Youth Alcohol Use and Risky Sexual Behavior in Bangkok

曼谷青少年饮酒和危险性行为

• 批准号: 7062303
• 负责人: Knowlton william Johnson
• 金额: $ 62.46万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7062303
• 关键词: AIDS education /prevention; HIV infections; adolescence (12-20); alcoholism /alcohol abuse; alcoholism /alcohol abuse prevention; behavioral /social science research tag; clinical research; culture; family structure /dynamics; family therapy; high risk behavior /lifestyle; human subject; human therapy evaluation; interview; longitudinal human study; patient oriented research; questionnaires; sex behavior; southeast Asia

DESCRIPTION (provided by applicant): Evidence strongly suggests that Thai adolescents are significantly at risk for HIV/STDs (Crispin, 2004), and that associations between alcohol use and risky sexual behaviors exist (Thato et al., 2003; Allen et al., 2003). There are few behavioral-driven interventions, especially family-based interventions, targeting both alcohol use and risky sexual behaviors among young Thais (Allen et al., 2003; Thato et al., 2003). Accordingly, the goal of this proposed international collaborative research project is to conduct a four year feasibility study for adaptation of Family Matters (P.M.-U.S.), a universal prevention program for substance abuse that involves parents and adolescents, to the Thai culture. This adapted program will be called the Thai Family Matters (TFM) program. Using a family-based approach in Thailand is appropriate for several reasons. The family is a very supportive unit in Thailand. The family unit is the primary provider of fundamental training for deferential behaviors and culturally acceptable norms that are relevant to sexual behavior and alcohol/drug use (Spielman, 1994). There are three specific aims: (1) to assess the relative importance of a U.S.-derived risk and protective factor theoretical model to the Thai culture; (2) to adapt the FM program to Thai families with youth 12 to 14 years old, creating the TFM; and (3) to pilot test the TFM using a randomized control group design with a six-month follow-up assessment. Both process and outcome evaluations will be conducted to determine the feasibility of program implementation, the cultural appropriateness of program adaptations, program acceptability by the target population, and its influence on risk and protective factors associated with alcohol use and risky sexual behaviors. The study also will examine the short-term effects on alcohol use and risky sexual behaviors. Thai investigators will collaborate in all phases of this proposed study, including program adaptation, dissemination of study findings, and the preparation of a future application to assess the efficacy of TFM.

描述（由申请人提供）：有证据强烈表明，泰国青少年感染艾滋病毒/性病的风险很高（Crispin，2004 年），并且饮酒与危险性行为之间存在关联（Thato 等人，2003 年；Allen 等人，2003 年）。 ，2003）。针对泰国年轻人饮酒和危险性行为的行为驱动干预措施很少，特别是基于家庭的干预措施（Allen 等人，2003 年；Thato 等人，2003 年）。因此，这个拟议的国际合作研究项目的目标是进行为期四年的可行性研究，以适应家庭事务（P.M.-U.S.），这是一项涉及父母和青少年的药物滥用普遍预防计划，以适应泰国文化。该改编计划将被称为“泰国家庭事务”(TFM) 计划。在泰国采用以家庭为基础的方法是合适的，原因有几个。在泰国，家庭是一个非常支持的单位。家庭单位是与性行为和酗酒/吸毒相关的尊重行为和文化上可接受的规范的基本培训的主要提供者（Spielman，1994）。有三个具体目标：（1）评估源自美国的风险和保护因素理论模型对泰国文化的相对重要性； (2) 使 FM 计划适应泰国 12 至 14 岁青少年家庭的需求，创建 TFM； (3) 使用随机对照组设计和六个月的随访评估对 TFM 进行试点测试。将进行过程和结果评估，以确定计划实施的可行性、计划适应的文化适当性、计划对目标人群的可接受性，及其对与饮酒和危险性行为相关的风险和保护因素的影响。该研究还将研究对饮酒和危险性行为的短期影响。泰国研究人员将在这项拟议研究的所有阶段进行合作，包括项目调整、研究结果的传播以及准备未来的应用程序以评估 TFM 的功效。