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Principal Investigator: Kaitlin Sheerin
Organization: RHODE ISLAND HOSPITAL
Fiscal Year: 2024
Award: $195,284
Funding agency: National Institute on Drug Abuse
PROJECT SUMMARY/ABSTRACT
Although cannabis use has declined among youth in recent years, the rates of cannabis use among youth in
the juvenile justice system have steadily increased, including among youth with early juvenile justice
involvement. This rise is concerning because cannabis use among early justice-involved youth in the juvenile
justice system places them at risk of other poor outcomes (e.g., continued and chronic system involvement,
contraction of HIV/STIs). Thus, the overall goal of this Mentored Patient-Oriented Career Development Award
(K23) is to support the applicant in developing an independent research program in the development and
adaptation of efficacious family-based intervention approaches for treating cannabis use and associated
consequences (e.g., rearrest, HIV/STI risk behaviors) for underserved, justice-involved youth. Specific training
goals are: 1) develop methodological expertise in family-based intervention research for adolescent cannabis
use; 2) gain competence in executing ethical intervention adaptation research with justice-involved youth; 3)
build expertise in using qualitative methods for treatment adaptation; and 4) obtain advanced quantitative skills
in randomized clinical trial design and data analysis. The applicant will achieve these goals through a mix of
mentoring, didactics, and practical experience. Across the 5-year training plan, the candidate will receive
mentorship pertaining to her goals from: Dr. Kathleen Kemp (Rhode Island Hospital/Brown University), Dr.
Anthony Spirito (Brown University) and Dr. Richard Jones (Brown University). The primary objective of the
proposed research project is to evaluate the initial feasibility, acceptability, and efficacy of a brief (i.e., 6-
session), modular adaptation of an existing family-based intervention for cannabis use and other risk behaviors
(e.g., HIV/STI risk, delinquency) among early justice-involved youth. In the formative research phase, clinicians
(N = 12) working with youth in the juvenile justice system will participate in qualitative interviews to give
feedback on the proposed adapted family-based intervention protocol. In the open trial phase, 12 youths and
parents will be recruited through a juvenile court to participate in an open trial of the proposed intervention to
assess initial outcomes related to the feasibility and acceptability of the intervention. Finally, in the pilot
randomized clinical trial phase, 60 parents and youths will again be recruited through the juvenile court and
randomized to either the proposed intervention or a parenting psychoeducation control condition. Baseline, 3-
months and 6-month follow-up measures of cannabis and other substance use, HIV/STI risk behaviors, and
delinquency, as well as measures pertaining to parenting practices and parent well-being will be collected.
Terms: <Active Follow-up><Adaptation research><Address><Adolescent><Adolescent Youth><Cannabis><Care Givers><Career Development Awards><Career Development Awards and Programs><Career Development Programs K-Series><Caregivers><Categories><Child Rearing><Chronic><Clinical><Clinical Trials Design><Communities><Competence><Continuity of Care><Continuity of Patient Care><Continuum of Care><Data><Data Analyses><Data Analysis><Development><Dropout><Early Intervention><Enrollment><Ethics><Evaluation><Evidence based intervention><Family><Feedback><Goals><HIV/STD><HIV/STI><History><Hospitals><Intervention><Intervention Strategies><Intervention Studies><Interview><Justice><K-Awards><K-Series Research Career Programs><Link><Measures><Mentors><Mentorship><Methodology><Modeling><NIDA><National Institute of Drug Abuse><National Institute on Drug Abuse><Nature><Outcome><Parenting><Parenting behavior><Parents><Personal Satisfaction><Phase><Population><Protocol><Protocols documentation><Qualitative Methods><R-Series Research Projects><R01 Mechanism><R01 Program><Randomized><Recording of previous events><Research><Research Career Program><Research Grants><Research Project Grants><Research Projects><Rhode Island><Risk><Risk Behaviors><Risk Reduction><Risky Behavior><Role><STD/HIV><STI/HIV><SYS-TX><Services><Social support><Strategic Planning><Supervision><System><Systemic Therapy><THC co-use><THC use><Testing><Tetrahydrocannabinol co-use><Tetrahydrocannabinol use><Time><Training><Treatment Efficacy><Treatment Protocols><Treatment Regimen><Treatment Schedule><Universities><Withdrawal><Work><Youth><Youth 10-21><acceptability and feasibility><active followup><adolescent substance use><at risk behavior><cannabis use><childrearing><community marginalization><condoms><court><data interpretation><developmental><enroll><ethical><evidence base><experience><follow up><follow up assessment><follow-up><followed up><followup><followup assessment><histories><improved><intervention efficacy><intervention research><interventional research><interventional strategy><interventional study><interventions research><juvenile><juvenile human><juvenile justice system><juvenile legal system><marginalized community><marijuana use><motivational enhancement therapy><motivational interview><parent><patient centered><patient oriented><peer><prevent substance use><primary care giver><primary caregiver><programs><psychoeducation><qualitative reasoning><randomisation><randomization><randomized, clinical trials><randomly assigned><rearrest><recidivism><recruit><reduce risk><reduce risks><reduce that risk><reduce the risk><reduce these risks><reduces risk><reduces the risk><reducing risk><reducing the risk><risk-reducing><skills><social role><social support network><substance use><substance use among adolescents><substance use among youth><substance use prevention><substance using><telehealth><therapeutic efficacy><therapy efficacy><user centered design><well-being><wellbeing><youth substance use>