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Well-Child Screening and Referral to Prevent Alcohol Use Before High School

健康儿童筛查和转介以防止高中前饮酒

基本信息

批准号：
10081662
负责人：
JANIS B KUPERSMIDT
金额：
$ 22.5万
依托单位：
INNOVATION RESEARCH AND TRAINING, INC.
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-15 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10081662
关键词：
13 year old Academy Address Adolescence Adolescent Adoption Affordable Care Act Age Alcohol consumption Alcohol or Other Drugs use American Appointment Basic Science Behavior Benchmarking Caring Categories Child Childhood Clinic Clinical Collaborations Communication Communities Computer software Effectiveness Electronic Health Record Eligibility Determination Emergency department visit Enrollment Evaluation Family Feasibility Studies Florida General Practitioners Goals Health Personnel Health Professional Healthcare Internet Intervention Laws Letters Measures Medicaid Medical North Carolina Ohio Parents Patient Self-Report Patients Pediatric Nursing Pediatrics Phase Policies Population Prevention Prevention Protocols Prevention program Preventive Intervention Probability Procedures Property Protocols documentation Provider Psychological Tests Psychometrics Reporting Resources Risk School-Age Population Screening procedure Sensitivity and Specificity Services Specialist Specificity System Tablets Technology Testing Time Training Visit Youth alcohol risk alcohol screening alcohol use disorder application programming interface base brief intervention checkup examination commercialization cost design deter alcohol use early alcohol use early screening evidence base experience handheld mobile device health care delivery health care settings high risk high risk parents high school improved indexing informant junior high school lower income families motivational enhancement therapy pediatrician prevent randomized trial research study scale up screening software development tool transmission process underage drinking usability

项目摘要

Project Abstract Recent attempts to improve early screening and referral for prevention (SRP) of alcohol use (AU) and alcohol use disorders (AUD) during general practitioner check-ups, emergency room visits, and other medical services have been challenging, because they have not been efficacious; their dissemination and adoption by practitioners have been minimal; and they have failed to increase intervention enrollment over care-as-usual, which is 15% at best. In contrast, the tools and protocol proposed in this project were specifically designed for screening of risk for AU by 9-13 year-olds; designed to prevent or curb any substance use before high school; developed collaboratively with pediatricians for use during well-child, check-up appointments at their practices; created so it can be implemented by other health care providers such as behavior specialists or pediatric nurses, and not just by pediatricians; and has led over 80% of parents of high-risk youth from low-resource, urban communities to enroll into family-based preventive interventions (over 90% of whom completed the intervention). This SRP protocol developed in basic research studies addresses historical barriers to pediatricians’ use of screening tools that target AU, and has high acceptability among children, parents, and pediatric health care staff. This Phase 1 proposal and the planned Phase 2 activities will prepare the SRP for commercialization in collaboration with pediatricians (working in urban practices in Cleveland, Ohio, Chapel Hill, North Carolina, and Miami, Florida) who represent the anticipated early adopters. The first aim is to edit and enhance iRT’s existing native pediatric screening app to include the parent-report, Parent Evaluation Risk Index (PERI), and the youth self-report, Youth Risk Index (YRI), tools, so that they are accessible for completion on a native app (offline mobile devices such as tablets that do not have internet connectivity), and are integrated into an electronic health record (EHR). Both Usability Studies, as well as a Feasibility and Acceptance Study, will result in benchmark evaluations to inform the submission of a Phase 2 application. If feasible, then Phase 2 activities will include the creation of “out-of-the-box” technological solution that will be scalable and accessible for use in busy pediatric practices.

项目摘要