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）：大多数在早期康复期间努力避免药物使用的青少年还面临着许多其他问题（例如，同伴关系），他们需要持续的支持。我们建议为青少年制定一项名为“远离物质”(SOS) 的在线预防复吸计划。该计划中的具体内容将根据客户的 a) 年龄、b) 当前动机水平以及（如果有）c) 报告的青少年综合健康评估 (CHAT(R)) 的需求和优势向咨询师推荐，CHAT(R) 是一种用于治疗环境的基于网络的交互式青少年自我报告评估。目前针对青少年的在线计划主要用于初级预防，而 CHAT(R): SOS 将是一种用于临床人群的干预措施。咨询师将根据临床判断为客户分配用户名以访问该内容和/或其他内容的权限。我们预计 CHAT(R): SOS 最终将拥有与 CHAT(R) 子量表相对应的六个模块（即心理健康、家庭关系、同伴关系、烟草使用、酒精使用、药物使用）。 CHAT(R)：SOS 将提供机会，通过在线互动练习、写作活动以及访问支持性在线社区来强化青少年在治疗中学到的技能和理念。他们将在治疗期间和治疗后使用该资源，以帮助他们应对早期康复中的挑战。青少年将获得量身定制的建议和个性化的用户体验，因为 CHAT(R): SOS 将利用名为 Ektron 的创新内容管理和逻辑解决方案。 CHAT(R)：SOS 还将向咨询师提供如何与客户一起使用该计划的指南（例如，在咨询中、善后护理期间）和自定义用户报告。为了证明该计划概念的可行性，第一阶段研究重点关注同伴关系领域。所有可行性标准均得到满足，结果表明：(1) 提议的内容基于概念图以及与客户和专家进行的可用性和验收测试的高度积极的结果。潜在有效性和吸引力的评级很高。 (2) 可用性测试表明该程序可供目标受众使用，技能和结果与目标受众相关，并且该程序被认为对治疗过程有潜在的帮助。我们超越了客户和专家的可行性基准。 (3) 我们的技术/设计团队 a) 制作了一个演示程序，被主要利益相关者认为是高度可用且引人入胜的多媒体程序，b) 确定了在第二阶段制作完整程序所需的技术。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。现场试验将检验主要假设，即相对于对照条件（仅 CHAT(R)），CHAT(R)：SOS 将与显着更高的动机、更高的自我效能、更多的复发应对和更低的物质使用相关。 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，只有不到 150,000 名青少年接受了治疗。通常，75% 接受治疗的患者会在第二年内复发。为了满足对具有成本效益的评估的需求，Inflexxion, Inc. 开发了青少年综合健康评估 (CHAT(R))，这是一种用于治疗环境的基于网络的交互式自我报告评估。我们建议开发一个名为 CHAT(R) 的补充在线复发预防计划：远离物质 (SOS)。 CHAT：SOS 将使用青少年的 1) 年龄、2) 动机水平以及（如果有）3) 对 CHAT(R) 评估的反应来推荐基于网络的复发预防内容，以满足青少年的个人需求。该资源将在治疗期间和治疗后向青少年提供，以帮助他们应对早期康复中的挑战。