设计和试点一个连续的多重分配随机试验,以防止青少年在法律系统中使用阿片类药物
Kym R Ahrens1, Ahnalee M Brincks2, Kevin P Haggerty3
1Center for Child, Health, Behavior, and Development Research, Seattle Children's Research Institute.
概括
适应性预防性干预措施显示,在社区过渡期间,在司法参与的年轻人中预防阿片类药物使用升级具有前途. 这项试点研究发现,这些干预措施对于这个脆弱人群来说是可行的和可以接受的.
科学领域:
- 公共卫生 公共卫生
- 药物使用预防 药物使用预防
- 青少年心理学 青少年心理学
背景情况:
- 在法律体系中的年轻人面临着启动和升级阿片类药物使用的高风险.
- 从机构环境过渡到社区是药物使用预防干预的关键时期.
- 适应性预防干预提供了一个定制的方法来解决该人口中物质使用的问题.
研究的目的:
- 检查适应性和非适应性预防性干预措施的可行性和可接受性,以帮助参与司法工作的年轻人.
- 评估结合基于证据的实践的干预措施的有效性,例如青少年社区强化方法,创伤影响法规:教育和治疗指南和激励面试.
- 在这种背景下,评估顺序多重分配随机试验 (SMART) 研究设计.
主要方法:
- 一项试点研究涉及30名参与司法工作的年轻人 (主要是年轻人).
- 使用了一种顺序多重分配随机试验 (SMART) 设计.
- 在基线,1个月和2个月后评估参与者.
主要成果:
- 实现了65%的入学率,其中73%的入学年轻人在入学时有物质使用障碍.
- 60%的参与者完成了为期2个月的随访.
- 报告的参与者满意度很高,95%的人推该计划.
结论:
- 证明了与青少年康复设施的研究实践伙伴关系的可行性.
- 确认成功招募参与司法工作的年轻人.
- 在释放前和释放后期间,对司法涉及的年轻人进行适应性预防干预的可行性和可接受性.
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