ADHD Adolescence

Intervention spotlight: INSPIRE

Applying a novel behavior change system to reduce alcohol use in teens with ADHD

Overview of the intervention:

INSPIRE is a digital game-based narrative environment developed at the University of California, San Francisco (UCSF) in collaboration with North Carolina State University (Ozer and colleagues) with funding from the National Science Foundation and the National Cancer Institute. Grounded in Social Cognitive Theory, the goal of the INSPIRE intervention is to increase self-efficacy skills and promote competence in adolescent decision-making to reduce alcohol use in a teenage social gathering scenario.

The LCIRN-funded pilot study led by UCSF postdoctoral fellow Marianne Pugatch, PhD, LICSW examines the feasibility and acceptability of applying this innovative virtual behavior change system to the prevention of alcohol use in youth with attention deficit hyperactivity disorder (ADHD), a group known to be at risk for alcohol and substance misuse with major life course health consequences. As a first step, this pilot studied whether youth with ADHD could be engaged with the INSPIRE platform, and whether engagement promotes adolescent-initiated conversations with parents about alcohol use. Preliminary data show that adolescents with ADHD were engaged in the intervention. 

What makes this a life course intervention?

INSPIRE is designed to impact teen alcohol use at a sensitive period of 14-16 years and interrupt the risk trajectory of teen alcohol use. Further, it is designed to be vertically integrated into primary care settings and has been developed through a human-centered design process. As part of our evaluation of INSPIRE’s performance in this applied setting, we examined its potential impact on the parent-child ecosystem, including assessing the frequency of parent-teen communication regarding alcohol use in teens with ADHD. This intervention may be particularly well suited for youth with ADHD as it generates personalized interactive narratives addressing developmental characteristics of impulsivity and dysregulation through reinforcement learning, goal setting, and problem-solving.  

What are the benefits of collaborating across networks and institutions?

Applying this innovative behavior change system in a real-world setting was made possible through the collaboration of multiple individuals, disciplines, institutions and networks. The opportunity to leverage the current INSPIRE study to conduct this pilot project capitalized on prior federally funded research of the investigator team across institutions. It also enabled us to work collaboratively across three Maternal and Child Health research networks (Developmental -Behavioral Pediatrics Research Network; LCIRN; Adolescent and Young Adult Health Research Network), each bringing different resources and expertise. We collected data for the pilot through Developmental Pediatric Clinics. We worked with a senior investigator team that supported adding questions about ADHD to the survey and served as mentors on the project. We included an examination of parent-teen communication around alcohol use as a result of a discussion with the LCIRN team.

What are the next steps?

Future research will examine the effects of INSPIRE on self-efficacy, knowledge, and alcohol use among adolescents with ADHD.  We will potentially pursue additional funding to develop a parent component to INSPIRE. 

  • does diet coke raise your blood sugar
  • diet coke raise blood sugar
  • do tomatoes raise-your blood sugar
  • normal blood sugar waking up
  • what can lower blood sugar fast
  • smart blood sugar book used
  • testing blood sugar at home without pricking finger
  • is 222 high for blood sugar
  • is baking soda good for blood sugar
  • average blood sugar after a meal
  • insulin for high blood sugar
  • walnuts lower blood sugar
  • 124 blood sugar
  • chia seeds and blood sugar levels
  • blood sugar 438
  • does eating rice raise blood sugar
  • perfect blood sugar numbers
  • why does my blood sugar spike at night
  • chia seeds blood sugar
  • blood sugar 145 in morning
  • blood sugar 77 two hours after eating
  • does apple cider vinegar bring down blood sugar
  • can drinking water lower your blood sugar
  • is 98 a good blood sugar level
  • is 160 good for blood sugar
  • how does diet coke affect blood sugar
  • 61 blood sugar
  • does honey spike blood sugar
  • 133 blood sugar in the morning
  • does elevated blood sugar make you sleepy
  • blood sugar and kidney disease
  • blood sugar 141
  • expired blood sugar strips
  • range of normal blood sugar
  • does green cabbage lower blood sugar
  • 184 blood sugar after eating
  • smoothie to lower blood sugar
  • apple watch with blood sugar monitor
  • blood sugar 278
  • blood sugar 141 after meal
  • what is a normal blood sugar rating
  • monitoring blood sugar levels for weight loss
  • does your blood sugar increase after exercise
  • normal blood sugar two hours after meal
  • is 72 normal blood sugar level
  • best time to test your blood sugar
  • how to improve fasting blood sugar levels
  • apple cider lower blood sugar
  • how does beer affect blood sugar
  • blood sugar after quitting smoking
  • average blood sugar a1c chart
  • real penis images
  • why do black guys have bigger penis
  • sexual intercourse videos
  • best sex medicine in bangladesh
  • CBD gummies for penis enlargement
  • good sex pron
  • small girl sexy
  • sex power tablet name in hindi
  • CBD gummies for erectile dysfunction