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/艾滋病仍然是整个加勒比地区的一个重大问题，特别是巴哈马群岛。据估计，巴哈马有 4% 的成年人感染艾滋病毒，是加勒比英语国家中艾滋病年发病率最高的国家。作为回应，来自美国和巴哈马卫生部/玛格丽特公主医院的研究人员制定并实施了一项基于理论的、面对面的青少年风险降低干预措施“关注加勒比地区的青少年”(FOYC)，结果发现通过两项试点测试，在干预后两个月显着增加性活跃女性的安全套使用率，并改变男性和女性的观念和意图。随后，应巴哈马卫生部的要求，美国-巴哈马研究小组开发了一项补充性家长干预措施“加勒比知情家长和儿童共同行动”(CImPACT)，旨在改善家长与青少年在安全性行为方面的沟通。 CImPACT 的可行性测试表明，家长可以通过学校招募和注册、参与并可以纵向跟踪。在 FOYC 和 CImPACT 试点测试期间，相关评估工具经过验证，可在巴哈马使用。因此，该提案寻求资助，在巴哈马 15 所小学的 900 名六年级青少年（基线年龄为 11 至 13 岁）及其家长中进行三细胞对照随机试验，以评估以下方面对青少年危险行为的不同影响：1)青少年风险降低干预加家长控制干预（FOYC 加控制）；对比 2) 家长和青少年风险降低联合干预措施（FOYC 加 CImPACT）； vs 3) 对青少年和家长进行注意力控制（对照加对照），以评估短期（6 个月）和长期（12、18、24 和 36 个月）干预效果。主要结果领域将是青少年性危险行为，包括a）开始性行为，b）不使用安全套的性行为和c）受保护的性行为。次要结果领域将是药物滥用，包括烟草、酒精和毒品，以及两组中介变量：a）青少年对风险的看法和由行为改变指导模型（保护动机理论）构建的保护行为； b) 家长和青少年对家长监督和家长与青少年沟通的看法。