The Substance Use and Health Risk Intervention (SUHRI) for Justice-involved Youth

Information

  • Research Project
  • 10242064
  • ApplicationId
    10242064
  • Core Project Number
    R34DA048065
  • Full Project Number
    5R34DA048065-03
  • Serial Number
    048065
  • FOA Number
    PA-18-073
  • Sub Project Id
  • Project Start Date
    9/30/2019 - 4 years ago
  • Project End Date
    8/31/2022 - a year ago
  • Program Officer Name
    ZUR, JULIA BETH
  • Budget Start Date
    9/1/2021 - 2 years ago
  • Budget End Date
    8/31/2022 - a year ago
  • Fiscal Year
    2021
  • Support Year
    03
  • Suffix
  • Award Notice Date
    8/6/2021 - 2 years ago

The Substance Use and Health Risk Intervention (SUHRI) for Justice-involved Youth

Project Summary/Abstract This investigation will adapt and pilot test an integrated health risk-reduction and motivational enhancement intervention for Juvenile Justice (JJ) youth that will ultimately be (after full testing through a subsequent large- scale RCT) a sustainable intervention implemented within a JJ supervision/case management context to teach and facilitate positive, prosocial, and expected behaviors. The intervention will use graphical approaches to encourage introspection and problem identification, enhance self-regulation, improve analytical problem- solving skills, and promote healthy behaviors in two inter-related target areas: substance use and risky sex practices. Existing evidence-based intervention materials will be incorporated and delivered through a web- based application. Sessions will be self-directed (require minimal instruction/interaction assistance), and also include a service referral piece whereby youth are provided with a list of treatment and health agencies at the end of sessions that address specific topics. Research activities will be carried out in two pilot studies: (1) Intervention Adaptation and Feasibility and (2) Protocol Feasibility and Preliminary Efficacy Trial. In Pilot 1, intervention content will be adapted from existing evidence-based interventions so that it is developmentally appropriate for the target population and suitable for a web-based format (N = 30; 20 youth, 10 JJ staff). Pilot 2 will test a scaled-down version of an intervention efficacy randomized control trial (RCT), comparing the web- based intervention to a time-matched, information-only group using a 2-arm, randomized design (whereby 120 enrolled youth from one juvenile probation department are randomly assigned to condition). The specific aims of the proposed investigation are to examine intervention feasibility and acceptability, test the feasibility of the study protocol (adherence, subject retention, instrumentation) with JJ-involved youth, and examine the preliminary efficacy of the intervention for addressing health-related behavior change. Proximal outcomes will be improvements in change mechanisms (e.g., problem recognition, decision making, intention to reduce personal risk) and service initiation (SU or STI-related services). Distal outcomes will be reduction in risky behaviors, including substance use (self-report and urinalysis) and sexual health risk (self-reported risky sex practices). Research questions and preliminary hypotheses are specified, and successful completion of the aims will result in an intervention that is appropriate and feasible for use with JJ-involved youth, provide important information regarding feasibility of a full-scale RCT, inform future study design (and a subsequent R01 application), and provide preliminary information regarding the efficacy of the intervention. The study has considerable potential to address an important vulnerable population?justice-involved youth?and focusses on a significant problem?youth behaviors that are self-detrimental and unhealthy.

IC Name
NATIONAL INSTITUTE ON DRUG ABUSE
  • Activity
    R34
  • Administering IC
    DA
  • Application Type
    5
  • Direct Cost Amount
    125000
  • Indirect Cost Amount
    43115
  • Total Cost
    168115
  • Sub Project Total Cost
  • ARRA Funded
    False
  • CFDA Code
    279
  • Ed Inst. Type
    ORGANIZED RESEARCH UNITS
  • Funding ICs
    NIDA:168115\
  • 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