Family Support Protocol for Adolescent Internalizing Disorders (Fam-AID): Study Protocol for a Quasi-Experimental Treatment Development Study (Preprint) DOI Creative Commons
Aaron Hogue, Molly Bobek, Nicole Porter

et al.

JMIR Research Protocols, Journal Year: 2024, Volume and Issue: 13, P. e64332 - e64332

Published: July 20, 2024

Background Internalizing disorders (IDs), primarily depression and anxiety, are highly prevalent among adolescents receiving community-based treatment for substance use (SUDs). For such clients, interventions that do not holistically address both SUDs IDs less effective. Objective This pilot development study aims to develop test a modular protocol addressing cooccurring (aged 13 18 years) enrolled in routine care problems: Family Support Protocol Adolescent Disorders (Fam-AID). As an adjunctive protocol, Fam-AID will require clinicians markedly alter existing base practices SUD. It be anchored by 3 evidence-based foundations treating adolescent IDs: family engagement techniques, transdiagnostic individual cognitive behavioral therapy psychoeducation safety planning. Methods quasi-experimental proceed 2 stages. The stage rapid-cycle prototyping methods collaboration with end-user stakeholders draft delivery fidelity guidelines adapted from resources, solicit provider client input on content via interviewing, prototype components 4 6 cases. second interrupted time series 60 comorbid SUD+ID cases across sites serving diverse adolescents: 30 receive as usual (TAU); following clinician training the new TAU enhanced Fam-AID. aim 1, focus is evaluating acceptability of through therapist interviews well assessing benchmarks using therapist- observer-reported data. 2, plan compare effects only versus TAU+Fam-AID attendance ID symptoms, measurements taken at baseline 3-month 6-month follow-ups. Results Study recruitment begin April 2025. Conclusions We anticipate contain 5 modules can delivered any sequence meet needs: primary supports planning services; relational reframing constraints, resiliencies, social capital connected adolescent’s symptoms; functional analysis symptoms related behaviors; needs, featuring core techniques (emotion acceptance, emotional exposure, activation) negative affect dysregulation; focused education about prevention self-harm. If abovementioned found feasible effective, offer set pragmatic SUD clients. Trial Registration ClinicalTrials.gov NCT06413979; https://www.clinicaltrials.gov/study/NCT06413979 International Registered Report Identifier (IRRID) PRR1-10.2196/64332

Language: Английский

Global Burden of substance use disorders among adolescents during 1990–2021 and a forecast for 2022–2030: an analysis for the Global Burden of Disease 2021 DOI Creative Commons
Chia‐Jung Yu, Jianhua Chen

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 14, 2025

Despite the increasing attention paid to adolescents with substance use disorders (SUD), financial investment does not appear align escalating demand for its prevention and treatment services. This study aims provide comprehensive up-to-date estimates of burden SUD among globally, regionally, nationally over last 32 years. Utilizing data from Global Burden Disease, Injuries, Risk Factors Study 2021, we concentrated on aged 10 24 years SUD. We conducted a Bayesian age-period-cohort analysis Nordpred model that encompasses age-standardized prevalence rates (ASPR), incidence (ASIR), disability-adjusted life (DALYs) rates, estimated annual percentage change (EAPC) across various demographic factors, including regions, age groups, gender, socio-demographic index (SDI), covering period 1990 2021. From there was significant decrease in adolescent (EAPC = -1.17, 95%CI: -1.29 -1.05). However, tremendously trends rate DALYs were observed high SDI regions 1.21, 1.11 1.32). Substantially trend attributable detected United States America 1.78, 1.64 1.92). Mongolia exhibited significantly ASPR 1.33, 1.10 1.56) ASIR 1.02 1.39). By 2030, global will decline 88.49 79.27 per 100,000 individuals. The shows diversity countries. It ought set series strict policies control precise management programs.

Language: Английский

Citations

0
Clinician Perspectives on Barriers and Facilitators to Providing Medications for Opioid Use Disorder for Adolescents DOI

Jayla Ruth,

Samantha Wagner,

Matthew C. Aalsma

et al.

Journal of Addiction Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: April 7, 2025

Objectives: Despite rising adolescent opioid overdose deaths, adolescents under the age of 18 years are frequently excluded from provision medication for use disorder (MOUD/OUD). As part preimplementation work to inform expansion evidence-based practices close this service gap, we designed qualitative study examine perspectives MOUD-providing clinicians on barriers and facilitators providing MOUD younger than 18. Methods: We recruited who reported prescribing at least once per month, purposively sampling include individuals varied training practice backgrounds, experience 18, settings (urban, suburban, rural). performed semistructured interviews subsequent thematic analysis transcripts. Results: Three major emerged: (1) overcomplicated, intimidating nature regulations, (2) poor understanding treatment recommendations consent/confidentiality laws (3) negative, stigmatizing views with substance disorders perceived difficulty treating them. Facilitators identified included: demystification adolescent-specific OUD implementation protocols/training, clinician-to-clinician peer messaging encouragement, formal family community-level education medicalizing addiction. Conclusions: Significant persist despite removal federal requirements. Comprehensive, multilevel paired may expand MOUD-prescribing workforce improve access. Further research should continue explore these themes policy reforms aimed improving outcomes affected by OUD.

Language: Английский

Citations

0
Editorial: Adolescent Substance Use Prevention and Treatment Is Our Wheelhouse DOI
Carol Vidal, Aviva K. Olsavsky, Paula Riggs

et al.

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2024, Volume and Issue: unknown

Published: May 1, 2024

Language: Английский

Citations

2
Family Support Protocol for Adolescent Internalizing Disorders (Fam-AID): Study Protocol for a Quasi-Experimental Treatment Development Study (Preprint) DOI
Aaron Hogue, Molly Bobek, Nicole Porter

et al.

Published: July 15, 2024

BACKGROUND Internalizing disorders (IDs), primarily depression and anxiety, are highly prevalent among adolescents receiving community-based treatment for substance use (SUDs). For such clients, interventions that do not holistically address both SUDs IDs less effective. OBJECTIVE This pilot development study aims to develop test a modular protocol addressing cooccurring (aged 13 18 years) enrolled in routine care problems: Family Support Protocol Adolescent Disorders (Fam-AID). As an adjunctive protocol, Fam-AID will require clinicians markedly alter existing base practices SUD. It be anchored by 3 evidence-based foundations treating adolescent IDs: family engagement techniques, transdiagnostic individual cognitive behavioral therapy psychoeducation safety planning. METHODS quasi-experimental proceed 2 stages. The stage rapid-cycle prototyping methods collaboration with end-user stakeholders draft delivery fidelity guidelines adapted from resources, solicit provider client input on content via interviewing, prototype components 4 6 cases. second interrupted time series 60 comorbid SUD+ID cases across sites serving diverse adolescents: 30 receive as usual (TAU); following clinician training the new TAU enhanced Fam-AID. aim 1, focus is evaluating acceptability of through therapist interviews well assessing benchmarks using therapist- observer-reported data. 2, plan compare effects only versus TAU+Fam-AID attendance ID symptoms, measurements taken at baseline 3-month 6-month follow-ups. RESULTS Study recruitment begin April 2025. CONCLUSIONS We anticipate contain 5 modules can delivered any sequence meet needs: <i>family engagement</i> primary supports planning services; <i>relational reframing</i> constraints, resiliencies, social capital connected adolescent’s symptoms; <i>functional analysis</i> symptoms related behaviors; <i>cognitive therapy</i> functional needs, featuring core techniques (emotion acceptance, emotional exposure, activation) negative affect dysregulation; planning</i> focused education about prevention self-harm. If abovementioned found feasible effective, offer set pragmatic SUD clients. CLINICALTRIAL ClinicalTrials.gov NCT06413979; https://www.clinicaltrials.gov/study/NCT06413979 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/64332

Language: Английский

Citations

0
Family Support Protocol for Adolescent Internalizing Disorders (Fam-AID): Study Protocol for a Quasi-Experimental Treatment Development Study (Preprint) DOI Creative Commons
Aaron Hogue, Molly Bobek, Nicole Porter

et al.

JMIR Research Protocols, Journal Year: 2024, Volume and Issue: 13, P. e64332 - e64332

Published: July 20, 2024

Background Internalizing disorders (IDs), primarily depression and anxiety, are highly prevalent among adolescents receiving community-based treatment for substance use (SUDs). For such clients, interventions that do not holistically address both SUDs IDs less effective. Objective This pilot development study aims to develop test a modular protocol addressing cooccurring (aged 13 18 years) enrolled in routine care problems: Family Support Protocol Adolescent Disorders (Fam-AID). As an adjunctive protocol, Fam-AID will require clinicians markedly alter existing base practices SUD. It be anchored by 3 evidence-based foundations treating adolescent IDs: family engagement techniques, transdiagnostic individual cognitive behavioral therapy psychoeducation safety planning. Methods quasi-experimental proceed 2 stages. The stage rapid-cycle prototyping methods collaboration with end-user stakeholders draft delivery fidelity guidelines adapted from resources, solicit provider client input on content via interviewing, prototype components 4 6 cases. second interrupted time series 60 comorbid SUD+ID cases across sites serving diverse adolescents: 30 receive as usual (TAU); following clinician training the new TAU enhanced Fam-AID. aim 1, focus is evaluating acceptability of through therapist interviews well assessing benchmarks using therapist- observer-reported data. 2, plan compare effects only versus TAU+Fam-AID attendance ID symptoms, measurements taken at baseline 3-month 6-month follow-ups. Results Study recruitment begin April 2025. Conclusions We anticipate contain 5 modules can delivered any sequence meet needs: primary supports planning services; relational reframing constraints, resiliencies, social capital connected adolescent’s symptoms; functional analysis symptoms related behaviors; needs, featuring core techniques (emotion acceptance, emotional exposure, activation) negative affect dysregulation; focused education about prevention self-harm. If abovementioned found feasible effective, offer set pragmatic SUD clients. Trial Registration ClinicalTrials.gov NCT06413979; https://www.clinicaltrials.gov/study/NCT06413979 International Registered Report Identifier (IRRID) PRR1-10.2196/64332

Language: Английский

Citations

0