Brief Positive Image Communications for Adolescents

描述(由申请人提供)： 这项应用的主要目的是测试在市中心初级卫生保健环境中，利用健身和积极的形象沟通对经济困难的高危青少年进行简短、创新的筛查和预防干预的有效性、可行性和有效性。这项研究将：1)评估名为健身与健康行为屏幕(FHBS)的简短多健康行为筛查工具的可行性和有效性，使用触摸屏软件提供定制的行为预防信息；2)测试在初级卫生保健诊所内实施一对一咨询和简短的照顾者/父母干预的可行性；3)检查由简短屏幕和定制咨询组成的累积干预的有效性，无论是否有照顾者/父母策略；4)检查再干预(即助推器)对随着时间的推移增强简短干预结果的影响；5)研究预防干预对大麻、香烟和酒精使用的影响是否受到各种药物特有的认知、社会和环境风险及保护因素的影响。该项目的长期目标是减少大麻、香烟和酒精滥用以及高危老年青少年中的问题，这些青少年在预防研究和服务中往往被忽视。这项研究的第一阶段将涉及进行形成性研究，包括焦点小组、仪器调查、专家小组和试点前研究，旨在提高改进和扩大的筛查和结果工具的实用性、有效性和吸引力，以及将大麻和吸烟与现有酒精信息整合到以健身和外表为主题的计划中的量身定制的青少年和照顾者/父母信息。第二阶段将进行两项研究。第一项是一项试验性研究，测试名为青少年健身形象(AFI)项目的修改和扩展的预防性干预的可行性。第二项研究是一项纵向随机试验，考察了在有或没有照顾者/父母干预的情况下，简短筛查和一对一咨询相对于标准护理对照的有效性。这项研究还将测试随着时间的推移再次干预以提高结果的效果。

DESCRIPTION (provided by applicant): The primary purpose of this application is to test the validity, feasibility and efficacy of brief, innovative screening and preventive interventions using fitness and positive image communications for economically disadvantaged high-risk adolescents in an inner-city primary health care setting. This research will: 1) assess the feasibility and validity of a brief multi-health behavioral screening instrument titled the Fitness and Health Behavior Screen (FHBS), using touch screen software for providing tailored behavioral prevention messages; 2) test the feasibility of implementing both a one-on-one consultation and a brief caregiver/parent intervention within a primary health care clinic; 3) examine the efficacy of a cumulative intervention consisting of a brief screen and tailored consultation, with or without a caregiver/parent strategy; 4) examine the impact of re-interventions (i.e., boosters) on enhancing brief intervention outcomes over time; and 5) examine whether the effects of the preventive intervention on marijuana, cigarette and alcohol use were mediated by various drug-specific cognitive, social and environmental risk and protective factors. The long-term objective of this project is to reduce marijuana, cigarette, and alcohol abuse and problems among high-risk older adolescents who are often ignored in prevention research and services. The first phase of this research will involve conducting formative research, including focus groups, instrument surveys, expert panels, and a pre-pilot study, aimed at enhancing the utility, validity and appeal of modified and expanded screening and outcome instruments and tailored youth and caregiver/parent messages integrating marijuana and cigarette smoking, along with existing alcohol messages, into a fitness and physical appearance-themed program. The second phase will involve conducting two studies. The first is a pilot study testing the feasibility of a modified and expanded preventive intervention titled the Adolescent Fitness Image (AFI) Project. The second study is a longitudinal randomized trial examining the efficacy of a brief screen and one-on-one consultation, with or without a caregiver/parent intervention, against a standard care control. This study will also test the effects of re-interventions for enhancing outcomes over time.