Tobacco Concurrent Addictions in At-Risk Youth in Ottawa: A Mixed Methods Community-Based Participatory Action Research Project (TCAY- Ottawa)
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 520
- 试验地点
- 1
- 主要终点
- Explore the frequency of tobacco and other drug use
研究概览
简要总结
According to the 2015 Ontario Student Drug Use and Health Survey (OSDUHS), there has been a significant increase in the number of secondary school youth who use poly-substances. Not all youth have the same risk for problematic substance use. Health literature documents a high level of comorbidity between mental health and substance use, which is exacerbated in homeless youth populations. Therefore, the proposed study will focus on understanding poly-substance use among at-risk homeless school youth. As seen in substance use research and the PROMPT (2016) study (Participatory Research in Ottawa: Management and Point-of-Care for Tobacco Dependence, PI: Dr. Smita Pakhale), reduction and quitting of one substance (tobacco smoking) can lead to the reduction and quitting of other poly-substance use. A Community-Based Participatory Action Research (CBPAR) approach can help at-risk youth feel safe and comfortable enough to provide personal information about their poly-substance use and engagement with treatment or harm reduction programs. This project will be a first step in increasing health equity among at-risk homeless youth in Downtown Ottawa. The investigators aim to follow a group of at-risk youth to while providing an appropriately modified PROMPT intervention, including peers support and a licensed mental health and substance use nurse.
详细描述
Part 1: Youth and Polysubstance Use This study aims to expand the reach of the existing PROMPT intervention operationalized at the Bridge for vulnerable polysubstance using youth who smoke tobacco. The peer-led PROMPT intervention aims to reduce rates of tobacco smoking and poly-substances use among populations who are homeless or at-risk for homelessness.
Research Objectives:
Understand the positive and negative experiences of cannabis use, the effect of cannabis use on mental health, and recognize the patterns of cannabis use between different generations among marginalized populations with a disproportionate burden of mental illness. Additionally, use meaningful qualitative methods to encourage storytelling and authentic sharing of individual experiences of cannabis use and mental health.
Sub-objectives: 1) Identify trends in tobacco and poly-substance use among at-risk youth in Ottawa. Surveys and interview guides have been created with the intention of understanding the root cause of tobacco and poly-substance use among at-risk youth who attend alternative schooling, their perception of tobacco/drug use, types of tobacco and drug use that are most prevalent among these youth, and where youth access tobacco and other substances.
2) Appropriately modify and implement the peer-led PROMPT intervention for 20 youth recruited into the program. The peer-led intervention includes free access to nurse counselling and support on homelessness, addictions, and mental health. You will also access a safe and non-judgemental space for one-to-one peer support. Modifications to this intervention will be dependent on the findings from data collected in the first phase of the study (sub-objective 1).
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Are currently living in Ottawa for at least 3 months prior to enrolment.
- •Are homeless or insecurely housed (from OCH and the Bridge).
- •16 years or older.
- •currently use or have a past history of cannabis use
- •Self-report a mental illness.
排除标准
- •Not meeting inclusion criteria
研究组 & 干预措施
Photovoice
Three youth community peer researchers from marginalized communities will be recruited and involved in every aspect of the project.
We will recruit 20 participants from marginalized communities with a current or past history of cannabis use, who can speak English, and who are between 16 and 26 years old.
Participants will receive training on study procedures, basics of photography and disposable camera to document their experiences with mental health and substance use over the span of two weeks. Community peer researchers and research team will conduct photoanalysis and creation of the description of the five photos chosen by each participant.
Duoethnographic dialogue: 10 youth participants will be paired with an older participant of TCAY study to have an open discussion to explore their experiences with cannabis and mental health. This conversation will be facilitated by community peer researcher, recorded and transcribed verbatim.
Mix-method community based participatory action research
Phase 1 study: 300 participants will be invited to participate in a one-time questionnaire. Consequently, up to 25 of those participants will be invited to participate in semi-structured interviews. Data from the participants and literature will then be triangulated, coded, and analyzed using NVivo software. Researchers will transcribe interviews, create a code guide, code, analyze and report the data to appropriately inform the intervention (Phase 2).
Phase 2: 6 month follow-up with a questionnaire focused on socio-demographic data, questions on participants' smoking and other substance use habits, mental health, as well as questions on participants' social networks.. Participants will be informed that they can skip any of the questions if they are uncomfortable answering them. Qualitative data will be analyzed using NVivo, and quantitative data will be analyzed using SAS or R software. Phase 2 findings will be reported and submitted to an appropriate peer-review journal.
结局指标
主要结局
Explore the frequency of tobacco and other drug use
时间窗: 6 Months
Understand the problem of substance use and addiction among youth between the ages of 16 years or older who are homeless or insecurely housed (as defined-by project step) in Downtown Ottawa, and who attend programs at project step partner, OCH
Tobacco and other drug use reduction
时间窗: 6 Months
Design and deliver an individualized intervention (6 months) to help at-risk youth decrease concurrent poly-substance use.
次要结局
未报告次要终点