Adolescent Risk Reduction in the Peers & Parents

同龄人青少年风险降低

• 批准号: 6897236
• 负责人: BONITA FRANCES STANTON
• 金额: $ 45.84万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-06-01 至 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6897236
• 关键词: AIDS education /prevention; African Caribbean; Caribbean islands; HIV infections; adolescence (12-20); alcoholism /alcohol abuse; behavioral /social science research tag; clinical research; clinical trials; culture; disease /disorder proneness /risk; drug abuse; education evaluation /planning; human subject; longitudinal human study; middle childhood (6-11); parent offspring interaction; peer group; safe sex /sex abstinence; sex behavior; social perception; substance abuse related disorder; tobacco abuse

DESCRIPTION (provided by applicant): HIV/AIDS remains a significant problem in the Caribbean in general, the Bahamas in particular. With an estimated 4% of adults infected with HIV, the Bahamas has the highest annual incidence rate of AIDS in the English speaking Caribbean. In response, investigators from the United States and the Bahamian Ministry of Health/Princess Margaret Hospital developed and implemented a theory-based, face-to-face adolescent risk reduction intervention, "Focus on Youth in the Caribbean" (FOYC) which was found through two pilot-tests to significantly increase condom use among sexually active females two months post intervention and to alter the perceptions and intentions among males and females. Subsequently, in response to a request from the Bahamian Ministry of Health, the US-Bahamian research team developed a complementary parental intervention, "Caribbean Informed Parents and Children Together" (CImPACT) which was designed to improve parent-adolescent communication regarding safer-sex. Feasibility testing of CImPACT demonstrated that parents could be recruited and enrolled through the schools, would participate, and could be tracked longitudinally. During the pilot testing of both FOYC and CImPACT, relevant assessment instruments were validated for use in the Bahamas. Accordingly, this proposal seeks funding to conduct a three-cell controlled, randomized trial among 900 sixth grade adolescents (ages 11 to 13 at baseline) and their parents from 15 Bahamian elementary schools to assess the differential impact on adolescent risk behavior of: 1) an adolescent risk reduction intervention plus a parent control intervention (FOYC plus control); versus 2) a combined parent and adolescent risk reduction intervention (FOYC plus CImPACT); versus 3) an attention-control for youth and parents (control plus control) to assess both short-term (six months) and long-term (12, 18, 24, and 36 months) intervention effect. The primary outcome domain will be adolescent sexual risk behavior, including a) initiation of sex, b) sex without a condom and c) protected sex. Secondary outcome domains will be substance abuse, including tobacco, alcohol and drugs, and, two sets of mediating variables: a) youth perceptions of risk and protective behaviors organized by the constructs of the guiding model of behavioral change, Protection Motivation Theory; and, b) parent and adolescent perceptions of parental monitoring and parent-adolescent communication.

描述（由申请人提供）：艾滋病毒/艾滋病仍然是加勒比海尤其是巴哈马的一个重大问题。巴哈马估计有4％的成年人感染了艾滋病毒，在英语加勒比海中，艾滋病的年发病率最高。作为回应，美国和巴哈马卫生部/公主玛格丽特医院的研究人员开发并实施了一个基于理论的，面对面的青少年风险降低干预措施，“专注于加勒比海的青年”（FOYC）（FOYC），通过两次驾驶测试发现，在两次驾驶性审查中，在两次性行为激活的女性中使用了两个月的避孕套，以在两个月的情况下使用害虫，从而在两个月内进行了侵害，并在两种情况下进行了侵害，并促进了病后的妇女和企业的侵害。随后，为了应对巴哈马卫生部的要求，美国 - 巴哈马研究小组开发了一种互补的父母干预措施，“加勒比海”（Caribbean）“将父母和孩子一起告知父母和孩子”（CIMPACT），旨在改善有关Safer-safer-safer-safer-safer-odectent of Safer-odexcentent of Safer-of-safer-safer-safer-safer-safer-safer-safer-safer-safer-safe safe safer-of safe safer safe safe safexian。对Cimpact的可行性测试表明，可以通过学校招募和入学父母，参加，可以纵向跟踪。在FOYC和CIMPACT的试点测试期间，对相关评估工具进行了验证，以用于巴哈马。因此，该提案寻求资金在900名六年级青少年（基线时11至13岁）及其来自15个巴哈马小学的父母中进行三细胞控制的，随机试验，以评估对青少年风险行为的不同影响：1）一项青少年风险降低干预措施加上父母控制干预措施（Foyc Plus Control）；对2）父母和青少年降低风险干预措施（Foyc Plus Cimpact）；对3）针对青年和父母的注意力控制（对照加控制），以评估短期（六个月）和长期（12、18、24和36个月）的干预效果。主要结果领域将是青春期的性风险行为，包括a）启动性，b）无避孕套的性行为和c）受保护的性别。次要结果领域将是滥用药物，包括烟草，酒精和毒品，以及两组中介变量：a）青年对风险和保护行为的看法是由行为变化的指导模型组织的，保护动机理论； b）父母和父母监测和父母交流的父母和青少年感知。