Preventing HIV through Affect Management for High-Risk Early Adolescents

通过对高危早期青少年进行情感管理来预防艾滋病毒

• 批准号: 7917439
• 负责人: Christopher D. Houck
• 金额: $ 63.66万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-19 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7917439
• 关键词: AIDS prevention; Abstinence; Address; Adolescent; Affect; Affective; Age; Alcohol or Other Drugs use; Alcohols; Attitude; Behavioral; Cognitive; Coitus; Collaborations; Contracts; County; Development; Emotional; Emotions; Exhibits; Feeling; Future; Goals; HIV; Health; Health Promotion; Health education; Intervention; Knowledge; Learning; Mediating; Mediator of activation protein; Patient Self-Report; Peer Pressure; Pharmaceutical Preparations; Prevention; Prevention Research; Prevention program; Randomized Controlled Trials; Regulation; Relative (related person); Request for Applications; Rhode Island; Risk; Risk Behaviors; Risk Factors; Role; Schools; Sex Behavior; Substance abuse problem; System; Teenagers; Time; Treatment Efficacy; Unsafe Sex; Youth; active control; base; condoms; depressive symptoms; early adolescence; emotion regulation; emotional factor; experience; high risk; improved; innovation; junior high school; peer; prevent; public health relevance; seventh grade; sex; sex risk; sexually active; skills; social; tenth grade; transmission process

DESCRIPTION (provided by applicant): Early Adolescents are at risk for HIV due to risk behaviors (e.g., unprotected sex, substance abuse) initiated during this developmental period, and delaying initiation into this risk can have a significant impact on an adolescent's future health. Many early adolescents are at high risk for contracting HIV due to emotional, behavioral, and substance use factors. Underlying all of these problems are difficulties with affect regulation. Emotional reactivity appears to interfere with the use of cognitive skills learned in traditional health education or HIV prevention programs, and recent evidence highlights the role of affect dysregulation in increasing the likelihood of sexual risk behaviors among adolescents. Also, early adolescence is a time when teens are developing their understanding of emotions and their ability to regulate affect. These findings suggest an important role for an intervention that can reach vulnerable early adolescents to address emotional factors associated with risk situations, such as those involving sex, alcohol, and drugs, in order to reduce HIV risk behaviors. This project, guided by the Social Personal Framework of HIV Risk Behavior, will target high-risk early adolescents (those who exhibit emotional, behavioral, or substance use risks) at urban junior high schools in Providence County, Rhode Island. This randomized, controlled trial will evaluate the efficacy of an Affect Management skills intervention in comparison to a control condition (General Health Promotion) for reducing risk behaviors with 432 high-risk seventh graders who will be followed for three years. The efficacy of the intervention in reducing sexual risk will be determined by less self-reported sexual behavior, improved emotion regulation skills, and differences in HIV- and abstinence-related attitudes among vulnerable early adolescents. The information gained in this project will improve our understanding of how to prevent early teens from engaging in HIV risk behaviors. This project represents an innovative progression in HIV prevention whose implementation in school settings has great potential for sustainability and relevance for early adolescents everywhere. PUBLIC HEALTH RELEVANCE: The information gained in this project will improve our understanding of how to prevent early teens from engaging in HIV risk behaviors.

描述（由申请人提供）：早期青少年由于在此发育时期开始的危险行为（例如无保护的性行为、药物滥用）而面临感染艾滋病毒的风险，并且延迟开始这种风险可能会对青少年未来的健康产生重大影响。由于情绪、行为和物质使用因素，许多青少年处于感染艾滋病毒的高风险。所有这些问题的背后都是情感监管的困难。情绪反应似乎会干扰在传统健康教育或艾滋病毒预防计划中学到的认知技能的使用，最近的证据强调了情感失调在增加青少年性危险行为的可能性方面的作用。此外，青春期早期是青少年发展对情绪的理解和调节情感的能力的时期。这些发现表明，干预措施可以发挥重要作用，该干预措施可以接触到脆弱的早期青少年，解决与风险情况相关的情绪因素，例如涉及性、酒精和毒品的情绪因素，以减少艾滋病毒危险行为。该项目以艾滋病毒风险行为社会个人框架为指导，针对罗德岛州普罗维登斯县城市初中的高危早期青少年（那些表现出情绪、行为或物质使用风险的人）。这项随机对照试验将评估情感管理技能干预措施与对照条件（一般健康促进）相比对减少危险行为的功效，对 432 名高危七年级学生进行了为期三年的随访。干预措施在降低性风险方面的效果将取决于弱势青少年自我报告性行为的减少、情绪调节技能的提高以及艾滋病毒和禁欲相关态度的差异。该项目中获得的信息将提高我们对如何防止青少年早期从事艾滋病毒危险行为的理解。该项目代表了艾滋病毒预防方面的创新进展，其在学校环境中的实施具有巨大的可持续性潜力和对各地早期青少年的相关性。 公共卫生相关性：本项目中获得的信息将提高我们对如何防止青少年从事艾滋病毒危险行为的理解。