Technology-Based Prevention for Adolescent Substance Use, Sexual Assault, and Sexual Risk in Primary Care

基于技术的初级保健中青少年药物使用、性侵犯和性风险的预防

基本信息

批准号：
10254800
负责人：
Amanda Katherine Gilmore
金额：
$ 5.4万
依托单位：
GEORGIA STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-07-17 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10254800
关键词：
Adolescent Adolescent Risk Behavior Area Award Behavior Childhood Clinic Clinical Trials Communities Data Analyses Development Ensure Feasibility Studies Focus Groups Goals Grant Health Intervention Location Manuscripts Mentored Patient-Oriented Research Career Development Award Mentorship Modeling Pediatrics Phase Physicians Prevention Prevention program Primary Health Care Psychologist Public Health Randomized Controlled Trials Research Research Activity Research Ethics Research Personnel Research Project Grants Risk Risk Behaviors Tablets Technology Testing Training Training Activity Visit Writing adolescent substance use base brief intervention career clinical trial analysis efficacy testing evidence base experience feasibility trial innovative technologies longitudinal analysis opioid misuse pediatrician prevent primary care setting programs reduced substance use screening, brief intervention, referral, and treatment sexual assault sexual minority sexual risk behavior skills substance use substance use prevention usability violence prevention

项目摘要

PROJECT ABSTRACT The overarching goal of this Mentored Patient-Oriented Research Career Development Award (K23) is to provide Dr. Amanda Gilmore with the training and research activities needed to become an independent investigator. Her program of research will focus on the development, testing, and dissemination of innovative, technology-based prevention focused on adolescent substance use, sexual assault (SA), and sexual risk behaviors (SRBs) in primary care settings. Substance use, sexual assault, and sexual risk behaviors are common among adolescents. They occur concurrently and are interrelated, making integrated prevention concerning these health risk behaviors imperative. Preventative visits in pediatric primary care settings are an ideal location to implement brief, integrated prevention due to their potential for wide reach. This proposal includes training activities to ensure that Dr. Gilmore achieves the following five new career goals: 1) Receive training in integrated prevention for adolescents to become a prevention researcher focused on preventing substance use, SA, and SRBs; 2) Receive training in implementing prevention-based clinical trials in primary care settings using screening, brief intervention, and referral to treatment (SBIRT) models; 3) Enhance statistical training in clinical trials and longitudinal analyses; 4) Enhance training in the use of innovative technologies as a mode of delivering prevention programs; 5) Increase manuscript writing, grant writing, and grant management skills; and 6) Enhance understanding of research ethics. The mentorship team includes expert psychologists and pediatricians in the following areas of research: integrated prevention of adolescent risk behavior and violence prevention (Self-Brown, Danielson), substance use SBIRT in pediatrics (Levy), technology-based prevention programs for adolescents (Ruggiero), research within community pediatric practice research networks (Wallis), longitudinal data analyses from clinical trials (Ramakrishnan), brief interventions for opioid misuse and sexual risk behaviors (Cooper), and interventions for sexual minorities (Kaysen). Dr. Gilmore will apply the skills acquired during the training activities to a research project focused on the adaptation and integration of evidence-based prevention programs targeting adolescent substance use, sexual assault, and sexual risk behaviors to a tablet-based prevention program for primary care. The research project includes focus groups and expert input in the adaptation/integration phase, usability tests with both adolescents and physicians within community pediatric clinics, and a feasibility study within community pediatric clinics. The feasibility study will establish feasibility of conducting a larger randomized controlled trial testing the efficacy of the newly integrated and adapted prevention program. Preliminary efficacy of the prevention program will be examined, but determining feasibility is the primary goal. This award will prepare Dr. Gilmore for an independent research career focused on the development, testing, and dissemination of prevention focused on substance use, sexual assault, and sexual risk among adolescents in primary care.

项目摘要这个受过指导的患者研究职业发展奖（K23）的总体目标是为Amanda Gilmore博士提供成为独立的培训和研究活动研究者。她的研究计划将着重于创新的开发，测试和传播，基于技术的预防专注于青少年物质使用，性侵犯（SA）和性风险初级保健环境中的行为（SRB）。药物使用，性侵犯和性风险行为是在青少年中很常见。它们同时发生并相互关联，从而进行综合预防关于这些健康风险行为的必要。小儿初级保健环境中的预防性访问是由于其潜力广泛的潜力，因此可以实施简短，集成预防的理想位置。这个建议包括培训活动，以确保吉尔莫尔博士实现以下五个新职业目标：1）综合预防培训，使青少年成为预防研究人员，专注于预防使用物质，SA和SRB； 2）接受基于预防的临床试验的培训使用筛查，简短的干预和转介治疗（SBIRT）模型的护理设置； 3）增强临床试验和纵向分析的统计培训； 4）增强创新使用的培训技术作为提供预防计划的一种方式； 5）增加手稿写作，赠款写作和赠款管理技能； 6）增强对研究伦理的理解。指导团队包括专家心理学家和儿科医生在以下研究领域：综合预防青少年风险行为和暴力预防（自棕色，丹尼尔森），儿科中的物质使用SBIRT（征税），基于技术的青少年预防计划（Ruggiero），社区小儿研究实践研究网络（Wallis），临床试验的纵向数据分析（Ramakrishnan），简短阿片类药物滥用和性风险行为的干预措施（库珀）和性少数群体的干预措施（凯森）。吉尔莫尔（Gilmore）博士将在培训活动期间获得的技能应用于以研究项目为重点关于针对青少年物质使用的基于证据的预防计划的适应和整合，性侵犯和基于平板电脑的初级保健预防计划的性风险行为。研究项目包括焦点小组和适应/集成阶段的专家投入，两者都有可用性测试社区儿科诊所内的青少年和医生，以及社区内的可行性研究小儿诊所。可行性研究将确定进行更大的随机对照试验的可行性测试新整合和改编的预防计划的功效。初步疗效将检查预防计划，但确定可行性是主要目标。该奖项将为博士准备。吉尔莫尔（Gilmore）从事独立研究职业，重点是发展，测试和传播在初级保健中的青少年中，预防专注于药物使用，性侵犯和性风险。

项目成果

期刊论文数量（11）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Racial Disparities in Sexual Assault Characteristics and Mental Health Care After Sexual Assault Medical Forensic Exams.

性侵犯特征的种族差异和性侵犯医学法医检查后的心理保健。

DOI：
10.1089/jwh.2020.8935
发表时间：
2021
期刊：
Journal of women's health (2002)
影响因子：
0
作者：
Mosley,ElizabethA;Prince,JessicaR;McKee,GraceB;Carter,SierraE;Leone,RuschelleM;Gill-Hopple,Kathy;Gilmore,AmandaK
通讯作者：
Gilmore,AmandaK

Emotion Dysregulation Predicts Dropout from Prolonged Exposure Treatment among Women Veterans with Military Sexual Trauma-Related Posttraumatic Stress Disorder.

DOI：
10.1016/j.whi.2020.07.004
发表时间：
2020-11
期刊：
Women's health issues : official publication of the Jacobs Institute of Women's Health
影响因子：
0
作者：
Gilmore AK;Lopez C;Muzzy W;Brown WJ;Grubaugh A;Oesterle DW;Acierno R
通讯作者：
Acierno R

The Association Between Type of Sexual Assault and Post-Assault Alcohol Misuse Is Moderated by Avoidance Among Recipients of a Sexual Assault Medical Forensic Examination.

性侵犯类型与袭击后酗酒之间的关联受到性侵犯医学法医检查接受者回避的调节。