Digital Star: HIV Prevention for Youth in Mental Health Treatment

数字之星：青少年心理健康治疗中的艾滋病毒预防

• 批准号: 8712561
• 负责人: LARRY K BROWN
• 金额: $ 34.44万
• 依托单位: VIRTUALLY BETTER, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-02 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8712561
• 关键词: 18 year old; AIDS prevention; Academy; Achievement; Address; Adolescent; Adolescent Psychiatry; Affect; African American; Aftercare; Age; Age of Onset; Alcohol or Other Drugs use; Ambulatory Care Facilities; American; Area; Attitude; Award; Caring; Child Psychiatry; Cognition; Cognitive; Communities; Computer Simulation; Development; Education; Elements; Ensure; Feedback; Goals; Group Homes; HIV; Health Promotion; Health Services; Homeless Youth; Hospitals; Industry; Intervention; Knowledge; Length of Stay; Marketing; Mental Health; Modality; Monitor; Multimedia; Outcome; Paper; Parents; Participant; Phase; Prevention; Prevention program; Preventive Intervention; Process; Production; Public Health; Qualitative Evaluations; Randomized Controlled Trials; Recording of previous events; Regulation; Reporting; Research; Residential Treatment; Rhode Island; Risk; Safe Sex; Safety; Schools; Self Efficacy; Sex Behavior; Sexual Health; Sexual Partners; Small Business Innovation Research Grant; Small Business Technology Transfer Research; Subgroup; Technology; Therapeutic; Thinking; Time; Training; Universities; Youth; computerized; design; digital; evidence base; follow-up; group intervention; improved; innovation; models and simulation; multidisciplinary; novel; peer; product development; programs; prototype; public health relevance; randomized trial; response; sex; skills; tool; treatment center

DESCRIPTION (provided by applicant): Adolescents in mental health treatment are at greater risk for HIV and other STIs than their peers due to an earlier age of onset of sex, less protected sex, more sexual partners, and more frequent substance use. This greater risk is due to multiple factors including cognitive misperceptions, affect dysregulation, and less self efficacy. The numerous adolescents who receive mental health treatment do so in a variety of settings such as day hospital programs, therapeutic schools and residential centers. These programs offer a variety of health services but there is no efficacious HIV prevention program specifically tailored for the issues of youth in mental health treatment, other than the one described in this project. STAR ("Safe Thinking and Affect Regulation") is an award winning and efficacious fourteen session group intervention that successfully targets affect regulation and cognitive monitoring in sexual situations as the key, novel elements to improve sexual safety. This fourteen session group intervention won the Rieger Award for Scientific Achievement from the American Academy of Child and Adolescent Psychiatry in 2012. It is the first and only intervention to have demonstrated an improvement in safer sexual behavior for youth in mental health treatment, a group that is at- risk and not otherwise targeted with interventions tailored for their issues. The goal of this SBIR Fast-Track project is to transform STAR into an engaging digital, multimedia format, Digital STAR (D*STAR), for easy and reliable use by care agencies that serve adolescents in mental health treatment. To transform this intervention, Virtually Better, a company with a successful history of production and distribution of cutting-edge technological interventions, has teamed with the research developers of STAR at Rhode Island Hospital and Brown University. During the two phases of this Fast-Track project, digital session development will be accomplished by an iterative process of feedback and refinement between Virtually Better, the developers of STAR, adolescents in mental health treatment, and a Community Advisory Board. The created multimedia intervention, D*STAR, will convey relevant information, offer realistic skills practice, and be engaging and enjoyable. A randomized control trial of D*STAR compared to a time-matched digital general health promotion condition will be conducted among 120 adolescents ages 13 to 18 in mental health treatment to ensure that D*STAR is efficacious in improving HIV knowledge and relevant attitudes, and increasing safer sexual behavior. This project is innovative because D*STAR will contain the essential elements of a proven, award winning intervention; its digital format will allow for reliable and consistent deliverability; it will be utilized without the need for extensively trained or highly specialized facilitators; and it will use engaging, immersive technologies that are maximally appealing to youth. Developing this high- quality implementation package for easy dissemination is essential to achieving a greater public health impact from this proven HIV prevention intervention for youth in mental health treatment.

描述（由申请人提供）：由于性别较早，性别较低，性伴侣越来越少以及更频繁的吸毒者使用，精神健康治疗中的青少年对艾滋病毒和其他性传播感染的风险比同伴更大。这种更大的风险归因于多种因素，包括认知误解，影响失调和更少的自我效能。接受心理健康治疗的众多青少年在多种环境中这样做，例如日医院计划，治疗学校和住宅中心。这些计划提供各种健康服务，但没有专门针对的有效的HIV预防计划 除了该项目中描述的精神健康治疗中的青年问题。 Star（“安全思维和影响法规”）是屡获殊荣有效的十四个会议小组干预措施，成功针对性地靶向性情况下的监管和认知监测是关键的，是提高性安全的关键，新颖的要素。这个十四个会议小组干预赢得了2012年美国儿童和青少年精神病学会的科学成就奖。这是第一个也是唯一的干预措施证明，在心理健康治疗中，对青少年的性行为更加安全，该小组的风险和没有针对其问题的干预措施而不是针对性的。这 这个SBIR快速轨道项目的目标是将星星转变为一种引人入胜的数字，多媒体格式，数字星（D*Star），以便于为青少年提供心理健康治疗的护理机构轻松且可靠地使用。为了改变这种干预措施，几乎更好，一家拥有成功生产和分销尖端技术干预措施的公司，与罗德岛医院和布朗大学Star的研究开发商合作。在这个快速轨道项目的两个阶段中，数字会话开发将通过反馈和改进的过程来完成，而几乎更好，Star的开发人员，精神健康治疗的青少年和社区咨询委员会之间的迭代过程将实现。创建的多媒体干预D*Star将传达相关信息，提供逼真的技能练习，并具有吸引力和愉悦感。与时间匹配的数字通用健康促进条件相比，D*Star的随机对照试验将在120名青少年在心理健康治疗中进行13至18岁的青少年进行，以确保D*Star在改善HIV知识和相关态度以及增加更安全的性行为方面有效。该项目具有创新性，因为D*Star将包含屡获殊荣的干预措施的基本要素；它的数字格式将允许可靠且一致的可交付性；它将被利用，而无需进行广泛培训或高度专业的促进者；它将使用引人入胜的沉浸式技术，对青年人最大程度地吸引人。开发这种高质量的实施方案以容易传播，对于从这种对心理健康治疗中的青年预防的艾滋病毒预防干预措施产生更大的公共卫生影响至关重要。