Scott Walters, PhD a , Faye Taxman, PhD b , Mayra Rodriguez, MPH a , & Jennifer Lerch, MA b , a University of North Texas Health Science Center; b George Mason University, Center for Advancing Correctional Excellence! Development of a Computer Intervention Targeting Substance Abuse Treatment in the Criminal Justice System The authors report no conflicts of interest. For more information, contact [email protected] RO1DA029010-01A1 Goals Overview • 2-visit, interactive touchscreen program. • Includes risk assessment, planning, social support, automated reminders. • Uses text-to-speech narration, making it extremely responsive. Narration • Narrator is “Jennifer,” a female, lower pitch voice, with a non-specific regional dialect. Development Participants praised organization, narration, customized data, summary reports, and perceived usefulness. In initial testing, participants liked….. • “How the program charted my drug use and problems” • “[Finding out] how many people smoke less than me” •“listening to [other] people’s reasons” for completing probation Participants didn’t like…. •That the computer did not provide better directions and froze on certain parts Pilot Testing Evaluation In- person MI Visit 1 MAPIT Visit 1 Standard Probation Intake Screen for Eligibility Consent & Baseline Interview In- person MI Visit 2 6 month 12 month 2 month MAPIT Visit 2 n=200 n=200 n=200 A s s e s s m e n t A s s e s s m e n t A s s e s s m e n t Randomize (Stratify by Risk Level) Completed after 30 days. Focuses on review of goals, coping strategies, social support. Both visits provide reminder text/email messages for selected goals. Visit 2 Visit 1 Bridge criminological and psychological theories. Place no additional demands on the probation system of care. Target multiple behaviors that occur together. Tailored to the individual. Very easy/intuitive to use. Increase treatment initiation and engagement. ? ☐ Completed near the start of probation. Targets motivation to complete probation, to change substance use, and to obtain HIV testing and care. Changeable factors that can reduce risk. Drug use compared to others Goal setting, planning around probation and treatment Identifying people who would help to make positive changes. Reviewing progress on goals set at Visit 1 Identifying strategies to make changes in substance use Both visits include video testimonials from other probationers 4 million 50% $6.4 billion Number of drug- involved probationers in US who are in need of substance abuse treatment. Percent of drug- involved probationers who actually initiate treatment. Annual cost savings of reducing number of incarcerated drug offenders by half. Consequences of substance use Focus groups strongly preferred a bright , friend ly, self- aware female narrat or.
RO1DA029010-01A1
Feb 24, 2016
2 month. 6 month. 12 month . Standard Probation I ntake. Screen for Eligibility. Development of a Computer Intervention Targeting Substance Abuse Treatment in the Criminal Justice System. RO1DA029010-01A1. Consent & Baseline Interview. In-person MI Visit 2. In-person MI Visit 1. - PowerPoint PPT Presentation
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Scott Walters, PhDa, Faye Taxman, PhDb, Mayra Rodriguez, MPHa, & Jennifer Lerch, MAb,aUniversity of North Texas Health Science Center; bGeorge Mason University, Center for Advancing Correctional Excellence!
Development of a Computer Intervention Targeting Substance Abuse Treatment in the Criminal Justice System
The authors report no conflicts of interest. For more information, contact [email protected]
RO1DA029010-01A1
GoalsOverview• 2-visit, interactive touchscreen program.• Includes risk assessment, planning, social support,
automated reminders.• Uses text-to-speech narration, making it extremely
responsive.Narration• Narrator is “Jennifer,” a female,
lower pitch voice, with a non-specificregional dialect.
Development
Participants praised organization, narration, customized data, summary reports, and perceived usefulness.
In initial testing, participants liked…..• “How the program charted my drug use and problems” • “[Finding out] how many people smoke less than me” • “listening to [other] people’s reasons” for completing
probation
Participants didn’t like….• That the computer did not provide better directions and froze
on certain parts
Pilot Testing Evaluation
In-person MI
Visit 1
MAPITVisit 1
Standard Probation Intake
Screen for Eligibility
Consent & Baseline Interview In-person
MIVisit 2
6 month 12 month 2 month
MAPITVisit 2
n=200
n=200
n=200
Assessm
ent
Assessm
ent
Assessm
ent
Randomize (Stratify by Risk Level)
Completed after 30 days. Focuses on review of goals, coping strategies, social support.
Both visits provide reminder text/email messages for
selected goals.
Visit 2
Visit 1Bridge criminological and psychological theories.
Place no additional demands on the probation system of care.
Target multiple behaviors that occur together.
Tailored to the individual.
Very easy/intuitive to use.
Increase treatment initiation and engagement.?
☐
Completed near the start of probation. Targets motivation to complete probation, to change substance use, and to obtain HIV testing and care.
Changeable factors that can reduce risk.
Drug use compared to others
Goal setting, planning
around probation
and treatment
Identifying people who would help to make
positive changes.
Reviewing progress on goals set at Visit 1
Identifying strategies to make changes in substance use
Both visits include video testimonials from other probationers
4 million
50%$6.4
billion
Number of drug-involved probationers in US who are in need of substance abuse treatment.
Percent of drug-involved probationers who actually initiate treatment.
Annual cost savings of reducing number of incarcerated drug offenders by half.
Consequences of substance use
Focus groups strongly
preferred a bright,
friendly, self-aware
female narrator.
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