Strengthening Families Program Online for Teens and Families

摘要 在此第二阶段SBIR中，我们提供了一个研究和商业化活动的综合平台，以 开发、实施和评估为期10节的基于网络的娱乐性家庭技能培训和青少年药物 预防计划源自循证强化家庭计划(SFP Online)。这个 拟议的研究建立在第一阶段混合方法形成性评估的基础上，该评估导致了 单会话原型。在第二阶段，我们将这些努力扩展到开发可扩展、可访问和负担得起的 技能培训计划覆盖范围更广，可远程提供给家庭。传统的辅导员主导 团体项目成本高昂，劳动密集型；研究不断地证明，他们的 随处可见。使家庭技能培训计划负担得起，并提供替代交付 需要建立机制来广泛传播有效的初级预防工作。计算机- 媒介的“数字”环境提供了另一种节目交付方式，只要它们能够 执行程序的有效成分的保真度，避免程序漂移，并确保高依从性。 这是我们第一阶段活动的主要目标，也是阿尔法原型开发中的主要关注点。 为此，我们进行了参与性行动研究，与目标消费者进行了焦点小组 (父母和青少年)，与家庭服务机构提供者进行的关键线人访谈，这些提供者将 支持该计划，并采访了电子学习专家和预防科学家。然后我们用这个 信息，以制作基于网络的新型交互式多媒体版本的SFP。我们还进行了 广泛的生产后可用性测试。在第二阶段，我们建议在线测试SFP的完整测试版 对于所有10个课程，使用迷你模块格式(每周提供多个课程)，纵向为三个- 条件随机对照试验(SFP在线、注意力控制家庭-使用DVD/视频和等待名单 最小接触控制条件)。我们将对在线课程进行广泛的认知预测测试 易于理解、接受、参与、游戏吸引力和文化多样性的材料。 我们还建议使用短期纵向3个月的随访来测试耐久效果。其他分析将 检查项目结果的主持人，包括参与度的衡量标准(即，会议曝光， 性能标准和使用指标)，以确定促进或抑制计划有效性的因素。 使用三种条件的非自卑试验，然后我们将SFP在线计划的结果与(1)进行对比 注意力控制家庭-使用DVD/视频成果和，(2)传统的14节课小组-课堂辅导员- 引领项目成果。比较三种情况下的影响大小可以得出重要的结论 关于互动是否能实现卓越的计划结果的信息。这样做的长期目标是 建议是创建一个可行的商业化平台，以扩大基于家庭的技能培训的覆盖范围， 同时也为那些最有需要的人带来了负担得起的产品。

ABSTRACT In this Phase II SBIR we provide an integrated platform of research and commercialization activities to develop, implement, and evaluate a 10-session entertaining web-based family skills training and youth drug prevention program derived from the evidence-based Strengthening Families Program (SFP Online). The proposed research builds off of Phase I mixed-methods formative evaluation that led to the development of a single session prototype. In Phase II we extend these efforts to develop a scalable, accessible and affordable skills training program with wider reach that can be remotely delivered to families. Traditional facilitator-led group programs are costly and labor intensive; and research consistently documents numerous barriers to their widespread availability. Making family skills training programs affordable and providing alternative delivery mechanisms is required for wide spread dissemination of effective primary prevention efforts. Computer- mediated ‘digital’ environments provide alternative means of program delivery when they can preserve implementation fidelity of the program’s active ingredients, avoid program drift, and ensure high adherence. This was the main goal of our Phase I activities and a major concern in the alpha prototype development. Toward this end, we engaged participatory action research conducting focus groups with targeted consumers (parents and youth), key informant interviews conducted with family service agency providers who would champion the program, and interviewed experts in e-learning and prevention scientists. We then used this information to produce a novel interactive, multimedia web-based version of SFP. We also conducted extensive post-production usability testing. In Phase II we propose to test the full beta version of SFP Online with all 10 sessions, using a mini module format (multiple sessions delivered weekly) in a longitudinal three- condition randomized control trial (SFP Online, attention control Home-use DVD/videos, and wait-listed minimal-contact control condition). We will conduct extensive cognitive pretesting of the online curriculum materials for ease of comprehension, acceptance, engagement, gaming attractiveness, and cultural diversity. We also propose testing durable effects using a short-longitudinal 3-month follow-up. Additional analyses will examine moderators of program outcomes including measures of engagement (i.e., session exposure, performance criteria, and usage metrics), to determine factors that facilitate or inhibit program effectiveness. Using a three-condition non-inferiority trial, we will then contrast SFP Online program outcomes with (1) attention control Home-use DVD/videos outcomes and, (2) traditional 14-session group-classroom facilitator- led program outcomes. Comparison of the effect sizes between the three conditions can yield important information about whether interactivity achieves superior program outcomes. The long-range goals of this proposal are to create a viable commercialization platform to extend the reach of family-based skills training, while also bringing an affordable product to those in greatest need.