A Trauma-Informed, Mindfulness-Based Yoga Intervention for Juvenile Justice-Involved Youth

针对涉及少年司法的青少年进行基于创伤的、基于正念的瑜伽干预

• 批准号: 9367714
• 负责人: Ashli A Owen-Smith
• 金额: $ 22.07万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9367714
• 关键词: Address; Adherence; Adolescent; Age; Assessment tool; Assimilations; Behavioral; Biological; Brain; Characteristics; Child; Cluster randomized trial; Cognitive; Data; Dose; Effectiveness; Emotional; Environment; Exposure to; Feasibility Studies; Frequencies; Funding; Future; Health; Impairment; Imprisonment; Informal Social Control; Institutes; Intervention; Intervention Studies; Interview; Investigation; Justice; Lead; Leadership; Light; Manuals; Methodology; Methods; Motivation; Outcome; Participant; Pathway interactions; Population; Population Intervention; Population Programs; Prevalence; Procedures; Process; Program Effectiveness; Protocols documentation; Randomized Controlled Trials; Recording of previous events; Recruitment Activity; Research; Research Design; Resources; Rewards; Risk; Standardization; Subgroup; Symptoms; System; Testing; Trauma; Yoga; Youth; base; cognitive enhancement; design; distress tolerance; executive function; follow-up; juvenile delinquent; juvenile justice system; male; mindfulness; programs; psychosocial; recidivism; response; skills; staff intervention; stressor; systematic review; trauma centers; traumatic event; treatment as usual; treatment planning

PROJECT SUMMARY/ABSTRACT There are a number of interventions that aim to reduce recidivism among youth in the juvenile justice (JJ) system, some of which have documented evidence of effectiveness. However, the average reduction in recidivism following the implementation of these programs is modest at best, leaving a majority of JJ-involved youth at risk for recidivism. Many previous interventions have not been designed to address trauma-related symptoms despite evidence that most youth in the JJ system have a history of trauma and exposure to traumatic events is a predictor of recidivism. The pathway by which trauma exposure can lead to and perpetuate delinquency may be explained by some of the survival-oriented biological changes that occur in the brain of children who have been exposed to trauma – namely the compromised self-regulation systems that are responsible for reward/motivation, distress tolerance and executive function. As a result, youth with a history of trauma often have an impaired ability to modulate their behavioral and cognitive responses to a wide range of stressors. Thus, in light of the prevalence of trauma exposure in this population, interventions for JJ- involved youth should address trauma and, specifically, provide youth with resources related to enhancing self- regulation skills. Though some trauma-informed interventions have demonstrated empirical evidence of effectiveness with JJ-involved youth, many have methodological limitations and have not tested whether complementary mindfulness or somatically-oriented interventions can reduce recidivism by enhancing self- regulation in this population. We propose to refine, implement and evaluate a trauma-informed, mindfulness- based yoga intervention that will enhance self-regulation among youth in the Georgia Department of Juvenile Justice (DJJ) system. The objectives of this mixed-methods investigation are to refine and pilot a trauma- informed, mindfulness-based yoga (TIMBY) program, assess the preliminary impact of this program on youth behavioral and psychosocial outcomes and test key aspects of the study design to inform the design of a full scale trial. The aims of this proposal are: (1) employ an iterative drafting and revision process to refine a trauma-informed yoga intervention specifically for youth in the JJ system, (2) conduct an initial pilot of the draft TIMBY intervention with JJ-involved youth at 2 DJJ facilities and (3) conduct and evaluate a small scale feasibility study of the TIMBY intervention. The expected products of the proposed research include a refined intervention protocol and manual of procedures, preliminary data regarding the impact of the intervention on participant outcomes, and data on intervention acceptability, adherence, fidelity, dose/duration, participant recruitment, retention and attrition, assessment feasibility and other barriers and facilitators to large-scale implementation. These products and data will enable a rapid launch of a subsequent, large-scale pragmatic cluster RCT funded through a future application.

项目概要/摘要 有许多干预措施旨在减少青少年司法中的累犯 （JJ）系统，其中一些已记录有效性证据。然而，平均减少 这些计划实施后的累犯充其量是适度的，使得大多数 JJ 参与其中 青少年面临累犯风险。以前的许多干预措施并不是旨在解决与创伤相关的问题 尽管有证据表明 JJ 系统中的大多数青少年都有外伤史和暴露史 创伤事件是累犯的预测因素。创伤暴露可能导致的途径 持续犯罪可能是由发生在环境中的一些以生存为导向的生物变化来解释的。 遭受过创伤的儿童的大脑——即自我调节系统受损 负责奖励/激励、抗压能力和执行功能。结果，年轻人 有创伤史的人调节行为和认知反应的能力通常会受到损害。 压力源的范围。因此，鉴于该人群中创伤暴露的普遍性，针对 JJ- 参与其中的青少年应解决创伤问题，特别是为青少年提供与增强自我保护有关的资源。 调节能力。尽管一些基于创伤的干预措施已经证明了 对于 JJ 参与的青少年的有效性，许多人存在方法上的局限性，并且尚未测试是否 补充性正念或以躯体为导向的干预措施可以通过增强自我意识来减少累犯 对该人群的监管。我们建议完善、实施和评估创伤知情、正念- 基于瑜伽的干预措施将增强佐治亚州青少年部青少年的自我调节 司法（DJJ）系统。这项混合方法调查的目标是完善和试点创伤- 知情的正念瑜伽（TIMBY）计划，评估该计划对青少年的初步影响 行为和心理社会结果，并测试研究设计的关键方面，为完整的设计提供信息 规模试验。该提案的目的是：（1）采用迭代起草和修订过程来完善 专门针对 JJ 系统中青少年的创伤知情瑜伽干预，(2) 进行草案的初步试点 TIMBY 在 2 个 DJJ 设施中对参与 JJ 的青少年进行干预，并 (3) 进行和评估小规模的活动 TIMBY 干预的可行性研究。拟议研究的预期产品包括精炼的 干预方案和程序手册、有关干预措施影响的初步数据 参与者结果以及干预可接受性、依从性、保真度、剂量/持续时间、参与者的数据 招聘、保留和流失、评估可行性以及大规模招聘的其他障碍和促进因素 执行。这些产品和数据将使得后续大规模务实项目的快速启动成为可能。 通过未来的申请资助集群随机对照试验。