Addressing Tobacco-Related Disparities Among Youth Experiencing Homelessness by Engaging Youth Collaborators in Intervention Research: Protocol for a Multimethod, Community-Based Participatory Research Study
Notice bibliographique
Résumé
BACKGROUND: Youth experiencing homelessness and housing instability exhibit disparities in tobacco use and co-use of tobacco and cannabis products compared to their stably housed peers. Interventions to address these disparities have had limited success to date. This may be related to a lack of fit between intervention approaches and the unique needs and preferences of this marginalized population. Leveraging strategies to facilitate authentic engagement of youth in intervention research, including collaborating with youth in the cocreation of intervention goals and strategies, presents an opportunity to overcome challenges of previous research to mitigate tobacco-related disparities among youth experiencing homelessness and housing instability. OBJECTIVE: This protocol aims to engage youth collaborators in intervention research to address tobacco-related disparities among youth experiencing homelessness and housing instability. It outlines strategies to recruit and partner with youth to cocreate a strengths-based, expressive arts intervention to reduce harms associated with tobacco use and tobacco/cannabis co-use and evaluate our youth engagement strategies. METHODS: The community and academic partners leading this intervention study developed a structure that allows for two levels of youth collaboration. This structure, developed through consultation with a youth action board, facilitates youth (aged between 14 and 26 years) involvement in intervention design, implementation, and pilot testing. At the higher collaboration level, youth will join the intervention research team as "co-researchers," engaging weekly with study-related tasks and contributing equitably to the research processes (eg, selecting intervention strategies and supporting data analysis) in alignment with their personal and professional goals. At the lower collaboration level, youth will engage with the research team as "advisors," providing targeted feedback at key points during intervention development. Brief surveys, field notes, ethnographic memos, focus group discussions, and semistructured interviews will be used to evaluate our process and impact among the engaged youth. RESULTS: To date, we have engaged 7 co-researchers who have participated in several capacity-building and professional development activities, including research ethics training and tobacco prevention advocacy training. Co-researchers have contributed to intervention development brainstorming sessions, evaluated available interventions to address youth tobacco use, and developed materials to expand the group of co-researchers and advisors. Preliminary data suggest sufficient youth engagement (study goal of engaging 10 co-researchers in a 2-year study period) and that engagement processes are highly acceptable to youth collaborators. Lessons learned to date have helped us to improve and refine our engagement processes (eg, technological barriers). CONCLUSIONS: This protocol describes a holistic approach to equitably and authentically engaging youth as collaborators in intervention research to address tobacco-related disparities among youth experiencing homelessness and housing instability. The approach may serve as a useful model that can be adapted for other youth-focused intervention research. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/69441.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,081 | 0,058 |
| Méta-épidémiologie (sens strict) | 0,005 | 0,005 |
| Méta-épidémiologie (sens large) | 0,006 | 0,006 |
| Bibliométrie | 0,005 | 0,004 |
| Études des sciences et des technologies | 0,010 | 0,005 |
| Communication savante | 0,006 | 0,005 |
| Science ouverte | 0,006 | 0,006 |
| Intégrité de la recherche | 0,008 | 0,010 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,064 | 0,011 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».