Increasing Family Engagement and Treatment Initiation Through Family Assessment, Motivation,and Linkage Intervention (FAMLI)

Information

  • Research Project
  • 9807674
  • ApplicationId
    9807674
  • Core Project Number
    R34DA049079
  • Full Project Number
    1R34DA049079-01
  • Serial Number
    049079
  • FOA Number
    PA-18-073
  • Sub Project Id
  • Project Start Date
    6/15/2019 - 5 years ago
  • Project End Date
    4/30/2022 - 2 years ago
  • Program Officer Name
    MULFORD, CARRIE FRIED
  • Budget Start Date
    6/15/2019 - 5 years ago
  • Budget End Date
    4/30/2020 - 4 years ago
  • Fiscal Year
    2019
  • Support Year
    01
  • Suffix
  • Award Notice Date
    6/10/2019 - 5 years ago

Increasing Family Engagement and Treatment Initiation Through Family Assessment, Motivation,and Linkage Intervention (FAMLI)

Project Summary/Abstract The proposed R34 study will integrate existing tools for use with JJ populations and examine the feasibility, acceptability, and preliminary efficacy of a caregiver-youth intervention aimed at increasing SU treatment initiation. The Family Assessment, Motivation, and Linkage Intervention (FAMLI) is an adaptive intervention that incorporates three evidence-based components: 1) assessment of motivation and linkage-related barriers with personalized feedback, 2) Mapping-Enhanced Counseling (MEC) for improving readiness for change and interpersonal communication, and 3) Active Linkage (AL) for addressing logistical barriers to service initiation. Using a Sequential Multiple Assignment Randomized Trial (SMART), 80 youth-caregiver dyads will be randomly assigned to receive an initial dose (2, 1-hr sessions) of either MEC or AL. After 30 days, participants will be classified as Responders (1 or more services initiated) or Non-responders (no service initiation). Responders will receive encouragement to continue SU services, but no further MEC or AL; Non-responders will be randomized to one of two intervening interventions: an additional dose (2, 1-hr sessions) of the initial intervention (MEC or AL) or a different dose (2, 1-hr sessions of the other). The specific aims are to 1) integrate and adapt appropriate evidence-based intervention components as a dyadic intervention approach for JJ youth and caregivers; 2) test the feasibility, acceptability, and optimal configuration of the dyadic intervention components and the protocol used to evaluate effectiveness (including feasibility of recruitment, implementation, measurement); and 3) preliminarily explore a) whether an initial dose of MEC or AL is sufficient for promoting early initiation, b) whether an additional dose of MEC or AL or a change in dose is more effective for Non-responders, and c) which component sequence is most effective for Non-responders. Primary outcomes include youth (initiation of assessment or counseling; counseling attendance) and caregiver (attendance at assessment, first counseling, and/or family sessions) measures. Secondary outcomes include youth and caregiver attitudes (problem recognition, desire for help), normative beliefs (SU norms), perceived control (stressors and obstacles), and youth SU (self-report corroborated by UA results). The proposed study addresses the sizeable gap in service receipt among JJ youth by addressing family engagement, and focuses on improving motivation to change, linkage to services, and treatment engagement.

IC Name
NATIONAL INSTITUTE ON DRUG ABUSE
  • Activity
    R34
  • Administering IC
    DA
  • Application Type
    1
  • Direct Cost Amount
    161000
  • Indirect Cost Amount
    57207
  • Total Cost
    218207
  • Sub Project Total Cost
  • ARRA Funded
    False
  • CFDA Code
    279
  • Ed Inst. Type
    ORGANIZED RESEARCH UNITS
  • Funding ICs
    NIDA:218207\
  • Funding Mechanism
    Non-SBIR/STTR RPGs
  • Study Section
    IPTA
  • Study Section Name
    Interventions to Prevent and Treat Addictions Study Section
  • Organization Name
    TEXAS CHRISTIAN UNIVERSITY
  • Organization Department
    MISCELLANEOUS
  • Organization DUNS
    043807882
  • Organization City
    FORT WORTH
  • Organization State
    TX
  • Organization Country
    UNITED STATES
  • Organization Zip Code
    761290001
  • Organization District
    UNITED STATES