开发基于手机的简短干预措施,减少青少年因大麻而受损的驾驶行为:干预映射法。

IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE International Journal of Drug Policy Pub Date : 2024-10-30 DOI:10.1016/j.drugpo.2024.104626
Robert Colonna , Patricia Tucker , Angela Mandich , Liliana Alvarez
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引用次数: 0

摘要

通过智能手机进行行为改变干预有可能减少青少年使用大麻和在大麻影响下驾车(DUIC)。目前有无数的智能手机应用程序(可下载或基于网络)可帮助减少药物使用和受损驾驶。然而,大多数应用程序的开发都没有基于证据的内容和理论,而且许多应用程序的用户参与度很低。本研究旨在:(1) 描述青少年 DUIC 智能手机干预措施的系统开发和理论基础;(2) 描述在青少年和成人大麻教育者样本中进行的预测试(在功效测试之前)。在开发和实施 "高度警惕 "干预措施时,采用了六步干预映射法,将理论、证据和用户反馈结合起来。这个以证据为基础的迭代过程包括:(1)进行需求评估;(2)确定干预目标,这些目标映射了以下 DUIC 决定因素:知识、态度、风险认知、感知规范和自我效能;(3)选择干预理论和设计;(4)制定干预措施;(5)实施;以及(6)评估。应用 "干预映射 "的结果是开发出了一款基于智能手机的网络应用程序,该程序可帮助减少大麻使用和酒驾和醉驾。高度警惕 "干预措施包括四个模块,其内容重点是教育青少年了解酒后驾车的危险和法律风险、限制危险情况、避免与酒驾者同车、计划安全回家以及促进更安全地使用大麻。未来的研究将检验该干预措施在减少青少年危险使用大麻和酒后驾车方面的效果。
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Developing a mobile-based brief intervention to reduce cannabis-impaired driving among youth: An intervention mapping approach
Behaviour change interventions delivered via smartphones have the potential to reduce youth cannabis use and driving under the influence of cannabis (DUIC). Countless smartphone applications (either downloadable or web-based) are available to help reduce substance use and impaired driving. However, most are developed without evidence-based content and theory, and many have poor user engagement. This study aims to: (1) describe the systematic development and theoretical foundations of a youth DUIC smartphone intervention, and (2) describe the pre-testing among a sample of youth and adult cannabis educators (prior to efficacy testing). A 6-step Intervention Mapping approach was utilized to combine theory, evidence, and user feedback to develop and implement the ‘High Alert’ intervention. This evidence-based and iterative process entailed: (1) conducting a needs assessment, (2) identifying intervention objectives, which map on the following DUIC determinants: knowledge, attitudes, risk perception, perceived norms, and self-efficacy, (3) selecting intervention theory and design, (4) developing of the intervention, (5) implementation, and (6) evaluation. Application of Intervention Mapping resulted in a smartphone web-based application that could support reductions in cannabis use and DUIC. The ‘High Alert’ intervention was created to include four modules with contents focusing on educating youth on the dangers and legal risks of DUIC, limiting risky situations, avoiding riding with an impaired driver, planning a safe ride home, and promoting safer cannabis use. Future research will test the efficacy of the intervention in reducing risky cannabis use and DUIC among youth.
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来源期刊
CiteScore
7.80
自引率
11.40%
发文量
307
审稿时长
62 days
期刊介绍: The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.
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