Staying Off Substances: A Tailored Early Recovery Program for Teens

描述（由申请人提供）：大多数青少年在早期康复期间努力避免物质使用，同时也应对许多其他问题（例如，同伴关系），他们需要持续的支持。我们建议为青少年开发一个在线复发预防计划，称为远离物质（SOS）。项目中的具体内容将根据客户的a)年龄，b)当前动机水平，以及（如果有的话）c)报告的青少年综合健康评估（CHAT(R)）的需求和优势推荐给咨询师，这是一种用于治疗环境的网络交互式青少年自我报告评估。鉴于目前针对青少年的在线项目是针对初级预防的，CHAT(R): SOS将是一种用于临床人群的干预措施。咨询师将根据他们的临床判断为客户分配访问该内容和/或其他内容的权限的用户名。我们预计CHAT(R): SOS最终将有六个与CHAT(R)子量表相对应的模块（即心理健康、家庭关系、同伴关系、吸烟、饮酒、吸毒）。CHAT(R): SOS将包括通过在线互动练习、写作活动和进入支持性在线社区，加强青少年在治疗中学习的技能和理念的机会。这一资源将在治疗期间和治疗后提供给他们，以帮助他们应对早期康复中的挑战。青少年将获得量身定制的建议和个性化的用户体验，因为CHAT(R): SOS将利用一种名为Ektron的创新内容管理和逻辑解决方案。CHAT(R): SOS还将向咨询师提供如何与客户一起使用该程序的指导方针（例如，在会议中，在善后期间）和自定义用户报告。为了证明程序概念的可行性，第一阶段的研究集中在同伴关系领域。所有的可行性标准都得到了满足，结果表明：(1)提议的内容是基于概念图的高度积极的发现，以及客户和专家的可用性和验收测试。潜在有效性和吸引力的评分很高。(2)可用性测试表明，该方案可被目标受众使用，技能和结果与目标受众相关，并且该方案被认为可能对治疗过程非常有帮助。我们超越了客户和专家的可行性基准。(3)我们的技术/设计团队a)制作了一个演示程序，该程序被关键利益相关者认为是高度可用和引人入胜的多媒体程序，b)确定了在第二阶段制作完整程序所需的技术。在第二阶段，我们将开发该计划，然后在实地试验中测试其有效性。实地试验将检验主要假设，相对于控制条件（仅CHAT(R)）， CHAT(R): SOS将与显著更高的动机、更高的自我效能、更多的复发应对和更低的物质使用相关。

DESCRIPTION (provided by applicant): The majority of adolescents struggling to avoid substance use during early recovery are also coping with many other issues (e.g., peer relationships) for which they require consistent support. We propose to develop an online relapse prevention program for adolescents called Staying Off Substances (SOS). Specific content in the program will be recommended to counselors based on their client's a) age, b) current motivation level, and, when available, c) reported needs and strengths on the Comprehensive Health Assessment for Teens (CHAT(R)), a Web-enabled interactive adolescent self-report assessment for use in treatment settings. Whereas current online programs for adolescents are geared for primary prevention, CHAT(R): SOS will be an intervention for use in clinical populations. Counselors will assign the client's user name to access privileges for that content and/or other content per their clinical judgment. We expect that CHAT(R): SOS will ultimately have six modules corresponding with the CHAT(R) subscales (i.e., Psychological Health, Family Relationships, Peer Relationships, Tobacco Use, Alcohol Use, Drug Use). CHAT(R): SOS will include opportunities to reinforce the skills and philosophies that adolescents learn in treatment through online interactive exercises, writing activities, and access to a supportive, online community. This resource will be available to them during treatment and post-treatment to help them navigate challenges in early recovery. Adolescents will receive tailored recommendations and an individualized user experience because CHAT(R): SOS will utilize an innovative content management and logic solution called Ektron. CHAT(R): SOS will also provide counselors with guidelines on how to use this program with their clients (e.g., in sessions, during aftercare) and custom user reports. To demonstrate the feasibility of the program concept, the Phase I study focused on the Peer Relationships domain. All feasibility criteria were met and findings indicated: (1) Proposed content was based on highly positive findings from concept mapping, as well as usability and acceptance testing with clients and experts. Ratings of potential effectiveness and appeal were high. (2) Usability testing indicated that the program was usable by the target audience, the skills and outcomes were relevant to the target audience, and the program was regarded as potentially very helpful to the treatment process. We surpassed feasibility benchmarks for both clients and experts. (3) Our technical/design team a) produced a demonstration program that was perceived by key stakeholders as highly usable and engaging multimedia program and b) determined the necessary technologies to produce the complete program in Phase II. In Phase II we will develop the program then test its efficacy in a field trial. The field trial will examine the primary hypotheses that, relative to the control condition (CHAT(R) only), CHAT(R): SOS will be associated with significantly higher motivation, higher self-efficacy, more relapse coping, and lower substance use. PUBLIC HEALTH RELEVANCE: Adolescent substance abuse is a significant public health issue. Unfortunately, the 2005 federal Treatment Episode Data Set indicated that less than 150,000 adolescents received treatment. Typically, 75% of those who receive treatment relapse within the following year. To address the need for cost-effective assessment, Inflexxion, Inc. developed the Comprehensive Health Assessment for Teens (CHAT(R)), a Web-enabled interactive self report assessment for use in treatment settings. We propose developing a supplemental online relapse prevention program called CHAT(R): Staying Off Substances (SOS). CHAT: SOS will use an adolescent's 1) age, 2) motivational level, and, when available, 3) responses to the CHAT(R) assessment to recommend Web-based relapse prevention content to address the adolescent's individual needs. This resource will be available to adolescents during treatment and post-treatment to help them navigate challenges in early recovery.