Designing and piloting a sequential multiple assignment randomized trial for opioid prevention among youth in the legal system.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology of Addictive Behaviors Pub Date : 2024-09-09 DOI:10.1037/adb0001025

Kym R Ahrens, Ahnalee M Brincks, Kevin P Haggerty, Cari A McCarty, Shemonta Dean, Katie M Albertson, Stephanie R Cross, Ted Ryle, Alicia Wun

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引用次数: 0

Abstract

Objective: Youth in the legal system are vulnerable to initiation and escalation of opioid use. The transition period during which a young person is released from the institutional setting to the community is a critical window of opportunity for preventive intervention targeting the uptake and intensification of opioid and other drug use. Adaptive preventive interventions are a promising approach to systematically varying the timing and intensity of substance use preventive interventions for these youth.

Method: This pilot study of 30 youth (97% young men; 37% White; M_age = 18.34, SD = 1.84) examined the feasibility and acceptability of adaptive and nonadaptive preventive interventions that incorporate components of the Adolescent Community Reinforcement Approach with Assertive Continuing Care, Trauma Affect Regulation: Guide for Education and Treatment, and Motivational Interviewing using the Sequential Multiple Assignment Randomized Trial study design. Participants completed assessments at baseline, 1-month postrelease, and 2-months postrelease.

Results: Enrollment rate was 65%. Nearly three-quarters (73%) of enrolled youth had substance use disorder at intake. Moreover, 60% of enrolled participants completed the 2-month postrelease follow-up assessment. Participants reported high satisfaction with the interventionist interactions, and 95% indicated they would recommend the program to other youth. The pilot study revealed the need for several adaptations to study and intervention protocols.

Conclusions: This pilot study provides evidence of the feasibility of a research-practice partnership with state juvenile rehabilitation facilities, successful recruitment of youth involved in the legal system, and feasibility and acceptability of adaptive preventive interventions spanning pre- and post-release for legal system-involved youth. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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为法律系统中的青少年设计和试行一项顺序多重分配随机试验，以预防阿片类药物。

目标：法律系统中的青少年很容易开始并加剧阿片类药物的使用。青少年从机构环境中被释放到社区的过渡期是针对阿片类药物和其他药物使用的摄入和加剧采取预防性干预措施的关键机会之窗。适应性预防干预是一种很有前途的方法，可以系统地改变针对这些青少年的药物使用预防干预的时间和强度：这项试点研究的对象是 30 名青少年（97% 为男性青年；37% 为白人；年龄 = 18.34，SD = 1.84），研究了适应性和非适应性预防干预措施的可行性和可接受性，这些干预措施包含了青少年社区强化方法（Adolescent Community Reinforcement Approach）、主动持续护理（Assertive Continuing Care）、创伤情感调节（Trauma Affect Regulation）、教育和治疗指南（Guide for Education and Treatment）以及动机（Motivation）等内容：教育和治疗指南》和动机访谈法，采用顺序多重分配随机试验研究设计。参与者分别在基线、释放后 1 个月和释放后 2 个月完成评估：结果：入选率为 65%。近四分之三（73%）的入组青少年在入组时患有药物使用障碍。此外，60%的参与者完成了释放后 2 个月的跟踪评估。参与者对干预人员的互动非常满意，95%的参与者表示会向其他青少年推荐该计划。试点研究表明，需要对研究和干预方案进行一些调整：这项试点研究证明了与州立青少年康复机构建立研究与实践合作关系的可行性，成功招募了涉法青少年，并证明了针对涉法青少年的释放前和释放后适应性预防干预措施的可行性和可接受性。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology of Addictive Behaviors Multiple-

CiteScore

4.90

自引率

11.80%

发文量

165

期刊介绍： Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.