Evaluating an ACEs-Targeting Advocate Model of a Substance Use Prevention Program

评估药物使用预防计划的针对 ACE 的倡导者模型

• 批准号: 10577074
• 负责人: Dallas Elgin
• 金额: $ 74.56万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2027-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10577074
• 关键词: Evaluating; ACEs; Targeting; Advocate; Model

PROJECT SUMMARY/ABSTRACT Early exposure to Adverse Childhood Experiences (ACEs), such as parental substance use, increases the likelihood of future substance use and drug overdose, resulting in an intergenerational cycle of substance- related ACEs that can continue indefinitely if left uninterrupted. Community-level interventions may moderate the relationship between ACEs and substance use by providing an array of family support services and treatments to reduce disparities and improve reach and service linkages in the community. Although research suggests that effectively decreasing the prevalence and impact of ACEs and substance use requires addressing both family- and community-level factors in tandem, there is a critical gap within the evidence base pertaining to interventions that effectively integrate the two factors to prevent substance use and ACEs. RTI International and its established partners, the New Jersey Prevention Network and RWJBarnabas Health, will evaluate an intervention integrating New Jersey’s established, evidence-based Strengthening Families Program (SFP) with clinically trained, trauma-informed Family Advocates (FAs) who will assist families in accessing community resources. Specifically, this study will use a Hybrid Type 1 effectiveness-implementation design across 20 New Jersey communities experiencing a disproportionate burden of substance use and ACEs to address the Research Objective: Conduct rigorous evaluations of prevention approaches implemented within communities that incorporate efforts to mitigate the harms of ACEs exposure and prevent future ACEs, while aiming to prevent substance use and overdose. The study has three aims: (1) use a cluster randomized controlled trial to test effectiveness of the SFP+FA intervention on substance use, overdose, and ACEs in 10 communities compared with SFP only in 10 communities; (2) conduct a robust process evaluation informed by the Consolidated Framework for Implementation Research to explore implementation barriers and facilitators; and (3) conduct a cost evaluation to accurately estimate the costs required to implement SFP and SFP+FA and assess the cost- effectiveness of SFP+FA relative to SFP alone. Findings will provide a roadmap about the best ways to help disproportionately affected communities prevent substance use, overdose, and ACEs.

项目摘要/摘要 早期暴露于不良童年经历（ACE），如父母使用物质，会增加 未来使用药物和药物过量的可能性，导致药物的代际循环， 如果不中断，相关ACE可以无限期地继续。社区一级的干预可能会缓和 通过提供一系列家庭支持服务， 治疗，以减少差距，改善社区的覆盖面和服务联系。虽然 研究表明，有效降低ACE和物质使用的流行率和影响， 需要同时处理家庭和社区两级的因素，但在这方面存在着严重的差距。 与有效整合两个因素以预防药物使用的干预措施有关的证据基础 的ACE。RTI国际及其合作伙伴，新泽西预防网络和 RWJBarnabas Health将评估一项干预措施，该措施将整合新泽西已建立的基于证据的 加强家庭方案（SFP）与临床培训，创伤知情的家庭倡导者（FA）， 将帮助家庭获得社区资源。具体而言，本研究将使用混合1型 在20个新泽西社区的有效性实施设计经历了不成比例的 物质使用和ACE的负担，以解决研究目标：进行严格的评估， 在社区内实施的预防办法，包括努力减轻 ACE暴露的危害，并防止未来的ACE，同时旨在防止物质使用， 服药过量本研究有三个目的：（1）采用整群随机对照试验， SFP+FA对10个社区的物质使用、过量和ACE的干预与仅SFP相比， （2）根据《联合国难民事务高级专员办事处综合框架》， 实施研究，以探索实施的障碍和促进因素;（3）进行成本 评估，以准确估计实施SFP和SFP+FA所需的成本，并评估成本- SFP+FA相对于单独SFP的有效性。调查结果将提供一个路线图，说明如何最好地帮助 不成比例地受影响的社区防止物质使用，过量和ACE。