Staying Off Substances: A Tailored Early Recovery Program for Teens

远离物质：为青少年量身定制的早期康复计划

• 批准号: 8056287
• 负责人: Kimberlee Jean Trudeau
• 金额: $ 101.42万
• 依托单位: INFLEXXION, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-03-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8056287
• 关键词: Address; Adolescent; Aftercare; Age; Alcohol consumption; Alcohol or Other Drugs use; Attention; Benchmarking; Client; Clinical; Communities; Computer software; Coping Skills; Custom; Data Set; Development; Drug usage; Educational Intervention; Effectiveness; Elements; Exercise; Family Relationship; Feedback; Goals; Guidelines; Health; Health Benefit; Individual; Intervention; Judgment; Learning; Logic; Maps; Marketing; Measures; Mental Health; Motivation; Multimedia; Names; Online Systems; Outcome; Patient Self-Report; Pharmacologic Substance; Phase; Philosophy; Population; Prevention program; Primary Prevention; Process; Professional counselor; Public Health; Recommendation; Recovery; Relapse; Relative (related person); Reporting; Research; Resources; Self Efficacy; Services; Severities; Solutions; Substance Abuse Treatment Centers; Technology; Teenagers; Testing; Therapeutic; Time; Tobacco use; Writing; addiction; adolescent substance abuse; base; coping; cost effective; design; disorder later incidence prevention; experience; improved; indexing; innovation; meetings; neglect; peer; phase 1 study; programs; psychosocial; response; satisfaction; skills; substance abuse treatment; theories; usability; web-enabled

DESCRIPTION (provided by applicant): The majority of adolescents struggling to avoid substance use during early recovery are also coping with many other issues (e.g., peer relationships) for which they require consistent support. We propose to develop an online relapse prevention program for adolescents called Staying Off Substances (SOS). Specific content in the program will be recommended to counselors based on their client's a) age, b) current motivation level, and, when available, c) reported needs and strengths on the Comprehensive Health Assessment for Teens (CHAT(R)), a Web-enabled interactive adolescent self-report assessment for use in treatment settings. Whereas current online programs for adolescents are geared for primary prevention, CHAT(R): SOS will be an intervention for use in clinical populations. Counselors will assign the client's user name to access privileges for that content and/or other content per their clinical judgment. We expect that CHAT(R): SOS will ultimately have six modules corresponding with the CHAT(R) subscales (i.e., Psychological Health, Family Relationships, Peer Relationships, Tobacco Use, Alcohol Use, Drug Use). CHAT(R): SOS will include opportunities to reinforce the skills and philosophies that adolescents learn in treatment through online interactive exercises, writing activities, and access to a supportive, online community. This resource will be available to them during treatment and post-treatment to help them navigate challenges in early recovery. Adolescents will receive tailored recommendations and an individualized user experience because CHAT(R): SOS will utilize an innovative content management and logic solution called Ektron. CHAT(R): SOS will also provide counselors with guidelines on how to use this program with their clients (e.g., in sessions, during aftercare) and custom user reports. To demonstrate the feasibility of the program concept, the Phase I study focused on the Peer Relationships domain. All feasibility criteria were met and findings indicated: (1) Proposed content was based on highly positive findings from concept mapping, as well as usability and acceptance testing with clients and experts. Ratings of potential effectiveness and appeal were high. (2) Usability testing indicated that the program was usable by the target audience, the skills and outcomes were relevant to the target audience, and the program was regarded as potentially very helpful to the treatment process. We surpassed feasibility benchmarks for both clients and experts. (3) Our technical/design team a) produced a demonstration program that was perceived by key stakeholders as highly usable and engaging multimedia program and b) determined the necessary technologies to produce the complete program in Phase II. In Phase II we will develop the program then test its efficacy in a field trial. The field trial will examine the primary hypotheses that, relative to the control condition (CHAT(R) only), CHAT(R): SOS will be associated with significantly higher motivation, higher self-efficacy, more relapse coping, and lower substance use. PUBLIC HEALTH RELEVANCE: Adolescent substance abuse is a significant public health issue. Unfortunately, the 2005 federal Treatment Episode Data Set indicated that less than 150,000 adolescents received treatment. Typically, 75% of those who receive treatment relapse within the following year. To address the need for cost-effective assessment, Inflexxion, Inc. developed the Comprehensive Health Assessment for Teens (CHAT(R)), a Web-enabled interactive self report assessment for use in treatment settings. We propose developing a supplemental online relapse prevention program called CHAT(R): Staying Off Substances (SOS). CHAT: SOS will use an adolescent's 1) age, 2) motivational level, and, when available, 3) responses to the CHAT(R) assessment to recommend Web-based relapse prevention content to address the adolescent's individual needs. This resource will be available to adolescents during treatment and post-treatment to help them navigate challenges in early recovery.

描述（由申请人提供）：大多数努力避免早期康复期间使用物质使用的青少年也应对许多其他问题（例如，同伴关系），他们需要一致的支持。我们建议针对称为“居住物质（SOS）”的青少年制定在线预防计划。该计划中的特定内容将根据客户的a）年龄，b）当前动机水平以及c）报告的辅导员建议，c）报告了青少年全面健康评估（CHAT（R））的需求和优势，这是一种支持Web的互动互动的青少年自我报告评估，以便在治疗环境中使用。尽管当前针对青少年的在线课程适合初级预防，但CHAT（R）：SOS将是用于临床人群的干预措施。辅导员将根据客户的临床判断访问客户的用户名来访问该内容和/或其他内容的特权。我们希望聊天（R）：SOS最终将有六个模块与聊天（R）子量表（即心理健康，家庭关系，同伴关系，烟草使用，饮酒，吸毒）相对应。 CHAT（R）：SOS将包括通过在线互动练习，写作活动以及获得支持性的在线社区的访问中的青少年在治疗中学习的技能和哲学的机会。该资源将在治疗和治疗后可用，以帮助他们在早期康复中应对挑战。青少年将获得量身定制的建议和个性化的用户体验，因为聊天（R）：SOS将使用创新的内容管理和逻辑解决方案，称为Ektron。 CHAT（R）：SOS还将为辅导员提供有关如何与客户使用此程序（例如，在会议，后期期间）和自定义用户报告的指南。为了证明程序概念的可行性，I阶段研究集中在同伴关系领域。满足所有可行性标准并指出了发现：（1）提议的内容基于概念映射的高度积极发现，以及与客户和专家的可用性和接受度测试。潜在有效性和吸引力的评级很高。 （2）可用性测试表明该计划可由目标受众，技能和结果与目标受众相关，并且该计划被认为对治疗过程非常有帮助。我们超过了客户和专家的可行性基准。 （3）我们的技术/设计团队A）制定了一个示范计划，主要利益相关者将其视为高度可用且引人入胜的多媒体计划，b）确定了在II阶段中制作完整程序的必要技术。在第二阶段，我们将开发该程序，然后在现场试验中测试其功效。现场试验将研究主要假设，即相对于控制条件（仅CHAT（r）），CHAT（R）：SOS将与更高的动机，更高的自我效能感，更多的复发应对和较低的药物使用相关。 公共卫生相关性：青少年药物滥用是一个重大的公共卫生问题。不幸的是，2005年联邦治疗事件数据集表明，少于15万名青少年接受了治疗。通常，在第二年内接受治疗复发的人中有75％。为了满足对具有成本效益的评估的需求，Inflexxion，Inc。开发了针对青少年的全面健康评估（CHAT（R）），这是一种在治疗环境中使用的互动互动自我报告评估。我们建议制定一个名为CHAT（R）的补充在线复发计划：远离物质（SOS）。聊天：SOS将使用青少年的1）年龄，2）动机水平，以及可用时3）对聊天（R）评估的响应（R）评估建议基于Web的Relapse预防内容，以满足青少年的个人需求。该资源将在治疗和治疗后的青少年使用，以帮助他们在早期康复中应对挑战。