Pamella R Adongo, Joshua Epuitai, Joseph Luwaga Mpagi, Rebecca Nekaka, Ivan Lyagoba, Joseph Odula, Paul Oboth
"No PBL is better than online PBL": Qualitative exploration regarding the perceived impact of online problem-based learning on nursing and medical students' learning during COVID-19 lockdown
Research square
youth legal system high risk opioid substance use problems exhibit high rates trauma exposure traumafocused therapeutic approaches prevent substance use show promise evidencebased interventions designed justiceinvolved youth mind consequently implementing traumainformed evidencebased interventions within juvenile justice systems challenging current paper describes systematic adaptation trustbased relational intervention tbri familycentered substance use prevention program youth transitioning secure residential facilities study utilized adaptitt methodological framework adapt tbri caregiver training evidencebased traumainformed intervention designed help caregivers support children youth histories trauma phases adaptation included 1 assessment 2 decision 3 prototype development 4 testing integration adaptation process explored contextual factors eg systems facilities staff needs new target population ie youth legal system caregivers adaptations made content eg terminology activities structure eg session duration delivery setting input participants target population key stakeholders content experts systematic adaptation intervention model resulted twophase fourcomponent intervention package implemented juvenile justice settings part youth reentry services primary intervention delivered youth residential facilities includes tbri caregiver curriculum tbri youth young adult curriculum tbri nurture groups secondary intervention delivered youth transition home includes tbri family coaching curriculum utilizing systematic methodological framework guide adaptation implications developing accessible culturally relevant contextually appropriate interventions accounting contextual factors population needs improve fit evidencebased interventions youth legal system facilitating uptake ultimately improving outcomes youth risk substance use problems clinicaltrialsgov identifier nct04678960