Keyword: "adolescents"

27 items were found with the keyword "adolescents".

  • Strengthening physician communication about adolescent vaccines

    PI: Amanda F. Dempsey, MD, PhD, MPH

    The overarching goal of this proposal is to develop and test a 3-phase intervention to improve provider-level communication and recommendation for the HPV vaccine for adolescent patients. Our intervention will target provider-patient communication before, during and after the clinical encounter so as to have the potential to impact various stages of parents' decision-making about the vaccine. (08/01/2013 - 07/31/2016)

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  • Families Improving Together (FIT) For Weight Loss

    PI: Dawn K. Wilson, PhD

    The increasing rate of obesity has become a major public health concern in the United States. Recent reports indicate that 40% of African American adolescents are considered overweight or obese. Although effective lifestyle approaches for weight loss have been demonstrated in Caucasian youth, little is known about effective weight loss interventions in ethnic minority adolescents. In part, this is because research has shown that ethnic minorities attend fewer intervention sessions, have higher attrition rates and lose less weight compared to Caucasians. Two fundamental problems related to this lack of progress are addressed in this proposal and include 1) the lack of appropriate content of weight loss interventions for African American adolescents that integrate cultural issues, parenting skills, and motivational strategies for increasing long-term change and, 2) the poor dose of weight loss interventions because of participant fatigue, drop out and barriers faced by underserved families. The goal of this project is to conduct a randomized controlled efficacy trial to address the problems with past intervention studies by 1) making the face-to-face group intervention shorter, 2) using an on-line program to compliment the group-based intervention for increasing dose, and by 3) tailoring a motivational and parenting skills program directly to parents' and adolescents' skill levels and cultural background. (07/16/2013 - 06/30/2018)

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  • Measurement and Methodology for Daily Patterns of Drug Use and Related Behaviors

    New

    PI: Yuh-Pey Anne Buu, PhD, PhD

    Thanks to new technology, prospective data collection using the interactive voice response (IVR) system and text-messaging (TM) has become possible in recent years. These new measurements have the advantages of cutting costs of staff time as well as minimizing recall bias and tendency to underreport socially undesirable behaviors. The long-term goal of this project is to abstract crucial information from daily process data of health risk behaviors to inform prevention and intervention. The overall objective of this application, which is the next step toward attainment of our long-term goal, is to develop cost-effective measurement and cutting-edge methodology to collect and analyze daily process data. (04/01/2013 - 03/31/2018)

  • SafER Teens

    PI: Maureen A. Walton, MPH, PhD , Rebecca M. Cunningham, MD

    The urban emergency department (ED) represents an underutilized venue for delivering violence interventions among adolescents. In the United States, there are over 100 million ED visits each year, of which at least 3 million are the result of violence. A recent study (the SafERteens Study) demonstrated the efficacy of an ED-based BI for violence on changing attitudes, self-efficacy, and reducing violent behaviors, peer victimization, and violence related consequences. From a public health standpoint, however, in order to reduce violence on a broader scale studies are needed to determine the effectiveness of the SafERteens behavioral intervention (BI) when delivered by clinical staff in real world ED settings. This study is designed to translate this efficacious BI for violence into a practical prevention program incorporated into ED clinical practice; with ED staff conducting the screening and BI. Specifically, we will determine the reach, effectiveness, adoption, implementation, and maintenance of the SafERteens BI in two diverse and novel ED settings: Children’s Hospital of Philadelphia (CHOP) and Grady Memorial Hospital in Atlanta (GMH). (09/01/2012 - 08/31/2017)

  • Puff City ED

    PI: Christine L. M. Joseph, PhD, MPH

    The objective of the proposed project is to evaluate the feasibility of initiating Puff City in an urban Emergency Department (ED) setting. This proposal will inform a future randomized trial to test the ability of an ED-initiated version of Puff City to reduce the risk of future exacerbations, symptom frequency, and functional limitations among urban adolescents presenting to the ED with asthma. (08/15/2012 - 05/31/2013)

  • Puff City Clinic

    PI: Mei Lu, PhD

    Asthma continues to be a major public health problem in the US with high economic and social costs. Vulnerable ethnic communities are disproportionately affected by asthma as demonstrated by higher morbidity and mortality for these groups. These disparities are especially true in urban teens. We have completed two school-based, randomized trials of a web-based, computer-tailored asthma management intervention that targets urban teens (Puff City). Results showed reductions in self report of symptoms and activity limitations. Puff City has not yet been evaluated as a clinical tool or one that is initiated in a clinical setting. The current paradigm for conducting such a trial is costly with respect to patient recruitment, intervention delivery, and data collection and management.Electronic initiatives such as remote data capture (RDC) for data collection and utilization of patient electronic medical records (EMR) are revolutionizing the conduct of clinical trials. Comparative effectiveness methods (CEMs), adaptive designs and pragmatic trials, are recommended to enhance trial efficiency and to study real-world effectiveness. The objective of this project is 1) to implement a seamless clinical trial lifecycle through electronic initiatives and ii) to design and conduct a phase II/III randomization trial using both CEMs and EMR-RDC integration to evaluate Puff City in teens in a clinical setting. (08/15/2012 - 05/31/2014)

  • GOAL: Girls Only! Activity for Life

    PI: Lorraine Robbins, PhD, RN, FNP-BC

    This school-based program encourages moderate to vigorous physical activity among middle school girls. During the 17 week intervention period, girls meet with the school nurse for 2 motivational interviewing-based sessions, attend a daily exercise 'club' after school, and receive a tailored program delivered on iPads. (09/01/2011 - 05/31/2016)

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  • Teen VaxScene

    PI: Amanda F. Dempsey, MD, PhD, MPH

    This intervention seeks to improve adolescent vaccine uptake. The intervention includes:Reminder / recall systems to alert parents and providers about when vaccine doses are neededA tailored educational web-based tool to parents to address the barrier of their unique attitudes about vaccines that hinder utilization (09/01/2010 - 08/31/2014)

  • Healthy Moms/Healthy Daughters

    PI: Ruth C. Carlos, MD

    Healthy Moms Healthy Daughters investigates the efficacy of an individually tailored web-based intervention to improve human papillomavirus (HPV) vaccination rates among adolescent daughters of African American women. This study has potential high impact in reducing racial disparities in cervical cancer incidence and mortality. It addresses a significant public health issue by improving HPV vaccination in an at-risk population with a disproportionate incidence of (HPV) caused cervical cancer. (05/01/2010 - 07/31/2011)

  • Puff City II Dissemination

    PI: Christine L. M. Joseph, PhD, MPH

    Puff City is a successful asthma management program for urban teenagers in Detroit high schools. This project allows us to make the most current version of Puff City available to anyone in the community with access to the internet. (01/01/2010 - 12/31/2010)

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  • iSTART

    PI: Emily MacDonald Fredericks, PhD

    Nonadherence to immunosuppressant medications is common among adolescent liver transplant recipients, and is a leading cause of chronic rejection and graft loss, particularly following the transfer from pediatric to adult-centered transplant care. There is a critical need to promote medication adherence in this high risk group. The objective of this project is to design and evaluate a tailored intervention delivered using web-based and cellphone text messages to promote medication adherence in adolescent liver transplant recipients who are transitioning from pediatric to adult-centered transplant care. The iSTART (Individualized Self-management Training for Adolescent/Young Adult Recipients of Transplantation) intervention is delivered using technology to reduce the time and access constraints often encountered with traditional adherence interventions. (11/01/2009 - 08/31/2016)

  • Puff City II - Rural Georgia

    PI: Martha S. Tingen, MSN, PhD

    Puff City Rural Georgia takes the existing Puff City II intervention and applies it to a youth population in rural Georgia. Puff City is a successful NHLBI-funded study that targeted three key asthma management issues: 1) smoking; 2) controller medication adherence; and 3) carrying a rescue inhaler. Given the success of Puff City among mid-western, inner city youth, an important question is whether such a program can be transplanted and effective for youth living in a different environment, the rural south. Rural Georgia youth are at equal or greater risk from asthma symptoms as inner city, Detroit youth. (08/01/2009 - 05/31/2012)

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  • MPOWERed 2

    PI: Susan J. Woolford, MD, MPH

    This project expands the existing MPOWER text message library to include tailored exercise messages, weekly photovoice activity, and feedback messages. New messages are tested with focus groups before use in the program. (05/01/2009 - 04/30/2014)

  • THISN

    PI: Victor J. Strecher, PhD, MPH

    THISN (Tailored Health Information in Social Networks) is a collaborative effort with CHCR and CDC's National Center for Public Health Informatics to conceive, design, and develop a prototype application testing the viability of using tailoring technology in a web-based social networking context (e.g., MySpace, Facebook). (09/01/2008 - 08/31/2009)

  • Puff City - OPD Recruitment Trial

    PI: Christine L. M. Joseph, PhD, MPH

    Puff City is a successful asthma management program for urban teenagers in Detroit high schools. This iteration of Puff City uses a pilot approach to test if Puff City was accessible and feasible in an ED setting. (07/01/2008 - 09/30/2008)

  • MPOWERed

    PI: Susan J. Woolford, MD, MPH

    Short, tailored text messages are sent to obese adolescents that address five evidence-based weight-related behavioral domains: reduction of screen time, regular consumption of a healthy breakfast, decreased consumption of sweetened beverages, decreased consumption of fast food, and increased consumption of fruit and vegetable. Texts include highly tailored messages, targeted messages and reminders. (09/01/2007 - 03/31/2010)

  • Puff City II

    PI: Christine L. M. Joseph, PhD, MPH

    This study builds on the success of Puff City 1 (PC1), an Internet-based, teen-focused asthma management program, and enhances the effects achieved in PC1 in several ways: 1) tests new theory- and empirically-based approaches to recruiting urban high school students, 2) enhances program content to address resistance to change and relapse, and 3) uses PC1 data to create participation and success profiles of the students who can then be differentially approached on the basis of these profiles in Puff City II. (04/01/2007 - 03/31/2012)

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  • High School ASHES

    PI: Unto E. Pallonen, PhD

    High School ASHES is a comprehensive tailored web-based smoking intervention for high school students. It accelerates smoking cessation among smokers and reinforces prevention decisions among non-smoking teens by tailoring the content of the intervention according to the user's readiness for change. (11/01/2002 - 01/18/2003)

  • ASHES

    PI: Unto E. Pallonen, PhD

    This project strengthens and improves an existing tailored interactive Internet-based multimedia self-help expert system smoking intervention (Adolescent Smoking Health Education Source - ASHES) and evaluates its effectiveness in a large school-based trial among middle school students in grades 6, 7 and 8. (10/01/2002 - 09/30/2004)

  • Web Filtering

    PI: Paul J. Resnick, PhD

    This project provides a careful empirical assessment of the extent to which access to health information is impeded or aided by commercial Internet filters as commonly configured in homes, schools, and libraries. (01/01/2002 - 12/31/2002)

  • Puff City I

    PI: Christine L. M. Joseph, PhD, MPH

    The goal of Puff City is to develop and evaluate a multimedia, tailored web-based asthma management program to specifically target urban high school students. The program uses tailoring, in conjunction with theory-based models, to alter behavior through individualized health messages based on the user's beliefs, attitudes, and personal barriers to change. The content of the Puff City computer program is based on recommendations for patient education made by the National Asthma Education and Prevention Program, and focuses on three core behaviors: controller medication adherence, rescue inhaler availability, and smoking cessation/reduction. The entire program is voiced over, to accommodate low literacy. (12/01/2001 - 06/30/2006)

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  • Girls on the Move

    PI: Nola J. Pender, PhD, RN, FAAN

    Girls on the Move is a computer-based interactive physical activity program used in school-based clinics as a counseling tool about exercise among adolescent girls. (05/01/2001 - 04/30/2002)

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  • Comorbid Psychopathology - Teen Smoking Cessation

    PI: Richard A. Brown, PhD

    Adolescent cigarette smokers have disproportionately high rates of co-occurring psychiatric and substance use disorders, similar to those found in the adult smoking population. In the absence of intervention, adolescent smokers with co-morbid psychopathology are likely to become highly dependent, recalcitrant adult smokers who have extreme difficulty quitting smoking. The overall objective of this research program is to develop effective smoking cessation approaches for these high risk youth, and to advance the applicant's knowledge of the relationship between psychopathology and smoking cessation within the context of a treatment outcome study. (01/01/1999 - 07/31/1999)

  • The Adolescent Alcohol Use Prevention Channel

    PI: Victor J. Strecher, PhD, MPH

    Adolescent Alcohol Use is a new channel to be developed for the Michigan Interactive Health Kiosk Demonstration Project. This kiosk channel explores the affects of under aged drinking through interactive video vignettes and a series of other innovative segments. (01/01/1998 - 09/30/1999)

  • Health'o'Vision CD-ROMs

    PI: Victor J. Strecher, PhD, MPH

    This project makes available a two-disc compilation of nine of the twelve health topics (the topics that are completed to date) that appear on the Michigan "Health'o'Vision" kiosks. (01/01/1998 - 09/30/1999)

  • The STD Prevention Channel: Tips for Teens

    PI: Victor J. Strecher, PhD, MPH

    This project involves developing a frank, unembarrassed, factual guide to sexually transmitted disease (STD) prevention specifically designed for teens. The program is one of the 12 channels developed for the Michigan Interactive Health Kiosk Demonstration Project. (01/01/1997 - 09/30/1998)

  • Health'o'Vision

    PI: Victor J. Strecher, PhD, MPH

    The Michigan Interactive Health Kiosk Demonstration Project project involves creating and disseminating twelve multimedia health programs.  Collectively known as Health'o'Vision, topics include cancer prevention and screening, disease management, and general health practices to live a healthy life. Channels are created for both adults and adolescents. One hundred kiosks are deployed in a variety of settings throughout the State of Michigan for use by the general public. (01/01/1996 - 09/30/2000)