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適応的意思決定を促進する若者の衝動的意思決定訓練 (IDRT-Y):パイロット試験の結果
Zachary W Adams1,2, Brigid R Marriott3,4, Peter R Finn5
1Adolescent Behavioral Health Research Program, Indiana University School of Medicine, 410 W. 10th St, Indianapolis, IN, 46202, USA. zwadams@iu.edu.
Child psychiatry and human development
|August 25, 2025
まとめ
この研究では,若者の衝動的決定抑制トレーニング (IDRT-Y) を適応させ,若者の意思決定を改善し,リスクのある行動を減らすことにしました. パイロット試験では,IDRT-Yが実現可能で,受け入れられ,若者の意思決定と行動の成果が改善されたことが示されました.
科学分野:
- 心理学
- 青少年 の 発達
- 行動科学
背景:
- 意思決定のバイアスは 破壊的で危険な行動と結びついています
- 直接的に青少年の意思決定を 対象とする介入はほとんどありません
- 意思決定のターゲティングは,青少年における適応的結果を促進します.
研究 の 目的:
- 若者向けの衝動的意思決定削減訓練 (IDRT-Y) を改定し,試験的に実施する.
- リスクのある行動を持つ青少年におけるIDRT- Yの可行性,受容性,および初期効果を評価する.
- IDRT-Yが意思決定の傾向や行動に与える影響を評価する.
主な方法:
- 26人の若者 (10~17歳) を対象としたオープン・パイロット試験で リスクの高い行動が頻発しています
- ランダムな割り算で即時介入 (n=13) または12週間の待機リスト (n=13) に割り当てられます.
- 週に8回のIDRT-Yセッションで,介護者のチェックインがあり,その後は介入前および介入後の評価が行われます.
主要な成果:
- 高度なプログラム完了率 (85%) と若者と介護者の受け入れ率
- 若者が報告した将来の方向性の有意な改善 (p<0.05).
- 管理機能の有意な改善 (p<0. 01),リスクのある行動の減少 (p<0. 05),外向的な症状 (p<0. 001) が報告されました.
結論:
- IDRT-Yは リスクのある行動をする若者にとって 実行可能で受け入れられる介入です
- この介入は 意思決定プロセスと行動の改善に 期待を寄せています
- 大規模で多様な集団での有効性を確認するには,さらなる研究が必要です.
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