Technology-based Training Tool for an Empirically- Supported Group-Based HIV and STI Prevention Intervention for Juvenile Offenders

总结/摘要 刑事司法系统所涉18岁以下的青少年不成比例地属于少数群体， 药物滥用、精神疾病和艾滋病毒/性传播感染。大多数青少年罪犯在社区监督下获释 没有性传播感染、精神健康或药物使用筛查、诊断和治疗， 尽管风险行为的发生率相似。他们的长期轨迹是糟糕的，社会成本很高，而且是持久的 对社区福祉和个人就业前景的影响是深远的。改变这个轨迹是一个 公共卫生优先。 预防青少年艾滋病毒（PHAT）生活是一个以证据为基础的计划，满足青少年的需要， 解决青少年共病的健康问题。下一步--也许是最关键的一步--确保 这项长达十年的研究为缓刑青年的生活带来了实实在在的改善 是制定一个PHAT生活培训战略，这是有效的，成本效益高，可持续的少年司法 设置. 俄勒冈州行为干预策略研究所和 伊利诺伊大学芝加哥分校将利用现有的资源和能力， 为PHAT Life提供可行的基于技术的培训工具，具有可持续性和成本效益的巨大潜力。 基于PHAT Life过去的研究，在SBIR第一阶段研究中，我们将（a）开发和评估原型 交互式网络浏览器和移动的应用程序多媒体培训工具，健康 教育工作者，缓刑工作人员，青年护理人员），以提供PHAT生活的青年缓刑，以及（B）确定额外的 解决促进者差距所需的培训材料（例如，艾滋病毒/性传播感染知识，管理群体动态）。的 拟议的基于技术的培训工具应具有高度可持续性，因为它（a）依赖于“土著” （B）很可能证明具有成本效益，因为我们将利用一种技术， 提供大规模培训，以及（c）通过利用技术提供一致的培训， 经验，并通过包括一个计算机介导的视频记录观察组 将由专家培训师审查和评分的课程，以增加干预的可能性 实现保真度。

Summary/Abstract Youth under age 18 involved in the criminal justice system are disproportionately minorities and affected by substance abuse, mental illness, and HIV/STI. Most young offenders are released on community supervision without the STI, mental health, or substance use screening, diagnosis, and treatment afforded detained youth, despite similar rates of risk behavior. Their long-term trajectory is poor, the costs to society are high, and lasting effects on community well-being and individual employment prospects are profound. Altering this trajectory is a public health priority. Preventing HIV Among Teens (PHAT) Life is an evidence-based program that meets the need in juvenile justice to address youths' co-morbid health problems. The next––and perhaps most critical––step in ensuring that this decade-long line of research produces actual, real-world improvements in the lives of probation youth is to develop a PHAT Life training strategy that is effective, cost-effective, and sustainable within juvenile justice settings. This private/public collaboration between Oregon Research Behavioral Intervention Strategies and the University of Illinois at Chicago will leverage existing resources and competencies to create a commercially viable technology-based training tool for PHAT Life with great potential for sustainability and cost-effectiveness. Building on PHAT Life's past research, in this SBIR Phase I research we will (a) develop and evaluate a prototype interactive web browser and mobile app multimedia training tool to enable para-professionals (e.g., health educators, probation staff, youth care staff) to deliver PHAT Life to youth on probation, and (b) identify additional training materials needed to address facilitator gaps (e.g., HIV/STI knowledge, managing group dynamics). The proposed technology-based training tool should be highly sustainable, because it (a) relies on “indigenous” personnel to deliver the intervention, (b) is likely to prove cost-effective since we will utilize a technology that can deliver training at scale, and (c) will improve fidelity both by leveraging technology to provide consistent training experiences to para-professionals and by including a computer-mediated video recorded observation of group sessions that will be reviewed and graded by an expert trainer to increase the likelihood of intervention implementation fidelity.