Technology Transfer of the ATLAS and ATHENA Programs

描述（由申请人提供）：超过750万高中生参加高中体育项目，每年还有200万学生加入这些运动队。青少年运动员有使用提高成绩的药物的风险，如合成代谢类固醇、不受管制的运动补充剂、非法药物和酒精。不幸的是，很少有基于证据的药物滥用预防项目是为高中设计的。针对高中男运动员的ATLAS（运动员训练和学习避免类固醇）计划和针对高中女运动员的ATHENA（运动员瞄准健康运动和营养替代品）计划，与国家药物滥用支持研究所一起研究，已经建立了1)防止药物使用和2)增强健康行为的有效性证据。这些项目由高中运动队的教练进行同伴教学和指导。虽然这些项目已经传播到36个州，大约7万名学生运动员和他们的教练，但这只占同期参加体育运动的高中运动员的不到0.25%。更广泛地实施ATLAS和ATHENA的一个重大障碍是，在实施干预措施时，团队练习时间的损失，因为ATLAS有10个45分钟的会议，ATHENA有8个45分钟的会议。此外，学校体育是课外活动，通常没有预算用于基于课程的干预。为了克服这些障碍，STTR提案的第一阶段将开始将ATLAS和ATHENA转移到创新的在线版本。六个活动（3个ATLAS和3个ATHENA）将被转移到一个内容丰富的在线版本，可以由学生高保真地实施。将对新版本的可行性和接受程度进行评估，并将其与标准版本的学生运动员和教练小组进行比较。这将为第二阶段奠定基础，在第二阶段，其他活动将在网上进行，并辅以学生运动员社交网络和教练训练视频。球队的影响将会继续，但会有所减弱。最终的在线版本将使教练组花费的时间减少约66%，而干预成本将减少75%。这将吸引学校管理者（项目购买者）和教练（项目实施者）。此外，计划的可用性将增加到每周7天，每天24小时。这种以证据为基础的课程的技术转让将克服采用、实施和可持续性方面的障碍，同时保留行为改变的调解人，并减少青少年滥用药物的现象。

DESCRIPTION (provided by applicant): Over 7.5 million high school students participate in high school sports programs and an additional 2 million students join these athletic teams each year. Adolescent athletes are at risk for using performance enhancing drugs, such as anabolic steroids, unregulated sport supplements, and illicit drugs and alcohol. Unfortunately, few evidence-based substance abuse prevention programs are designed for high schools. The ATLAS (Athletes Training & Learning to Avoid Steroids) program for high school male athletes and the ATHENA (Athletes Targeting Healthy Exercise & Nutrition Alternatives) program for high school female athletes, studied with National Institute on Drug Abuse support, have established evidence of effectiveness in 1) preventing substance use and 2) enhancing healthy behaviors. The programs are peer taught and facilitated by coaches within the high school sport team. Although the programs have been disseminated to 36 states and approximately 70,000 student-athletes and their coaches, this represents less than 0.25% of the high school athletes participating in sports during the same time frame. A significant barrier to more widespread implementation of ATLAS and ATHENA is the loss of team practice time when implementing the interventions, as there are ten, 45 minute sessions for ATLAS and eight, 45 minute sessions for ATHENA. Also, school sports are extracurricular, often without a budget for curriculum based interventions. To overcome these barriers, Phase I of this STTR proposal will initiate the transfer of ATLAS and ATHENA to an innovative online version. Six activities, (3 ATLAS and 3 ATHENA) will be transferred to a content-rich online versions that can be implemented by students with high fidelity. The new version's feasibility and level of acceptance will be assessed, comparing it with the standard version of the programs with groups of student-athletes and coaches. This will set the stage for Phase II, wherein other activities will be placed online, augmented with student-athlete social networking and training videos for coaches. The influence of the team will continue, but in an abbreviated fashion. The final online version will reduce the time spent by coaching staff by approximately 66%, while intervention costs will be decreased by 75%. This will be appealing to both the school administrators (purchasers of the programs) and coaches (program implementers). Furthermore, program availability will be increased to 24 hours/day, 7 days each week. This technological transfer of evidence-based curricula will overcome impediments to adoption, implementation and sustainability, while retaining the mediators of behavior change, and reducing substance abuse among youth. PUBLIC HEALTH RELEVANCE: The project will initiate transfer the ATLAS and ATHENA programs, scientifically proven to prevent drug and alcohol use and improve health behaviors among high school athletes, to a low-cost, innovative web-based version of the programs. This enhanced, content-rich version will enhance ATLAS and ATHENA's widespread use among high schools at a fraction of the cost, in a highly efficient manner.