IYG-Family: Beyond "the talk" to effective pregnancy, STI, and HIV prevention

IYG-Family：超越“空谈”，有效预防怀孕、性传播感染和艾滋病毒

• 批准号: 8393186
• 负责人: Christine Margaret Markham
• 金额: $ 33.43万
• 依托单位: RADIANT CREATIVE GROUP, LLC
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-20 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8393186
• 关键词: Accounting; Address; Adolescent; Adolescent Risk Behavior; Age; Anal Sex; Attitude; Behavioral; Belief; Birth; Child; Communication; Computers; Data; Educational Curriculum; Family; Female; Focus Groups; Friendships; Goals; HIV; Health Communication; Health education; Home environment; Internet; Intervention; Knowledge; Life; Mediating; Medical; Oral; Outcome; Parenting behavior; Parents; Peer Review; Phase; Positioning Attribute; Pregnancy; Pregnancy in Adolescence; Prevention; Prevention education; Prevention program; Public Health; Publications; Randomized Controlled Trials; Reporting; Research; Resources; Review Literature; School-Age Population; Self Efficacy; Sex Behavior; Sexual Health; Sexually Transmitted Diseases; Small Business Technology Transfer Research; Solutions; Students; Surveys; Testing; Texas; Training Support; Training and Education; Uncertainty; United States; Vagina; Virus Diseases; Work; Youth; base; cost; cost effective; design; experience; improved; innovation; middle school; parent-child communication; parental involvement; parental monitoring; pregnancy prevention; programs; prototype; psychosocial; sex; skills; skills training; usability

DESCRIPTION (provided by applicant): The goal of this 3 year Fast-Track STTR is to develop and evaluate a home-based intervention ('it's Your Game- Family') to provide age-appropriate sexual health life skills education and training for children (11-14 years) and to enhance parents' skills and self-confidence in support of this training. IYG-Family (IYG-F) will be an on-line game- based program and resource available to help parents and their children go beyond "the sex talk" to engage in an ongoing, developmentally appropriate, pregnancy, sexually transmitted infection (STI), and human immunodeficiency virus (HIV) prevention education experience. The study comprises 2 phases and 10 specific aims: Phase 1: Develop the theoretically- and empirically-based IYG-Family (IYG-F) prototype and conduct usability and feasibility testing (Months 1-12). Phase 1 Specific Aims: 1.1 Conduct focus groups, acceptability tests with our Parent-Youth Advisory Group (P-YAG) and literature review to inform IYG-F design; 1.2 Develop IYG-F design documents and program the prototype; 1.3 Test the IYG-F prototype functions and content (alpha test), and usability; 1.4 Evaluate (pilot-test) the IYG-F prototype fo feasibility and perceived value in the home setting; 1.5 Disseminate Phase 1 findings: Phase 1 report and peer reviewed publications. Phase 2: Develop IYG-Family informed from Phase 1 data and conduct a RCT to evaluate the impact of IYG-F (Months 13-36). Phase 2 Specific Aims: 2.1 Revise IYG-F design documents (based on Phase 1 data) and obtain P-YAG sign-off; 2.2 Develop the full IYG-F program; 2.3 Test the IYG-F prototype functions and content (alpha test), and usability; 2.4 Conduct a randomized controlled trial of IYG-F in 80 homes to test the 4 primary hypotheses (below); 2.5 Disseminate Phase 2 findings: Phase 2 report and peer reviewed publications. The 4 primary hypotheses are 1. Compared to those not receiving IYG-F, youth who access IYG-F will demonstrate significantly greater intentions to abstain from initiation of sexual behavior. 2. Compared to those not receiving IYG-F, youth who access IYG-F will demonstrate significantly improved psychosocial determinants of sexual behavior (including knowledge, increased self-efficacy for refusing sexual activity; less permissive beliefs and perceived norms). 3. Compared to parents not accessing IYG-F, parents who access IYG-F will report significantly improved psychosocial determinants (including knowledge, attitudes, and self-efficacy) regarding parent-child sexual health communication and parental monitoring and less permissive beliefs related to youth sexual behavior. 4. Compared to youth and parents not receiving IYG-F, youth and parents who access IYG-F will report increased communication about sexual health, increased parental monitoring, increased parent-child connectedness, and improved parenting ratings. This project is founded on previous studies by this experienced collaborative investigative team on developing and testing a successful middle school pregnancy, STI, and HIV prevention program, It's Your Game...Keep it Real, (IYG) that addresses knowledge, attitudes, perceived norms, refusal, and communication skills related to healthy relationships, dating, and sex. Results from two randomized controlled trials conducted in Texas middle schools indicate positive psychosocial outcomes after 7th and 8th grade interventions, and significant, sustained behavioral outcomes to 9th grade. IYG-Family will include the successful skill building components of this curriculum but will be developed to also focus on parent-child communication and connectedness regarding sexual health in the home environment. IYG-Family is significant because it addresses the gap between the needs of families in preparing their sexually maturing youth and the developmentally appropriate intervention resources currently available to support them. It addresses the broader public health concerns of adolescent pregnancy, and STI and HIV infection. IYG-Family is innovative in providing a unique home-based resource for a challenge faced by every family with sexually maturing youth. In addition to providing developmentally appropriate sexual health education for the middle school child IYG-Family is positioned to contribute a solution for the discomfort and uncertainty of parents who lack confidence or skills to adequately provide effective information and skills training to help their child make healthy and responsible decisions about healthy friendships, dating relationships, and sex. It contributes a solution that is cost-effective, of hih-fidelity, and readily accessible. PUBLIC HEALTH RELEVANCE: Despite steady decline in the United States over the past decade, adolescent births and sexually transmitted infections (STIs) remain serious public health issues. Teen pregnancy costs US taxpayers over $9 billion.4 One in four females (14-19 years) are infected with an STI5 and youth (15- 24 years) account for 9.1 million (48%) of all new STI cases, 6 with estimated medical costs of $6.5 billion.7 This study will contribute to our understanding of using the Internet to deliver an HIV/STI and pregnancy prevention program to middle school-aged students in home and mediated by parent involvement.

描述（由申请人提供）：这三年的快速通道STTR的目标是开发和评估家庭干预措施（“这是您的游戏家庭”），以提供适合年龄的性健康生活技能教育和对儿童（11-14岁）的培训（11-14岁），并增强父母的培训 技能和自信心以支持这项培训。 iyg-family（iyg-f）将是一款在线游戏 - 可用于帮助父母及其子女的基于的计划和资源超越了“性谈话”，从而从事持续的，发育适当的，怀孕，性传播感染（STI）和人类免疫缺陷病毒（HIV）预防教育经验。该研究包括2个阶段和10个特定目的：第1阶段：开发理论和经验性的IYG-FAMILILY（IYG-F）原型，并进行可用性和可行性测试（1-12个月）。第1阶段的具体目的：1.1行为焦点小组，与我们的父母 - 青年咨询小组（P-YAG）的可接受性测试以及文献综述，以告知IYG-F设计； 1.2开发IYG-F设计文档并编程原型； 1.3测试IYG-F原型函数和内容（Alpha测试）和可用性； 1.4评估（试点测试）在房屋环境中可行性和可感知价值的IYG-F原型； 1.5传播第1阶段的发现：第1阶段报告和同行评审出版物。第2阶段：开发从1阶段数据的IYG家庭通知并进行RCT来评估IYG-F的影响（13-36个月）。第2阶段的特定目的：2.1修订IYG-F设计文档（基于第1阶段数据）并获得p-yag登录； 2.2制定完整的IYG-F计划； 2.3测试IYG-F原型函数和内容（Alpha测试）和可用性； 2.4在80户家庭中进行IYG-F的随机对照试验，以测试4个主要假设（下图）； 2.5传播第2阶段发现：2阶段报告和同行评审出版物。这4个主要假设是1。与未接受IYG-F的人相比，访问IYG-F的年轻人将表现出更大的意图，以免避免开始性行为。 2。与未接受IYG-F的人相比，进入IYG-F的青年将表现出明显改善性行为的社会心理决定因素（包括知识，提高拒绝性活动的自我效能感；较少的允许信念和可感知的规范）。 3。与未访问IYG-F的父母相比，访问IYG-F的父母将大大改善有关父母性健康交流和父母监测以及与青年性行为相关的父母性健康沟通和较少允许的信念的社会心理决定因素（包括知识，态度和自我效能感）。 4。与未接受IYG-F的青年和父母相比，访问IYG-F的青年和父母将报告有关性健康的沟通，增加父母的监测，增加的亲子联系以及提高的育儿等级。该项目是基于这个经验丰富的合作调查团队以前的研究建立的，该团队在开发和测试成功的中学怀孕，STI和HIV预防计划，这是您的游戏...保持真实，（IYG），以解决知识，态度，感知的规范，拒绝，拒绝以及与健康的人际关系，约会，约会和性别相关的沟通技巧。在得克萨斯州中学进行的两项随机对照试验的结果表明，在7年级和8年级干预措施后，积极的心理社会成果，以及持续的持续行为成果至9年级。 IYG-Family将包括该课程的成功的技能建设组件，但还将开发出来，以重点关注父子的沟通和有关家庭环境中性健康的联系。 IYG家庭意义重大，因为它解决了家庭在准备年轻的年轻人和目前可用于支持他们的发展的适当干预资源方面的需求之间的差距。它解决了青少年怀孕以及性传播感染和艾滋病毒感染的广泛公共卫生问题。 IYG-FAMILY具有创新性，可以为每个家庭带来性成熟的年轻人面临的挑战提供独特的家庭资源。除了为中学的孩子提供适当的性健康教育外，IYG-FAMILY的定位还可以为缺乏信心或技能的父母的不适和不确定性做出解决方案，他们无法充分提供有效的信息和技能培训，以帮助他们的孩子对健康有负责任的决定，对健康有负责任的决定，对健康的友谊，约会关系和性别。它贡献了一种具有成本效益，HIH前保性且易于访问的解决方案。 公共卫生相关性：尽管过去十年美国在美国稳步下降，但青少年出生和性传播感染（ETI）仍然是严重的公共卫生问题。青少年怀孕费用是美国纳税人超过90亿美元的成本。4个女性（14-19岁）中有1名被STI5和青年（15-24岁）占910万（48％）的所有新STI案件中的910万（48％），估计为65亿美元的医疗费用。7这项研究将有助于我们对Internet进行互联网的理解，以帮助我们使用HOIV/STIS PRINDENTION INDERDISTIND-INDBIRED PRINDECTION，以了解HOIV/STI CAINDENISTION，参与。