A Behavioral Economic Intervention to Reduce Marijuana Use in Truant Youth

项目总结/摘要 通过K23提案中描述的研究和培训，题为行为经济干预， 减少逃学青少年使用避孕药，PI（Yurasek博士）将获得必要的技能，成为一名 独立的临床研究人员进行以患者为导向的研究，将提高疗效，可及性 以及在少年司法系统内对大麻使用进行干预的成本效益。尽管 父母和家庭为基础的干预措施对青少年药物使用和累犯的有效性，他们可以 在法院和社区环境中执行这些程序耗时长、费用高而且困难。这些干预措施往往需要 青少年和家庭成员参加多个会议，可能不适合家庭和 资源有限的环境。简短的动机干预（BMI）已证明有效， 青少年物质使用者，以及联合收割机结合父母和青少年参与的方法， 与青年人中更强劲的成果相关。然而，基于父母的BMI并不能解决行为问题。 经济机制，如无物质活动或延迟折扣，可能会限制其功效 逃学的年轻人经历了无物质强化的中断。这项建议的目的是 适应一个简短的（一个会议）行为经济干预，以减少大麻的使用，涉及逃学 年轻人和父母。本项目将研究这种方法的可接受性、可行性和初步疗效。 作为青少年专业（逃学）分流方案的一部分，对转介服务的青少年进行干预。 本研究的四个目的是为父母和青少年提供一个简短的行为经济干预， 干预的可行性，进行随机试点试验，并进行成本效益分析， 确保议定书满足更广泛的少年司法和法院系统的需要。在这 指导职业奖，PI将促进她的职业目标与经验丰富，知识渊博的工作 导师团队（Cottler、Tolou-Shams和Fisher博士）和合作者/贡献者（Park、Murphy和 Spirito）掌握与本建议相关的四个培训领域1）物质使用治疗研究 2）制定和调整针对吸毒的社区干预措施 3）定性数据收集和分析; 4）发展经济方面的基本能力 评估法律的、社会和心理健康结果。成功完成本研究将提供 关于使用行为经济学理论减少大麻使用的好处的信息， 减少与使用逃学青年治疗大麻有关的费用。

Project Summary/Abstract Through the research and training described in this K23 proposal titled A Behavioral Economic Intervention to Reduce Marijuana Use in Truant Youth, the PI (Dr. Yurasek) will acquire the necessary skills to become an independent clinical researcher conducting patient-oriented research that will improve the efficacy, accessibility and cost-effectiveness of marijuana use interventions within the juvenile justice system. Despite the effectiveness of parent and family based interventions for juvenile substance use and recidivism, they can be lengthy, costly and difficult to implement in court and community settings. These interventions often require adolescents and family members to attend multiple sessions, and may not be appropriate for families and settings with limited resources. Brief motivational interventions (BMIs) have demonstrated efficacy with adolescent substance users, and approaches that combine parent and adolescent involvement have been associated with more robust outcomes among youth. However, parent-based BMI’s do not address behavioral economic mechanisms such as substance -free activities or delayed discounting which may limit their efficacy with truant youth experiencing a disruption of substance-free reinforcement. The aim of this proposal is to adapt a brief (one session) behavioral economic intervention to reduce marijuana use that involves truant youth and their parents. This project will examine the acceptability, feasibility, and initial efficacy of this intervention with adolescents referred for services as part of a juvenile specialty (truancy) diversion program. The 4 research aims are to adapt a brief behavioral economic intervention for parents and adolescents, test the feasibility of the intervention, conduct a randomized pilot trial, and conduct a cost-benefit analysis of outcomes to ensure the protocol addresses the needs of the larger juvenile justice and court systems. In this mentored career award, the PI will facilitate her career goals working with an experienced and knowledgeable team of mentors (Drs. Cottler, Tolou-Shams, and Fisher) and collaborator/contributors (Drs. Park, Murphy, and Spirito) to master four areas of training relevant to this proposal 1) Substance use treatment research in juvenile-justice settings 2) community-based intervention development and adaptation for substance-using adolescents; 3) qualitative data collection and analyses; and 4) developing basic competencies in economic evaluation of legal, social and mental health outcomes. Successful completion of this study will provide information on the benefits of using behavioral economic theory to reduce marijuana use and potentially reduce costs associated with treating marijuana using truant youth.