Computerized Stage-Matched Intervention for Juvenile Offenders

少年犯计算机化阶段匹配干预

• 批准号: 8604701
• 负责人: DEBORAH A LEVESQUE
• 金额: $ 43.21万
• 依托单位: PRO-CHANGE BEHAVIOR SYSTEMS, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-15 至 2017-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8604701
• 关键词: 17 year old; Abstinence; Accounting; Adherence; Adolescent; Age; Alcohol or Other Drugs use; Alcohols; Behavioral; Computers; Crime; Criminal Justice; Development; Drug user; Environment; Evidence based practice; Evidence based treatment; Expert Systems; Feedback; Female; Freedom; Frequencies; Funding; Goals; Health Services Research; Individual; Individual Differences; Intervention; Investments; Justice; Laws; Life; Modeling; Motivation; Multimedia; National Institute of Drug Abuse; Online Systems; Outcome; Outcome Measure; Pain; Participant; Patient Self-Report; Pharmaceutical Preparations; Phase; Population; Price; Printing; Professional counselor; Property; Protocols documentation; Quality of life; Randomized; Randomized Clinical Trials; Readiness; Records; Reporting; Research; Resort; Resources; Risk; Small Business Innovation Research Grant; Societies; Staging; Structure; Substance abuse problem; Supervision; System; Technology; Time; Training; Treatment Efficacy; Urine; Ursidae Family; Violence; Wages; Youth; aged; base; behavior change; career; community setting; computerized; cost; court; criminal behavior; drug testing; effective therapy; emotional distress; experience; follow-up; high risk; improved; individualized feedback; innovation; intervention program; juvenile arrest; juvenile delinquent; male; neglect; offender; prevent; primary outcome; probation; programs; prototype; recidivism; reduced substance use; research to practice; secondary outcome; therapy design; tool; web site

DESCRIPTION (provided by applicant): Juvenile crime imposes enormous costs on victims, on society, and on juvenile offenders themselves. However, research assessing the efficacy of interventions for young offenders show, on average, only small effects on recidivism, substance abuse, and other behavioral outcomes. A major problem with existing interventions is that they tend to neglect individual differences in motivation and readiness to make positive changes. In earlier research, we used an empirically validated model of behavior change, the Transtheoretical Model (TTM, the "stage" model), and expert system technology to develop the Rise Above Your Situation program (RAYS), a prototype of a multimedia computerized tailored intervention designed as an adjunct to traditional juvenile justice programs. The intervention delivers assessments and individualized feedback matched to readiness to stay out of trouble with the law and quit alcohol and drugs. At the end each session the program also generates counselor report that summarizes the youth's feedback and presents concrete, easy-to-implement strategies counselors can use to reinforce stage-matched concepts. In the current research, the goals are to complete development of the computerized tailored intervention; develop training and other support materials for counselors; and assess the efficacy of the intervention package in a randomized clinical trial involving 1,000 court-involved juveniles aged 13-17. Primary outcomes will be criminal recidivism and substance abuse abstinence at 6 and 12 months follow-up.

描述(由申请人提供)：青少年犯罪给受害者、社会和少年犯本身带来了巨大的代价。然而，评估对青少年罪犯干预效果的研究表明，平均而言，对累犯、药物滥用和其他行为结果的影响很小。现有干预措施的一个主要问题是，它们往往忽视了个人在动机和做出积极变化的准备方面的差异。在早期的研究中，我们使用了一个经过经验验证的行为改变模型、跨理论模型(TTM，“阶段”模型)和专家系统技术来开发Rise Over Your Sitution计划(RAIES)，这是一个多媒体计算机化定制干预的原型，旨在作为传统青少年司法计划的辅助工具。这种干预提供了评估和个性化的反馈，与准备好远离法律麻烦和戒酒戒毒相匹配。在每次会议结束时，该计划还会生成辅导员报告，总结青少年的反馈，并提出具体、易于实施的策略，辅导员可以使用这些策略来强化与阶段匹配的概念。在目前的研究中，目标是完成计算机化定制干预的开发；为辅导员开发培训和其他支持材料；并在一项涉及1,000名13-17岁涉及法院的青少年的随机临床试验中评估干预方案的有效性。在6个月和12个月的随访中，主要结果将是犯罪累犯和药物滥用戒断。

项目成果

Computer-Tailored Intervention for Juvenile Offenders.

针对青少年罪犯的计算机定制干预。

• DOI: 10.1080/1533256x.2012.728107
• 发表时间: 2012
• 期刊: Journal of social work practice in the addictions
• 影响因子: 0.8
• 作者: Levesque,DeborahA;Johnson,JanetL;Welch,CarolA;Prochaska,JaniceM;Fernandez,AnneC
• 通讯作者: Fernandez,AnneC