GOLDEN, CO, United States
GOLDEN, CO, United States

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Grant
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


Grant
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


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase II | Award Amount: 574.95K | Year: 2015

DESCRIPTION provided by applicant Poor eating habits sedentary behavior and deficient sleep quality are problematic for many college students Surrounded by numerous unhealthy food choices and physical activity barriers students are vulnerable to overweight and chronic diseases such as diabetes heart disease and cancer Todayandapos s college students are more technologically connected than previous generations positioning mobile devices as an ideal method for reaching this population with healthy lifestyle information In a Phase I SBIR our team developed Healthy Detours an innovative mobile phone application app designed to assist college students make healthier choices about food and physical activity on and around their college campus Specifically we a developed a comprehensive database to provide user specific information through the use of location based services LBS focused on healthy lifestyle choices b conducted an online survey with a national sample of undergraduates which examined eating and physical activity preferences interest in smartphone technology to monitor healthy lifestyle choices and use of andquot check insandquot for health information c conducted focus groups which demonstrated the prototype appandapos s ability to provide the user with rudimentary aspects of the LBS database to facilitate real time decision making for healthier choices d conducted lab and field usability testing of the app for its accuracy in identifying user location and functionality and e developed a specifications document to outline the Phase II development plan The results of the Phase I activities provided strong support for this Phase II SBIR application in which we propose to develop an interactive mobile app that is guided by the Theory of Planned Behavior TPB and Social Cognitive Theory SCT The proposed Phase II project will produce a fully functional LBS smartphone app that will provide immediate and relevant feedback at the point of decision making to reinforce healthy lifestyle behaviors person and location specific tailored data acquired through activity tracking to provide users with necessary information to improve future decision making and multiple health tracking features that will aid in self monitoring Healthy Detours will be evaluated in a randomized controlled trial n with students at a large year university Primary outcomes include changes in dietary intake physical activity behavior sleep quality and quality of life Overall the proposed project has the potential to significantly impact colleg studentsandapos health and quality of life by providing them with real time healthy choices Healthy Detours is one of the first comprehensive wellness apps offered to college students and provides an opportunity via the SBIR funding mechanism to reach a large number of students as evidenced by our commercialization plan PUBLIC HEALTH RELEVANCE College students are in a newly independent phase of life many of whom encounter unhealthy dietary decision making barriers to physical activity and poor sleep behaviors Healthy Detours is a location based smartphone application tailored in real time to a studentandapos s schedule and locale and aims to guide students toward healthier eating exercise and lifestyle choices as a way to prevent the onset of damaging and costly health outcomes Through a randomized control trial this Phase II project will test the effectiveness of an evidence based smartphone application that will provide students with on demand location specific information about healthy lifestyle choices


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 224.94K | Year: 2015

DESCRIPTION provided by applicant The legalization of marijuana in Colorado and Washington in is the most dramatic change in substance abuse policy in the United States 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 which is currently required or incentivized by states Colorado recently enacted a law for incentivized marijuana vendor training RMV for retail licensees and employees and Washington is considering RMV In this Phase I SBIR we will evaluate the feasibility of creating and evaluating an online RMV by achieving the following aims to explore the concept content of RMV with a owners managers and clerks in retail outlets and b state and local regulators and enforcement officials to examine potential under age sales with owners managers clerks and minors who use marijuana to develop a prototype RMV in flowcharts and storyboards and by programming one module to evaluate the prototype RMV with owners managers clerks and local regulators officials to identify licensed marijuana retail outlets eligible for inclusion in a randomized trial in Phase II and to estimate current refusal rates of sales of marijuana to minors using pseudo patron assessment An Expert Advisory Board comprised of local and state regulators retail cannabis licensed sellers and experts in responsible beverage service training will advise on research procedures and evaluate study outcomes for feasibility of moving to full production and evaluation of the RMV in Phase II research The long term objectives of the SBIR research are urgently needed and extremely significant as increased drug availability is linked to marijuana initiation and many minors drink alcohol despite similar state controls Also the proposed research will have a very large impact for it will create a model of effective RMV by a third party not the cannabis industry that can be used by states that have legalized retail marijuana sales or will do so in th future The online RMV program will be a first of its kind intervention for a highly unique circumstance the first legal U S retail markets for marijuana The commercial potential for RMV by a third party outside the cannabis industry is currently untapped and the retail cannabis market is poised to grow tremendously in the next few years Staff at the National Institute on Drug Abuse NIDA has confirmed that research on RMV with its goal of preventing distribution to minors fits NIDAandapos s priority to support research on social behavioral and public health impacts of policy changes on marijuana including recreational marijuana legalization PUBLIC HEALTH RELEVANCE The legalization of marijuana use and sales in Colorado 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 evaluate the feasibility of producing a responsible marijuana vendor training provided by a third party not the cannabis industry and testing its effectiveness with retail licensees and employees in Colorado and Washington


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 202.53K | Year: 2015

DESCRIPTION provided by applicant Health disparities are high among Latinas They are more likely to be overweight diagnosed with diabetes and physically inactive compared to their non Hispanic White counterparts Thus interventions that target improving health access and ameliorating chronic diseases among Latinas are of high public health importance Regular physical activity PA promotes physical and emotional well being yet PA interventions tailored for Latinas remain limited Available data suggest that community focused interventions produce improvements in physical activity PA and are well received by Latinas especially when social and physical environments are considered e g social support safe walking areas etc Research suggests that Latinos respond favorably to technological based health interventions Almost percent of Latinos own a cellphone percent own a smartphone Thus health promotion interventions that can address Latinosandapos preferences regarding their physical and social environments while utilizing a preferred technology source e g smartphone could prove highly successful One smartphone feature that offers great potential health promotion benefit is location based services LBS LBS use geographic positioning to help users connect to their surrounding environment and to other users thus providing them with real time user specific information This proposed project Caminamos! will develop a smartphone app for use with year old Latinas that uses LBS to connect women within geographically proximal neighborhoods as a way to provide social support for increased walking behaviors Specific aims are gather input and evaluative feedback from an Expert Advisory Board EAB to help plan and assess the feasibility of creating the app build connections and gather input from Latino community leaders to assist in the conceptual development of the app through a Community Advisory Board CAB conduct an online survey of a national sample of Latinas on their smartphone usage for health promotion and interest in social networking and LBS technology features conduct iterative focus groups with Latinas age years to guide development of app content design and aesthetics to fully develop a functioning prototype and conduct usability testing with Latinas to test the appandapos s accuracy to establish usersandapos location and connect users through the Caminamos! system and usersandapos use and satisfaction with the app Few app based health products are branded towards Latinas Caminamos! will address this unmet need in the marketplace It will be the first smartphone app that uses location based social networking to promote PA and the only app of its kind targeted to Latinas It will also expand upon what is known to be successful in Latino exercise engagement while simultaneously addressing key barriers to exercise Phase I outcomes will provide the necessary framework and data for developing a full scale app to be tested in a randomized clinical trial In Phase III we plan to market Caminamos! directly to consumers in partnership with a company interested in expanding their brand outreach to a Latina population PUBLIC HEALTH RELEVANCE Despite numerous interventions designed to increase physical activity few are specifically tailored to Latinas a population where higher rates of obesity diabetes and other chronic diseases are present This proposed smartphone app will use location based services to connect Latinas with one another in order to improve walking habits by increasing social support and decreasing perceived barriers both of which are known to play a role in physical activity behaviors In this Phase I research surveys of potential end users will determine interest in the app and focus groups will help shape a prototype of the app which will be developed and tested to determine feasibility and functionality for a randomized Phase II intervention


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: STTR | Phase: Phase I | Award Amount: 225.00K | Year: 2016

DESCRIPTION provided by applicant African American men experience health disparities across a number of preventable chronic diseases including cardiovascular disease strokes obesity and diabetes Physical activity PA is a modifiable risk factor for these conditions The few PA promotion studies that have included African American men have resulted in successful short term behavior change yet in order for the health benefits of PA to be realized PA levels must be maintained While behavior change maintenance programs have been shown to assist participants in sustaining behavior change we were unable to identify any studies that have developed maintenance programs specifically targeting African American men The purpose of this proposal is to develop a PA maintenance program for African American men This Phase I STTR project MobileMen will deliver the intervention utilizing mHealth technology and therefore will be led by researchers and multimedia developers at Klein Buendel Inc KB and Pennington Biomedical Research Center Dr Newton PI The use of mHealth as opposed to other avenues of intervention delivery is based on published reports documenting that African Americans perceive mobile technology as an acceptable means of intervention delivery In addition ownership of smartphones and the use of text messaging are highest among African Americans compared to other ethnic groups There is a need to tailor this intervention towards African American men because they have unique gender role beliefs which influence exercise promotion There is also increasing recognition of the need for researchers to develop interventions in collaboration with the target population Therefore the current proposal will involve conducting formative research with African American men to identify the key elements for program development The fact that mHealth is acceptable to and the fact that the application will be developed in collaboration with African American men leads us to hypothesize that African American men will view the mHealth intervention as acceptable feasible and usable In this Phase I STTR we will conduct multi method formative research to guide app design and content produce a functioning app prototype and conduct usability testing on the prototype for functionality ease of use and interest among African American men To our knowledge no study has utilized mobile phones as a means of effecting PA levels in African American men MobileMen will address an unmet need in the marketplace as it will be the first smartphone app that is targeted toward PA maintenance in African American men PUBLIC HEALTH RELEVANCE African American men are at risk of developing chronic disease partly due to low levels of regular physical activity Studies have been effective in increasing physical activity levels in African American men however for the health benefits of exercise to be maintained continued physical activity is necessary The purpose of the current study is to develop a mobile phone application for African American men that will help them maintain their physical activity levels


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 226.15K | Year: 2016

DESCRIPTION provided by applicant Sickle cell disease SCD is the most common inherited blood disorder in the U S and disproportionately affects African Americans and Hispanics Approximately U S children are born with SCD annually SCD results from abnormal hemoglobin and causes red blood cells RBCs to become misshaped andquot sickle shapedandquot Sickled cells can block the flow of blood in small arteries causing tissue and organ damage and other life threatening comorbidities SCD complications can be serious and have a significant impact upon well being and quality of life Pain is the hallmark symptom associated with SCD and is the most common clinical problem seen in children and the number one cause of SCD related hospital admissions If left untreated these painful episodes can result in morbidity and mortality Accurate assessment of pain specifiers type frequency and intensity of pain can help with ameliorating pain quickly and effectively Despite children being accurate self reporters of their pain strategies which are effective and engaging to assist with pain identification are lacking Reducing barriers to collection and promoting the value of accurate SCD pain assessment is a need in pediatric medicine Pinpoint will be an innovative interactive assessment tool that engages patients while allowing physicians to collect important health data This project will test the feasibility of applying gamification principles to develop a table application andquot appandquot for year olds with SCD Specifically this Phase I SBIR project will develop a Pain Assessment Tool PAT to describe and categorize specific types of pain experienced by adolescents with SCD and create an app andquot Pinpointandquot that will translate the PAT into gamified technology The goal of Pinpoint is to engage adolescent patients and improve pain specification by developing a game based pain assessment tool delivered via a tablet app to engage adolescent SCD patients improve their pain specification self report and improve pain management by clinicians The PAT will be developed using expert guidance from preeminent SCD clinicians User centered Design theory will be applied in the development of the app and will be guided by iterative cognitive interviews and focus groups with members of the target population SCD teens The project specific aims are to develop the PAT using guidance from an Expert Advisory Board EAB of SCD clinicians conduct a series of cognitive interviews with adolescent SCD patients to guide and refine PAT development conduct iterative focus groups with adolescent SCD patients to guide and refine user interface design of the Pinpoint app program a functional Pinpoint prototype and conduct usability testing of the prototype with year old SCD patients to assess functionality navigation and satisfaction This project is innovative and timely Pinpoint will be the first tablet app to identfy and translate specific pain types for SCD into a gamified app using applied gamification principles PUBLIC HEALTH RELEVANCE Sickle cell disease SCD is a common genetic disorder characterized by episodes of pain yet assessments to identify type intensity frequency and phase of pain among SCD adolescents is lacking Research shows that interactive gaming technology can enhance adolescentsandapos learning and can be especially effective in delivering health related messages and tools to improve their self care Pinpoint is an interactive gaming tablet app that will be developed with the significant input of clinical experts to assist SCD teen with better identification and self report of their pain


Grant
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


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: STTR | Phase: Phase II | Award Amount: 766.07K | Year: 2016

The United States has the highest rate of incarceration in the world There are over state and federal prisons housing over million prisoners in the United States The demographics of the prison population are shifting Longer sentences and constrained options for early release compound this trend The older adult segment of prison populations has more than tripled since 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 In response to this need Phase I project Enhancing Care for the Aged and Dying in Prisons ECAD P demonstrated that there is a need and interest for products such as ECAD P i e corrections administrators and staff are interested in EOL care training trainings should be short intensive engaging interactive and contextually sensitive to the specific environment and an interactive media rich prototype with high acceptability and usability could be developed The specification document and commercialization plan indicate it is possible to develop a full scale ECAD P learning system in Phase II and market potential exists The technological innovation proposed for the ECAD P project is well suited to the targeted market Technical merit feasibility and market potential of the ECAD P Learning System were demonstrated in the Phase I project The purpose of this Phase II application is to continue research and development of the ECAD P learning system with an emphasis on developing a scalable unit for commercialization and testing scale up in a larger number of more diverse contexts More specifically the aims of ECAD P Phase II are to Develop a full scale media rich interactive computer based learning system consisting of modules addressing EOL and geriatric care issues in prisons Conduct in person usability testing of the full scale ECAD P Learning System in state and federal prisons to evaluate the user interface ease of use and perceived barriers in order to optimize the scalable unit for broader dissemination and Test scale up of the full scale ECAD P Learning System in federal n and state n prisons across the nation to evaluate outcomes usage patterns and commercialization opportunities Continued research and development will permit the refinement the scalable unit for commercialization Expanded testing of the learning system will establish the effectiveness of the learning system and will provide critical insights relevant to dissemination of the commercial product 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 II project focuses on the correct users accessing correct learning strategies in the correct setting i e interdisciplinary prison staff accessing high quality products designed to educate and lead practice change initiatives within the walls of prisons by continuing research and development of a learning system that promotes an integrated systems approach to enhancing the care of the aged and dying in prisons


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase II | Award Amount: 798.18K | Year: 2016

Among the measures against drunk driving available to policy makers and prevention practitioners Responsible Beverage Service RBS training has shown promise In these programs alcohol servers are educated in a number of techniques including correct identification checking recognizing signs of intoxication in patrons and managing patrons via drink counting techniques to safely keep them under Driving While Intoxicated blood alcohol limits Recent reviews of RBS programs have found evidence for effectiveness However the diffusion of RBS training and practices has been limited U S states require some form of RBS training another incentivize training in some way and the other states have no RBS regulations at all As a result while RBS training may be widely available it is not widely adopted An overlooked limitation of all RBS training in the U S and a limit to its dissemination is that it is only offered in English and from a mainstream U S culture point of view Proposed here is the development and testing of a Spanish language version of an evidence based online RBS training program WayToServe that will be culturally tailored to Hispanic cultural values experiences and circumstances WayToServe Espa ol The systematic development of WayToServe Espa ol will meet the training needs of an underserved and growing population segment of alcohol servers and sellers Hispanics who are predominant speakers of Spanish and who often work in premises with many predominantly Spanish speaking patrons The proposed Direct to Phase II research will be accomplished in two phases The first phase will entail the iterative and systematic development of WayToServe Espa ol via Spanish language focus groups and usability testing The second phase will involve the evaluation of WayToServe Espa ol in Spanish dominant premises in New Mexico and West Texas via a randomized efficacy trial that randomly assigns premises to either receive WayToServe Espa ol training or Usual and Customary UC RBS training A variety of alcohol service refusal rates will be the primary outcome variable measured using a pseudo intoxicated Pseudo Patron PP buyer assessment protocol Premises will be assessed at baseline post training and month follow up intervals Should WayToServe Espa ol prove effective commercialization plans include efforts similar to those for WayToServe English now available in four states New Mexico Texas California Washington and under review for approval in Oregon and having trained nearly alcohol servers and sellers Overall the project will bolster efforts to diffuse an effective RBS training to underserved Spanish speaking alcohol servers and sellers benefitting both them directly and the communities in which they live WayToServe Espa ol will be the first culturally and linguistically appropriate evidence based RBS training available online in the U S for this underserved population Responsible Beverage Service Training RBS has been shown to be effective and recent research by this research team has shown that online RBS training WayToServe was more effective particularly over time than usual and customary UC RBS training by live trainers However one growing segment of alcohol servers and sellers has been neglected in RBS training efforts Hispanic primarily Spanish speaking servers in predominantly Spanish speaking premises This project will develop and test the first online RBS training for predominantly Spanish speaking servers WayToServe Espa ol that is culturally and linguistically appropriate and will fill a gap in evidence based alcohol prevention interventions for this underserved population

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