Preventing HIV & Drug Use Among Juvenile Offenders

预防艾滋病毒

基本信息

批准号：
7280403
负责人：
GERI R DONENBERG
金额：
$ 22.83万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-01 至 2009-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7280403
关键词：
18 year old AIDS prevention AIDS/HIV problem Adolescence Adolescent Alcohol or Other Drugs use Alcohols Attitude Behavior Belief Centers for Disease Control and Prevention (U.S.)Communication Communities Consent County Data Analyses Development Drug usage Drug user Educational Curriculum Effectiveness Esthesia Feedback Female Funding Future Goals Guidelines HIV HIV Infections Health Healthcare Homelessness Human immunodeficiency virus test Impairment Intervention Intervention Studies Justice Knowledge Link Mental Health Mental disorders Mentally Ill Persons Methods Outcome Participant Partner Communications Personal Attribute Pharmaceutical Preparations Phase Population Preparation Prevention program Procedures Psychiatric therapeutic procedure Randomized Controlled Trials Range Rate Research Design Risk Risk Behaviors Risk-Taking Sample Size Sampling Sex Behavior Sexual Partners Sexually Transmitted Diseases Site Staging Street Youths Substance abuse problem Suggestion Teenagers Testing Work Youth base cohort condoms cooking design detention center emotion regulation follow-up high risk sexual behavior inner city innovation juvenile delinquent juvenile justice system male offender peer prevent programs runaway youth sex size social social cognitive theory therapy development tool treatment effect

项目摘要

DESCRIPTION (provided by applicant): This exploratory/developmental application (R34) requests funds to design and pilot an HIV and substance use prevention program for 15 - 18 year-old urban male and female juvenile offenders. High rates of mental health disorders, substance use problems, and risky sexual behavior among these youth underscore the need for comprehensive programs that target their full range of impairment. We will combine and adapt three innovative and empirically supported HIV and substance use prevention programs originally developed for incarcerated drug users (RHAP), runaway youth (Street Smart), and mentally ill adolescents (Project STYLE). RHAP and Street Smart are in the CDC compendium of empirically supported HIV prevention programs. Project STYLE is an ongoing longitudinal HIV prevention program for teens with psychiatric disorders. In stage 1, we will work closely with our advisory board to develop a uniquely tailored manualized intervention for juvenile detainees drawing on RHAP, Street Smart, and Project STYLE. In stage 2, we will pilot test the intervention with a group of 10 males and a group of 10 females remanded to the Cook County Juvenile Temporary Detention Center. We will examine the intervention's feasibility, acceptability and tolerability, and we will evaluate our tracking and retention strategies. We will refine the curriculum and study procedures based on participant feedback and advisory board input. In stage 3, we will test the revised intervention with a larger sample of three groups of 10 male and three groups of 10 female juvenile detainees (N = 60). Participants will complete baseline and 2-month follow-up assessments to evaluate tracking and retention strategies (cohort 1) and preliminary treatment effects (cohort 2). The intervention will be informed by social learning theory and a social-personal framework previously applied to the sexual and drug use behavior of youth in psychiatric care. The intervention will target key determinants of risk taking among young offenders, including mental health problems and emotion regulation deficits, personal attributes (HIV/AIDS and substance use knowledge, attitudes and beliefs about HIV/AIDS; sensation seeking), and peer and partner relationships (peer norms/influence; partner sexual communication). Data analyses will (a) evaluate change in adolescent risky sexual behavior and substance abuse as a function of program participation, and (b) determine the pretest-posttest effect size of program impact on the outcome variables. We will use the effect size to determine the sample size needed for a more definitive test of the intervention in the future. The juvenile justice system is an ideal entry point for HIV and substance use prevention programming. Most offenders return to their communities with inadequate or no discharge planning (e.g., links to community-based health care, substance use treatment), yet empowered with the right tools, they will be better equipped to make safer decisions that reduce the spread of HIV. The long-term goal of the study is to develop an empirically validated, scientifically based HIV and substance use prevention program to reduce health risk behavior among youth in juvenile justice. Consistent with R34 guidelines to support the early phase of intervention development and pilot testing, the final product will form the basis for a full-scale effectiveness study for young offenders. This study is part of an overall program of research designed to understand and prevent HIV infection among high-risk youth.

描述（由申请人提供）：此探索/发展申请（R34）要求为15-18岁的城市男性和女性少年罪犯设计和驾驶艾滋病毒和药物预防计划。这些年轻人的精神健康障碍，药物使用问题和风险性行为的高率强调了针对其全部损害的全面计划的需求。我们将结合并适应最初为被监禁的吸毒者（RHAP），失控的青年（Street Smart）以及精神疾病的青少年（项目风格）开发的三个创新和经验支持的艾滋病毒和药物预防计划。 RHAP和Street Smart正在经验支持的艾滋病毒预防计划的CDC汇编中。项目风格是针对患有精神疾病的青少年的持续纵向艾滋病毒预防计划。在第1阶段，我们将与我们的顾问委员会紧密合作，以制定量身定制的手动干预，以利用RHAP，Street Smart和Project Style的少年被拘留者。在第2阶段，我们将通过一组10名男性和10名女性汇款到库克县少年临时拘留中心进行试点测试干预措施。我们将研究干预措施的可行性，可接受性和耐受性，并将评估我们的跟踪和保留策略。我们将根据参与者的反馈和顾问委员会的意见来完善课程和研究程序。在第3阶段，我们将用较大的三组男性和10组的10个女性被拘留者（n = 60）的较大样本测试修订的干预措施。参与者将完成基线和为期2个月的随访评估，以评估跟踪和保留策略（队列1）和初步治疗效果（队列2）。这项干预将由社会学习理论和以前应用于青年在精神病护理中的性和吸毒行为的社会人物框架所告知。干预措施将针对年轻罪犯冒险的关键决定因素，包括心理健康问题和情绪调节缺陷，个人属性（艾滋病毒/艾滋病和物质使用知识，对艾滋病毒/艾滋病的态度和信念）以及同行和伴侣关系（同伴规范/影响力；伴侣性交）。数据分析将（a）评估青少年风险的性行为和滥用药物的变化，以及（b）确定程序的预测试效应大小对结果变量的影响。我们将使用效果大小来确定将来对干预措施进行更确定性测试所需的样本量。少年司法系统是艾滋病毒和药物使用预防程序的理想切入点。大多数罪犯以不足或没有出院计划（例如，与社区医疗保健，药物治疗的链接）返回社区，但使用正确的工具授权，他们将有能力做出更安全的决定，以减少HIV传播的更安全的决定。该研究的长期目标是开发经验验证的，基于科学的艾滋病毒和药物使用预防计划，以减少青少年司法青年的健康风险行为。与R34指南一致，以支持干预开发和试点测试的早期阶段，最终产品将构成对年轻罪犯进行全面有效性研究的基础。这项研究是一项整体研究计划的一部分，旨在了解和防止高风险青年的艾滋病毒感染。