引力的并且令人满意的 用户，如果他们改变目标病因机制，这将支持第二阶段的可行性 学习。第二阶段计划包括开发其余组件并进行短期有效性测试 尝试评估八年级课程。由于学校中的技术现已司空见惯，拟议的计划 具有很高的商业价值。 Click City®：大麻有潜力惠及全球数百万青少年 国家，通过延迟、减少或预防严重的神经、心理健康和依赖性问题 防止过早吸食大麻。