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Identifying Positive Aspects Of Youth Internet Use: The Next Step In Prevention

Michele Ybarra, President
Internet Solutions For Kids, Inc.

Grant 1R01HD057191-01A2 from Eunice Kennedy Shriver National Institute Of Child Health & Human Development IRG: CIHB

Abstract: The online world is transforming the experiences and relationships of youth in both positive and negative ways. Identifying youth who may be more vulnerable to Internet victimization as well as protective factors that may reduce this risk is an important public health concern. Using an innovative online data collection strategy, we propose to scientifically examine the potential risk and protective factors that Internet use poses to adolescent health. 2700 young people 13-18 years of age will be surveyed. Findings have applied implications for adolescent health research by identifying positive experiences both online and offline that have protective influences on stressful contextual factors for youth, as well as behaviors that should be targeted for prevention. Our multidisciplinary team of professionals brings together expertise in adolescent Internet health and disease prevention. Findings will directly inform future Internet-based prevention programs aimed at promoting healthy youth development. This project has the possibility to directly inform the development of prevention programs aimed at promoting protective behaviors online that may benefit healthy youth development online and offline as well as reducing potential health risks youth face from online victimization

Project start date: 2009-02-05

Project end date: 2012-01-31


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Grants awarded to Michele Ybarra

Mental Health Effects Of Internet Violence On Children

Michele Ybarra, President
Internet Solutions For Kids, Inc. 1820 East Garry Ave, #105 Santa Ana, Ca 92705

Grant 5U49CE000206-03 from National Center For Injury Prevention And Control IRG: SCE

Abstract: This application is in response to the RFA from the Centers for Disease Control and Prevention for a cooperative agreement for research on the association between exposure to media violence and youth violence. We are proposing to conduct a national telephone survey of youth ages 10-15. Youth and their parents will be contacted by telephone and then interviewed through the Internet with two follow-up interviews scheduled. Although much research has been conducted with respect to television violence, much less attention has been paid to new medias, especially the Internet. It is likely that Internet exposures have a greater effect on aggressive and violent behavior of young people than other media exposure because of the heightened interactivity involved, realistic graphics, and other visual stimulation. Because this is an emerging technology to which youth have significant access, the proposed study has important implications for public health policy and practice. We propose a study of 1,400 households, including one caregiver and one child ages 10-15 who is a user of the lnternet. Data will be collected at three time points over a two-year time period. Participants will be identified via random digit dialing and then directed to an Internet site to respond to the survey. This method marries the strengths of telephone and web-based surveys to produce results that maximize representativeness while minimizing response bias. The relationship between exposure to violent new media and aggressive behavior will be monitored for two years atter the baseline interview. We hypothesize that children and acolescents who utilize violent media, including violent web sites and video/computer games, will manifest more violent and aggressive behaviors over time compared to other children and adolescents. In addition, we hxpothesize that individual factors such as sex and trait-aggression, and contextual factors such as witnessing violence will be important components inunderstanding the association between violent media and violent behavior.

Keywords: Internet, adolescence (12-20), child psychology, mental health, middle childhood (6-11), violence, aggression, child behavior, computer human interaction, computer simulation, cooperative study, crime victim, experience, gender difference, interactive multimedia, juvenile delinquency, longitudinal human study, mass information media, play, social problem, behavioral /social science research tag, clinical research, human subject, interview, telecommunication

Project start date: 2004-09-30

Project end date: 2007-09-29


IDENTIFYING POSITIVE ASPECTS OF YOUTH INTERNET USE: THE NEXT STEP IN PREVENTION

Michele Ybarra, President
Internet Solutions For Kids, Inc., 1820 East Garry Ave, #105, Santa Ana, Ca 92705

Grant 5R01HD057191-02 from Eunice Kennedy Shriver National Institute Of Child Health & Human Development

Abstract: The online world is transforming the experiences and relationships of youth in both positive and negative ways. Identifying youth who may be more vulnerable to Internet victimization as well as protective factors that may reduce this risk is an important public health concern. Using an innovative online data collection strategy, we propose to scientifically examine the potential risk and protective factors that Internet use poses to adolescent health. 2700 young people 13-18 years of age will be surveyed. Findings have applied implications for adolescent health research by identifying positive experiences both online and offline that have protective influences on stressful contextual factors for youth, as well as behaviors that should be targeted for prevention. Our multidisciplinary team of professionals brings together expertise in adolescent Internet health and disease prevention. Findings will directly inform future Internet-based prevention programs aimed at promoting healthy youth development. This project has the possibility to directly inform the development of prevention programs aimed at promoting protective behaviors online that may benefit healthy youth development online and offline as well as reducing potential health risks youth face from online victimization

Keywords: 18 year old; Adolescent; Adolescent Youth; Application Context; Behavior; Data Collection; Development; Face; Female; Future; Gays; Health; Internet; Lesbian; Life; NIH; National Institutes of Health; National Institutes of Health (U.S.); Prevention; Prevention program; Public Health; Research; Risk; Rural; Survey Instrument; Surveys; United States National Institutes of Health; Victimization; WWW; Youth; Youth 10-21; base; contextual factors; disease prevention; disorder prevention; eighteen year old; experience; facial; innovate; innovation; innovative; juvenile; juvenile human; multidisciplinary; protective behavior; public health medicine (field); web; world wide web

Relevance: This project has the possibility to directly inform the development of prevention programs aimed at promoting protective behaviors online that may benefit healthy youth development online and offline as well as reducing potential health risks youth face from online victimization

Project start date: 2009-02-05

Project end date: 2012-01-31

Budget start date: 1-FEB-2010

Budget end date: 31-JAN-2011

PFA/PA: PA-07-070

5R01HD057191-02 (2010): $306563


SMS TURKEY: HARNESSING THE POWER OF TXT MESSAGING TO PROMOTE SMOKING CESSATION

Michele Ybarra, President
Internet Solutions For Kids, Inc., 1820 East Garry Ave, #105, Santa Ana, Ca 92705

Grant 5R01TW007918-02 from Fogarty International Center

Abstract: Smoking has long been recognized as a significant public health concern associated with great morbidity and mortality. Although smoking rates have decreased in high income countries, these trends have not been noted for tow and middle income countries. This is especially true in Turkey, which was ranked 6th in the world in smoking consumption. Between 51-63% of Turkish men and 24-26% of Turkish women 15 years of age and older are smokers. With lung cancer the leading cancer-related cause of death for both men and women, effective and accessible smoking cessation interventions are needed. Cell phone technology represents a unique opportunity to deliver evidenced-based smoking cessation behavioral treatments through a delivery mechanism already widely adopted by adults. An estimated 35 million Turks were using cell phones, making them 1.8 times more common than land lines. Cell phone interventions are a unique delivery method because of their ´always on´ capability. The rapid uptake of cell phones allows us to potentially reach those who might otherwise not utilize smoking cessation services. In this response to Request for Applications (RFA-TW-06-006), we propose to design and evaluate an evidenced-based smoking intervention that takes advantage of technologies adopted by adult smokers in Turkey. Based upon STOMP (Stop smoking by Mobile Phone) New Zealand, a TXT messaging-based smoking cessation program, SMS (Smoking Management System) Turkey will be a community-based intervention that has both wide reach and high impact. To do so, we bring together a multi-national team of smoking and technology health experts dedicated to building the capacity of smoking cessation research expertise in Turkey to reduce the public health burden associated with smoking in Turkey. Using qualitative methods to inform design and content and quantitative methods to assess the feasibility and potential intervention effect, we propose to develop SMS Turkey, an innovative smoking cessation program that uses technology widely adopted by adults, an under-targeted population, to deliver a proactive, cognitive behavioral therapy (CBT)-based, theoretically grounded intervention. Simultaneously, we will build the capacity for future smoking cessation efforts in Turkey by training two medical fellows to become smoking cessation researchers, and continuing to strengthen international research ties. The high reach of cell phones allows us to potentially reach smokers who would otherwise not utilize traditional smoking cessation services, representing the possibility of a large public health impact

Keywords: 21+ years old; Abstinence; Adopted; Adult; Age-Years; Area; Behavior Conditioning Therapy; Behavior Modification; Behavior Therapy; Behavior Therapy, Cognitive; Behavior Treatment; Behavior or Life Style Modifications; Behavioral Conditioning Therapy; Behavioral Modification; Behavioral Therapy; Behavioral Treatment; Biometrics; Biometry; Biometry and Biostatistics; Biostatistics; Cancer of Lung; Cancers; Capital; Car Phone; Cause of Death; Cell Phone; Cells; Cellular Phone; Cessation Research; Cessation of smoking; Cognitive Therapy; Collaborations; Communities; Conditioning Therapy; Consumption; Country; Country of Turkey; Economic Income; Economical Income; Education; Educational aspects; Effectiveness of Interventions; Ensure; Epidemiology; Feedback; Focus Groups; Future; Hand; Health Care Technology; Health Technology; Human, Adult; Income; International; Intervention; Intervention Strategies; Interview; Investigators; Life; Life Style Modification; Malignant Neoplasms; Malignant Tumor; Malignant Tumor of the Lung; Malignant neoplasm of lung; Medical; Meleagrididae; Meleagridinae; Meleagris gallopavo; Methods; Morbidity; Morbidity - disease rate; Mortality; Mortality Vital Statistics; NIH; NIH RFA; National Institutes of Health; National Institutes of Health (U.S.); New Zealand; Outcome; Outcome Measure; Phone; Phones, Mobile; Prevalence; Process; Programs (PT); Programs [Publication Type]; Psychotherapy, Cognitive; Public Health; Pulmonary Cancer; Pulmonary malignant Neoplasm; Qualitative Methods; Randomized Controlled Trials; Rate; Recruitment Activity; Request for Applications; Research; Research Personnel; Researchers; Services; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Smoking and Tobacco Use Cessation Interventions; Structure; System; System, LOINC Axis 4; TXT; Target Populations; Technology; Telephone; Telephone, Cellular; Testing; Text; Therapy, Cognition; Time; Training; Training Programs; Turkey; Turkey bird; Turkeys; United States; United States National Institutes of Health; Universities; Woman; adult human (21+); base; behavior change; behavior intervention; behavioral intervention; cease smoking; cognitive behavior intervention; cognitive behavior modification; cognitive behavioral intervention; cognitive behavioral modification; cognitive behavioral therapy; day; design; designing; effect of intervention; experience; innovate; innovation; innovative; interventional strategy; lung cancer; malignancy; men; men`s; neoplasm/cancer; programs; public health medicine (field); randomized controlled study; recruit; response; smoking cessation; smoking intervention; statistics/biometry; theories; trend; uptake

Project start date: 2007-08-07

Project end date: 2010-06-30

Budget start date: 1-JUL-2008

Budget end date: 30-JUN-2010

PFA/PA: RFA-TW-06-006

5R01TW007918-02 (2008): $0


SMS Turkey: Harnessing The Power Of TXT Mesaging To Promote Smoking Cessation

Michele Ybarra, President
Internet Solutions For Kids, Inc.
1820 East Garry Ave, #105
santa Ana, Ca 92705

Grant 1R01TW007918-01 from Fogarty International Center IRG: ZCA1

Abstract: Smoking has long been recognized as a significant public health concern associated with great morbidity and mortality. Although smoking rates have decreased in high income countries, these trends have not been noted for tow and middle income countries. This is especially true in Turkey, which was ranked 6th in the world in smoking consumption. Between 51-63% of Turkish men and 24-26% of Turkish women 15 years of age and older are smokers. With lung cancer the leading cancer-related cause of death for both men and women, effective and accessible smoking cessation interventions are needed. Cell phone technology represents a unique opportunity to deliver evidenced-based smoking cessation behavioral treatments through a delivery mechanism already widely adopted by adults. An estimated 35 million Turks were using cell phones, making them 1.8 times more common than land lines. Cell phone interventions are a unique delivery method because of their ´always on´ capability. The rapid uptake of cell phones allows us to potentially reach those who might otherwise not utilize smoking cessation services. In this response to Request for Applications (RFA-TW-06-006), we propose to design and evaluate an evidenced-based smoking intervention that takes advantage of technologies adopted by adult smokers in Turkey. Based upon STOMP (Stop smoking by Mobile Phone) New Zealand, a TXT messaging-based smoking cessation program, SMS (Smoking Management System) Turkey will be a community-based intervention that has both wide reach and high impact. To do so, we bring together a multi-national team of smoking and technology health experts dedicated to building the capacity of smoking cessation research expertise in Turkey to reduce the public health burden associated with smoking in Turkey. Using qualitative methods to inform design and content and quantitative methods to assess the feasibility and potential intervention effect, we propose to develop SMS Turkey, an innovative smoking cessation program that uses technology widely adopted by adults, an under-targeted population, to deliver a proactive, cognitive behavioral therapy (CBT)-based, theoretically grounded intervention. Simultaneously, we will build the capacity for future smoking cessation efforts in Turkey by training two medical fellows to become smoking cessation researchers, and continuing to strengthen international research ties. The high reach of cell phones allows us to potentially reach smokers who would otherwise not utilize traditional smoking cessation services, representing the possibility of a large public health impact

Project start date: 2007-08-07

Project end date: 2009-06-30

1R01TW007918-01 (2007): $100000


CYBERSENGA: HARNESSING THE POWER OF THE INTERNET TO PREVENT HIV IN UGANDAN YOUTH

Michele Ybarra, President
Internet Solutions For Kids, Inc., 1820 East Garry Ave, #105, Santa Ana, Ca 92705

Grant 5R01MH080662-04 from National Institute Of Mental Health

Abstract: HIV/AIDS is a major contributor to morbidity and mortality in Uganda. Despite aggressive advances in HIV prevention efforts, recent data suggest that HIV prevalence is increasing generally, and HIV knowledge, a direct contributor to behavior, is on the decline among young people specifically as compared to a decade ago. The Internet is a promising mode of intervention delivery in resource poor-settings because the costs associated with scaling up are minimal; dissemination online is the same if one person or 100,000 people use the program. Just as important, it provides access to important health information in a stigma-free, anonymous atmosphere. Our recent data indicate that 45% of adolescents in Mbarara, Uganda have used the Internet, 78% of whom went online at least once in the previous week. Eighty-one percent of respondents in the same survey indicated they would go to an HIV prevention web site if it existed. Based upon these data, we propose to develop a culturally appropriate, Internet-based HIV prevention program designed specifically for Ugandan adolescents between the ages of 12 and 18 years. Our specific aims are as follows Specific Aim 1 Design a 6-hour, Internet-based HIV prevention program for adolescents. Content will be culturally tailored to the HIV preventive information, motivation, and behavioral skills needs of Ugandan adolescents. Specific Aim 2 Test the intervention in a randomized controlled trial (n=500) among adolescents attending grades Secondary 1-4 (similar to US high school grades 8th -11th) at day schools in Mbarara. Our main outcome measure is the frequency of unprotected sex 6-months post-intervention. The secondary outcome will be sexual abstinence 6-months post-intervention. We determine intervention efficacy by testing for a significant difference in outcomes between intervention and control group in an intent-to-treat analysis. This project has the potential to develop low-cost and scalable interventions to HIV transmission risk behaviors among adolescents in Uganda

Keywords: AIDS Virus; AIDS prevention; AIDS/HIV; AIDS/HIV prevention; AIDS/HIV problem; Acquired Immune Deficiency Syndrome Virus; Acquired Immunodeficiency Syndrome Virus; Adolescent; Adolescent Youth; Affect; Age; Atmosphere; Atmosphere, planetary; Behavior; Behavioral; Behavioral Model; Celibacy; Cell Phone; Cellular Phone; Computers; Control Groups; Data; Frequencies (time pattern); Frequency; Future; HIV; HIV Prevention; HIV/AIDS; HIV/AIDS prevention; HIV/AIDS problem; HTLV-III; Health; High-Risk Sex; Hour; Human Immunodeficiency Viruses; Human T-Cell Leukemia Virus Type III; Human T-Cell Lymphotropic Virus Type III; Human T-Lymphotropic Virus Type III; Incentives; Incidence; Internet; Intervention; Intervention Strategies; Knowledge; LAV-HTLV-III; Life; Lymphadenopathy-Associated Virus; Methods; Modeling; Models, Theoretic; Morbidity; Morbidity - disease rate; Mortality; Mortality Vital Statistics; Motivation; Municipalities; Outcome; Outcome Measure; Participant; Persons; Prevalence; Prevention program; Preventive; Programs (PT); Programs [Publication Type]; Publishing; Randomized Controlled Trials; Research Resources; Resources; Respondent; Risk Behaviors; Risk Reduction; Risky Behavior; Schools; Sexual Abstinence; Stigmata; Survey Instrument; Surveys; Telephone, Cellular; Testing; Theoretical model; Time; Transmission; Treatment Efficacy; Uganda; United States; Unprotected Sex; Unsafe Sex; Virus-HIV; WWW; Woman; Youth; Youth 10-21; abstain from intercouse; abstain from sexual activity; abstain from sexual intercouse; abstaining from sex; at risk behavior; base; behavior change; celibate; cost; design; designing; efficacy testing; high school; incentive; inducement; innovate; innovation; innovative; interventional strategy; juvenile; juvenile human; men; men`s; multidisciplinary; not sexually active; planetary Atmosphere; post intervention; prevent; preventing; programs; randomized controlled study; scale up; secondary outcome; sex abstinence; skills; social stigma; stigma; therapeutic efficacy; therapeutically effective; transmission process; web; web site; world wide web

Project start date: 2007-09-17

Project end date: 2012-07-31

Budget start date: 1-AUG-2010

Budget end date: 31-JUL-2011

5R01MH080662-04 (2010): $415756


5R01MH080662-03 (2009): $433308

5R01MH080662-02 (2008): $432174

1R01MH080662-01A1 (2007): $552441

SMOKING CESSATION VIA TEXT MESSAGING: FEASIBILITY TESTING OF SMS USA

Michele Ybarra, President
Internet Solutions For Kids, Inc., 1820 East Garry Ave, #105, Santa Ana, Ca 92705

Grant 5R21CA135669-02 from National Cancer Institute

Abstract: About one in four young adults are current smokers. Although over half report the desire to quit or cut down, quit rates in this age group have remained stagnant in the last ten years. Text messaging may represent a compelling intervention delivery method for smoking cessation for young adults because it is a medium they have widely adopted. Cell phone interventions also are unique because of their ´always on´ capability - interventions are never far from the young adult´s reach and they are received automatically instead of requiring the participant to initiate contact in order to receive the information. Dr. Ybarra, along with Drs. Holtrop and Graham, have developed SMS Turkey, an innovative behavioral intervention that uses text messaging to deliver CBT-based smoking cessation information to participants daily. Successful use of text messaging to deliver smoking cessation programs has been reported by Rodgers and colleagues in New Zealand and a replication study they are leading in the UK. These data provide optimism for the feasibility of text messaging-based smoking cessation programs in the United States. Using qualitative methods to inform design and content, and quantitative methods to assess the feasibility of the program, we propose to design and test SMS (Stop My Smoking) USA, a cell-phone based smoking cessation program for young adults ages 18-25. This innovative smoking cessation program uses technology widely adopted by young adults, an under-targeted population, to deliver a proactive, cognitive behavioral therapy (CBT)-based intervention. Our multidisciplinary team of researchers brings together expertise in Internet health and the design of tailored smoking cessation interventions. This high-reach intervention has the possibility of bringing smoking cessation services to young adults who might otherwise not utilize evidence-based smoking cessation services

Keywords: Adopted; Age; Age Group Unspecified; Behavior Conditioning Therapy; Behavior Modification; Behavior Therapy; Behavior Therapy, Cognitive; Behavior Treatment; Behavior or Life Style Modifications; Behavioral Conditioning Therapy; Behavioral Modification; Behavioral Therapy; Behavioral Treatment; Cell Phone; Cellular Phone; Cessation of smoking; Cognitive Therapy; Communication, Personal; Communications Media; Conditioning Therapy; Data; Enrollment; Feasibility Studies; Forms of Communication; Goals; Health; Internet; Interpersonal Communication; Intervention; Intervention Strategies; Investigators; Learning; Life Style Modification; Meleagrididae; Meleagridinae; Meleagris gallopavo; Methods; New Zealand; Participant; Personal Communication; Programs (PT); Programs [Publication Type]; Psychotherapy, Cognitive; Qualitative Methods; Randomized Controlled Trials; Reading; Reporting; Research Design; Research Personnel; Researchers; Services; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Smoking and Tobacco Use Cessation Interventions; Study Type; TXT; Target Populations; Technology; Telephone, Cellular; Testing; Text; Therapy, Cognition; Time; Turkey; Turkey bird; Turkeys; United States; WWW; adult youth; age group; base; behavior intervention; behavioral intervention; cease smoking; cognitive behavior intervention; cognitive behavior modification; cognitive behavioral intervention; cognitive behavioral modification; cognitive behavioral therapy; design; designing; enroll; evidence base; innovate; innovation; innovative; interventional strategy; meetings; multidisciplinary; optimism; postiive attitude; programs; public health relevance; randomized controlled study; smoking cessation; study design; web; world wide web; young adult

Relevance: This high-reach intervention has the possibility of bringing smoking cessation services to young adults who might otherwise not utilize evidence-based smoking cessation services

Project start date: 2009-07-01

Project end date: 2011-06-30

Budget start date: 1-JUL-2010

Budget end date: 30-JUN-2011

PFA/PA: PA-06-351

5R21CA135669-02 (2010): $190639


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1R21CA135669-01A1 (2009): $234655