Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness
Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness
复制标题
DOI：
10.1186/s13722-020-00201-x
复制
发表时间：
2020-07-28
影响因子：
3.7
通讯作者：
Garvey, Rick
中科院分区：
文献类型：
--
作者：
Tucker, Joan S.;D'Amico, Elizabeth J.;Garvey, Rick
背景：无家可归的年轻人的酒精和其他药物 (AOD) 使用率高得惊人，这与无保护性行为、交易性行为以及与多个临时伴侣发生性行为等性危险行为有关。针对这一人群制定和严格评估的风险降低计划很少，特别是那些解决这两种相互关联的行为、采用协作和非评判性方法、并且在无家可归的年轻人寻求服务的环境中可行的计划。本文描述了一项研究方案，该研究评估针对该人群的基于四次动机访谈（MI）的群体风险降低干预措施。该方案已在 200 名无家可归的年轻人的 3 个月试点工作中被证明是有效的 [1]。目前的研究旨在完善干预方案并在更大范围内评估该计划。 方法/设计：在一项整群交叉随机对照试验中，18-25 岁的青少年将在洛杉矶地区为无家可归青少年提供服务的三个临时中心之一接受 AWARE 风险降低计划 (n = 200) 或标准护理 (n = 200)。我们将在 12 个月的时间内评估干预措施对使用 AOD 和危险性行为的主要结果以及与健康相关的生活质量和社会稳定的次要结果的影响。 讨论：该项目有潜力填补预防服务方面的重大空白，证明在无家可归的年轻人通常寻求服务的环境中可行的简短干预可以显着减少使用 AOD 和危险性行为的相互关联问题。
Background: Young people experiencing homelessness have alarmingly high rates of alcohol and other drug (AOD) use, which is associated with sexual risk behaviors such as unprotected sex, trading sex, and sex with multiple casual partners. Few risk reduction programs for this population have been developed and rigorously evaluated, particularly those that address both of these interrelated behaviors, use a collaborative and non-judgmental approach, and are feasible to deliver in settings where homeless young people seek services. This paper describes the protocol of a study evaluating a four-session Motivational Interviewing (MI)-based group risk reduction intervention for this population. The protocol has been shown to be efficacious in pilot work over 3 months with 200 homeless young adults [1]. The current study seeks to refine the intervention protocol and evaluate the program on a larger scale.Methods/design: In a cluster-cross-over randomized controlled trial, 18-25 year olds will receive the AWARE risk reduction program (n = 200) or standard care (n = 200) at one of three drop-in centers serving homeless youth in the Los Angeles area. We will evaluate intervention effects on primary outcomes of AOD use and sexual risk behavior, as well as secondary outcomes of health-related quality of life and social stability, over a 12-month period.Discussionl: This project has the potential to fill a significant gap in prevention services by demonstrating that a brief intervention, feasible to deliver within settings where young people experiencing homelessness typically seeks services, can significantly reduce the interrelated problems of AOD use and sexual risk behavior.