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GOLDEN, CO, United States

Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase II | Award Amount: 848.97K | Year: 2016

DESCRIPTION provided by applicant The legalization of marijuana in Alaska Colorado Oregon and Washington is the most dramatic change in U S substance abuse policy since the end of Prohibition These states are implementing regulatory and enforcement systems for the retail sales of recreational marijuana to adults years or older akin to state controls on the sale of alcohol In the U S Department of Justice DOJ issued directives that it would monitor whether these states implemented strong and effective regulatory and enforcement systems that among other DOJ priorities prevented distribution of marijuana to youth A retail sales intervention that has been effective at reducing illegal alcohol sales to minors and intoxicated patrons is alcoholic beverage server training or Responsible Beverage Service training RBS Recently Colorado enacted a law for incentivized responsible marijuana vendor RMV training Oregon will require RMV training and Washington proposes to incentivize it In SBIR Phase I research our team established the feasibility of creating and evaluating an online RMV training by a exploring the concept content of RMV with owners managers and clerks in retail outlets and state and local regulators and enforcement officials b examining under age sales with owners managers clerks and underage individuals c developing and evaluating a prototype RMV training Way To Tend in an outline and storyboards and by programming one module with retail outlet personnel and local officials d identifying licensed marijuana retail outlets eligible for a randomized trial and e estimating current refusal rates of sales of marijuana to minors with a pseudo patron PP buyer assessment An Expert Advisory Board EAB comprised of state and local regulators licensed retail cannabis sellers and experts in responsible beverage service from these states confirmed the feasibility of the Way To Tend training In this SBIR Phase II application we propose to produce the Way To Tend responsible marijuana vendor RMV training presenting retail marijuana sales laws methods for preventing sales to minors i e ID checking and preventing third party sales the health effects of marijuana e g driving under the influence fetal exposure dosing and safe storage and rules of the trade e g tracking and safety procedures and sales to intoxicated patrons and conduct a randomized trial of Way To Tend in a sample of retail marijuana outlets in Colorado Oregon and Washington against control outlets who receive usual and customary UC training and examine Way To Tendandapos s impact on RMV outcomes refusals to PP without apparently valid IDs The long term objectives of the SBIR research are urgently needed and extremely significant as increased drug availability is linked to marijuana initiation The proposed research will have a very large impact Our effective RMV training by a third party not the cannabis industry will be a first of its kind for a highly uniqe circumstance the first legal U S retail marijuana markets The commercial potential for Way To Tend is untapped and potentially very large for the market is poised to grow tremendously as more states consider legalization of marijuana PUBLIC HEALTH RELEVANCE The legalization of marijuana use and sales in Alaska Colorado Oregon and Washington is a dramatic change in U S substance abuse policy that places a priority on developing regulatory and enforcement systems that prevent distribution of marijuana to minors Responsible marijuana vendor training modeled after effective responsible alcoholic beverage training has the potential to help the states prevent distribution to minors This research will produce a responsible marijuana vendor training provided by a third party not the cannabis industry and test its effectiveness with retail licensees and employees in Colorado Oregon and Washington

Agency: Department of Health and Human Services | Branch: | Program: STTR | Phase: Phase I | Award Amount: 224.94K | Year: 2014

DESCRIPTION (provided by applicant): Driving while intoxicated (DWI) remains a substantial and preventable source of morbidity and mortality in the United States. A variety of sanctions and interventions have been attempted to reduce DWI in the U.S., including enhanced DWI enforcement efforts, stricter drunk driving laws, responsible alcohol beverage service training, and alcohol treatment. The Ignition Interlock Device (IID), which requires a driver to blow into a breathalyzer unit installed in an automobile to establish sobriety, reduces drunk driving while installed. The use of IIDs has become widespread: most states in the U.S. now require convicted drunk drivers to install an IID in their cars upon some form of conviction. However, research has conclusively shown that once the IIDs are removed from DWI offenders' cars, DWI recidivism levels return to those comparable to offenders who did not have an IID installed. This indicates that IIDs are effective as long as they are installed, but do not provi

Go Sun Smart is a theory-based health communication program designed to influence sun-protection behaviors of employees and guests at high-altitude ski areas to reduce skin cancer risk. The effects of Go Sun Smart, in a Phase IV dissemination randomized posttest-only trial, on sun-protection behaviors of ski area guests are reported. Program use was assessed by on-site observation and guest message exposure, and sun protection was measured in intercept surveys at ski areas. Dissemination strategy-enhanced versus basic-was not significantly related to sun safety practices. Additional analyses examined the relation between message exposure and guests' sun safety practices. Ski areas displaying at least 6 Go Sun Smart materials in guest-only areas and 9 Go Sun Smart materials throughout the area increased guests' message exposure. Higher message exposure within the high-use ski areas was associated with improved sun protection by guests but not within the low-use ski areas. The authors underscore the importance of program implementation and message exposure on the success of evidence-based health communication efforts applied industrywide.

Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: STTR | Phase: Phase I | Award Amount: 224.99K | Year: 2015

DESCRIPTION provided by applicant The United States has the highest rate of incarceration in the world The demographics of the prison population are shifting In fact the number of sentenced state and federal prisoners age or older grew at times the rate of the overall prison population from The health status of aging inmates does not mirror the free world population In fact prisoners typically present with health issues common to free citizens who are years their senior Prisoners are wards of that state that is the system is responsible for providing for not only custody and control of offenders but also their care Collectively these trends have had a profound impact on prison systems U S prisons are facing sharply increased demands in caring for aged and dying inmates This Phase I STTR project titled Enhancing Care for the Aged and Dying in Prisons ECAD P will demonstrate the scientific merit and feasibility of the development of cutting edge media rich learning modules focused on geriatric and end of life care within the constraints of correctional settings The specific aims of the project are to reformat an established comprehensive training program in a two fold development strategy standardized modules to streamline training processes and convert content driven modules into a media rich technology based format that will permit large scale dissemination expand the training program to include adapted geriatric care strategies that address providersandapos identified needs for resources on managing issues relevant to an aging inmate population as they advance toward the end of life and conduct in person usability testing of the media rich interactive web based prototype with prison multidisciplinary staff e g security unit managers chaplains healthcare staff etc to evaluate the user interface ease of use and perceived barriers and how to further understand and optimize the organizational and environmental culture for implementation In collaboration with experts in prison healthcare geriatrics and palliative hospice care we will first conduct an environmental scan to ensure a proper fit between the product and available technology Next we will isolate essential geriatric content to be identified for specification in the development of the comprehensive training program using a modified Delphi technique Finally we will create and evaluate prototypes of media rich interactive learning modules designed for computer based learning in the context of corrections At the conclusion of Phase I we will have a specifications document for the design of modules in the expanded Toolkit for Enhancing Care of Aged and Dying in Prisons specifications for delivery systems that fit with the technology available in corrections settings and established collaborative relationships in preparation for commercialization of the product PUBLIC HEALTH RELEVANCE The mission of corrections is to provide custody control and care for incarcerated individuals United States prisons are required by constitutional law to provide adequate care for growing numbers of older inmates who will likely spend their final days in prison This Phase I project focuses on the correct users accessing correct learning strategies in the correct setting i e interdisciplinary prison staff accessing high quality prodcts designed to educate and lead practice change initiatives within the walls of prisons by developing prototypes of high quality computer based learning CBL modules and a standardized train the trainer model to promote an integrated systems approach to enhancing the care of the aged and dying in prisons

Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: STTR | Phase: Phase I | Award Amount: 225.00K | Year: 2015

DESCRIPTION provided by applicant Vaccinations for adolescents in the U S tetanus diphtheria and acellular pertussis Tdap meningococcal conjugate vaccine MCV Human Papillomavirus HPV vaccines Gardasil and Cervarex remain well below the Centers for Disease Control and Prevention CDC goals and especially so for the HPV vaccines These vaccine deficits are pronounced among minority adolescents constituting an important health disparity A recent publication by the Presidentandapos s Cancer Panel has called for renewed effort in messaging to adolescents and their parents that would prompt informed decision making about the adolescent vaccine series and improved vaccine uptake Failure to improve this situation will result in a cohort of young adults especially minority adults needlessly at risk for a variey of disease sequalae both short and long term in nature Proposed here is smartphone application based strategy to provide effective messaging about the importance of adolescent vaccination An initial module smartphone application Be Vaccinated BVac will be systematically developed in Phase I of the project employing an Expert Advisory Board a Medical Practitioner Advisory Board and an iterative series of Parent and Teen focus groups designed to address concerns about vaccination accurate information about vaccination and logistical hurdles to vaccination Focus groups for parents and teens will aid in content definition and then in multimedia design and usability The Expert Advisory Board and the Medical Practitioner Advisory Board will review the outcomes of the iterative focus group cycles and aid the research group in the specifications of the initial module of BVac The deliverables of Phase I will be the initial BVac module with a specifications document describing the remaining modules In Phase II of the project the remaining BVac smartphone modules will be produced along with a Spanish version of the BVac modules A community level randomized trial of the BVac modules will be conducted with vaccine uptake as the endpoint outcome The commercial potential of the BVac smartphone application in both English and Spanish will be strong with potential commercial use by Accountable Care Organizations across the U S PUBLIC HEALTH RELEVANCE The uptake of adolescent vaccines in the U S is far below recommended levels particularly so for the Human Papillomavirus vaccines and especially so among minority and disadvantaged families Proposed here is a smartphone application that will accurately inform parents and teens about the adolescent vaccination series address ongoing concerns about adolescent vaccination particularly in minority communities identify sites for vaccination and schedule vaccination appointments An initial smartphone application module will be systematically developed and tested in Phase I research with the remaining modules developed and the complete application in both Spanish and English tested in a randomized efficacy trial in Phase II research

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