Click City: Marijuana - An Interactive, Scalable, High-Fidelity, Digital Prevention Program for Youth

摘要 到高中结束时，近一半的12年级学生报告使用大麻。虽然年轻人经常会觉得 大麻的使用风险很低，特别是随着越来越多的州将大麻用于娱乐和医疗用途合法化， 青少年使用这种药物会产生严重后果，包括神经损害、精神健康 问题，以及未来的依赖。目前许多以学校为基础的毒品预防项目并不以证据为基础， 难以贯彻执行，不符合现行课程标准。作为一个有效的， 引人入胜的、可扩展的基于学校的数字预防计划Click City®：大麻将解决 现有计划的弱点。点击City®：大麻，专为8年级9年级学生设计 将重点放在预防或减少青少年吸食大麻上。该计划将针对所有常见的 青少年吸食大麻的方法，包括蒸发、吸烟、涂抹和食用，以及方案 内容开发将以理论为指导。拟议的计划建立在我们团队开发的两个 其他有效的以学校为基础的物质预防方案，针对烟酒使用。多重 学校管理人员要求我们开发类似的、以证据为基础的数字大麻预防 计划，因为他们看到学生大麻的使用增加，特别是通过蒸发。单击City®： 大麻将与全国各地的学生以及一个 主要利益攸关方顾问委员会。它将在线交付，并可跨设备和平台访问， 确保计划实施的可扩展性和保真度。此外，我们将对每个项目进行实证评估 在纳入最终方案之前，确保有效性的组件，从而提高有效性。在这个范围内 一期工程，我们计划实现以下目标：1)故事板潜在的程序组件 与8年级学生的焦点小组一起创建一个简短的入门模块；2)开发两个程序 针对预测大麻使用的特定风险因素的组件，由迭代开发提供信息 进程，包括与我们的目标人群进行重点和用户测试，并与我们的咨询委员会进行协商； 以及3)使用交叉设计对这两个新组件进行严格评估，假设 每个组件都将改变其设计要更改的风险因素，并将减少意图和 未来是否愿意使用大麻。如果这些组件是可接受的、吸引人的和令人满意的 如果他们改变了目标致病机制，这将支持第二阶段的可行性 学习。第二阶段计划包括开发其余组件并进行短期有效性 对8年级的项目进行评估。由于学校里的技术现在很常见，拟议中的计划 具有很高的商业价值。Click City®：大麻有可能惠及全球数百万青少年 国家，通过延迟、减少或 防止早期使用大麻。

ABSTRACT By the end of high school, close to half of 12th graders report marijuana use. While youth often perceive marijuana use as low risk, particularly as more states legalize marijuana for recreational and medical use, there are serious consequences of use by adolescents, including neurological impairment, mental health issues, and future dependence. Many current school-based drug prevention programs are not evidence-based, struggle with fidelity of implementation, and do not meet current curriculum standards. As an effective, engaging, and scalable school-based digital prevention program, Click City®: Marijuana will address the weaknesses of existing programs. Click City®: Marijuana, designed for 8th grade students with a 9th grade booster, will focus on preventing or decreasing youth use of marijuana. The program will target all common methods of marijuana consumption by youth, including vaping, smoking, dabbing, and edibles, and program content development will be guided by theory. The proposed program builds on our team's development of two other effective school-based substance prevention programs, targeting alcohol and tobacco use. Multiple school administrators have asked us to develop a similar, evidence-based, digital marijuana prevention program, as they are seeing an increase in student marijuana use, particularly by vaping. Click City®: Marijuana will be developed iteratively in collaboration with students from across the country, as well as with an Advisory Board of key stakeholders. It will be delivered online and accessible across devices and platforms, ensuring scalability and fidelity of program implementation. Further, we will empirically evaluate each program component to assure efficacy prior to inclusion in the final program, thus increasing effectiveness. Within this Phase I project, we propose to accomplish the following aims: 1) Storyboard potential program components with focus groups of 8th grade students and create a short introductory module; 2) Develop two program components targeting specific risk factors predictive of use of marijuana, informed by an iterative development process including focus and user testing with our target population and consultations with our Advisory Board; and 3) Conduct a rigorous evaluation of the two new components, using a crossover design, hypothesizing that each component will change the risk factor it was designed to change, and will decrease intentions and willingness to use marijuana in the future. If these components are acceptable, engaging, and satisfactory for users, and if they change the targeted etiological mechanisms, this will support the feasibility of the Phase II study. Phase II plans include developing the rest of the components and conducting a short-term effectiveness trial to evaluate the 8th grade program. As technology in schools is now commonplace, the proposed program has high commercial value. Click City®: Marijuana has the potential to reach millions of adolescents across the country, preventing serious neurological, mental health, and dependence issues by delaying, decreasing, or preventing early marijuana use.