Dating Violence and HIV Prevention in Girls: Adapting Mental Health Interventions

女孩的约会暴力和艾滋病毒预防：调整心理健康干预措施

• 批准号: 8257158
• 负责人: Christie Jade Rizzo
• 金额: $ 15.63万
• 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: 2009-05-01 至 2014-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8257158
• 关键词: AIDS prevention; Address; Adherence; Adolescence; Adolescent; Affect; Age; Aggressive behavior; Alcohol consumption; Attitude; Award; Behavior; Behavioral; Clinical; Clinical Research; Clinical Treatment; Cognitive; Cognitive Therapy; Communication; Communities; Competence; Contracts; Development; Disadvantaged; Economically Deprived Population; Economics; Educational Curriculum; Enrollment; Exposure to; Female; Female Adolescents; First Intercourses; Goals; HIV; HIV Infections; HIV/STD; Health; Health Promotion; Health behavior; Indium; Instruction; Intervention; Intervention Studies; K-Series Research Career Programs; Lead; Link; Literature; Maintenance; Manuals; Measures; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentorship; Minority; Modeling; Names; Outcome; Patient Self-Report; Phase; Pilot Projects; Play; Population; Populations at Risk; Prevention Research; Prevention program; Prevention strategy; Preventive Intervention; Problem Solving; Procedures; Process; Public Health; Randomized; Randomized Controlled Trials; Regulation; Relative (related person); Reporting; Research; Research Methodology; Research Training; Risk; Risk Behaviors; Risk-Taking; Role; Safety; Sample Size; Sampling; Screening procedure; Sexual Partners; Sexually Transmitted Diseases; Stress; Supervision; Teenagers; Testing; Training; Victimization; Vulnerable Populations; Youth; base; condoms; coping; dating violence; dating violence prevention; ethnic minority population; experience; follow-up; girls; high risk; improved; member; perpetrators; programs; psychologic; psychological distress; sex risk; sexual encounter; sexually active; skills; statistics; therapy development; young woman

DESCRIPTION (provided by applicant): This application is to request a Mentored Patient-Oriented Research Career Development Award (K23) that will enable Dr. Rizzo to continue to develop her programmatic line of research in the prevention of HIV and dating violence among high risk adolescent girls. A growing body of research reveals that dating violence plays a significant role in adolescent girls' HIV risk. DV has been associated with less condom use, younger age at first intercourse, having multiple sex partners and alcohol use prior to sexual encounters. Thus, prevention strategies that address dating violence and HIV risk may hold promise for reducing sexual risk behavior among a particularly at-risk population. In this proposed research plan, a cognitive-behaviorally based intervention to be named "Skills to Manage Aggression in Relationships for Teens" (SMART) will be developed and tested. The program will be implemented with a sample of underserved youth, as economic disadvantage and minority status have been found to be related to increased rates of adolescent dating violence. A primary focus of the intervention will be to address mental health problems (i.e. psychological distress and behavioral dysregulation) that underlie the development and maintenance of both dating violence and sexual risk behavior among adolescent girls. Dr. Rizzo's training goals are to (1) increase her expertise in conducting preventive interventions for HIV, (2) receive intensive clinical and research training in adolescent HIV risk, (3) acquire expertise in conducting research with, and providing clinical treatment for, adolescent girls exposed to dating violence, (4) advance her skills in intervention research with ethnic minority and economically disadvantaged populations, (5) develop R01 -level skills in prevention research methodology and statistics and (6) receive mentorship regarding professional development issues. These training goals will be achieved through a combination of formal coursework and seminars, focused clinical and research experiences, and ongoing close research supervision by members of the mentorship team. The training plan of this K-Award will provide the opportunities needed to research the effects of a preventive intervention for a vulnerable group of young women. PUBLIC HEALTH RELEVANCE: (See instructions): Adolescent dating violence and HIV infection constitute two significant public health problems. A developing literature has linked dating violence to HIV risk, yet no existing preventive interventions have been developed to reduce HIV risk behaviors among adolescent girls victimized in dating relationships. The development of a prevention program for this population is crucial and is consistent with recent public health objectives.

描述（由申请人提供）：本申请是要要求受到指导的面向患者的研究职业发展奖（K23），该奖项将使Rizzo博士能够继续开发她的程序化研究线，以预防高风险青少年女孩中的艾滋病毒和约会暴力。越来越多的研究表明，约会暴力在青春期女孩的艾滋病毒风险中起着重要作用。 DV与避孕套的使用较少，在首次性交时年龄较小，在性交之前有多个性伴侣和酒精使用。因此，针对约会暴力和艾滋病毒风险的预防策略可能有望减少特别处于危险的人口中的性风险行为。在这个拟议的研究计划中，将开发和测试一种基于认知行为的干预措施，以命名为“管理青少年人际关系的侵略的技能”（SMART）。该计划将通过一个服务不足的青年来实施，因为已经发现经济劣势和少数群体地位与青少年约会暴力率提高有关。干预措施的主要重点是解决心理健康问题（即心理困扰和行为失调），这些问题是青春期女孩中约会暴力和性风险行为的发展和维护。 Rizzo博士的培训目标是（1）提高她在进行HIV进行预防干预措施方面的专业知识，（2）接受青少年艾滋病毒风险的强化临床和研究培训，（3）获得与进行研究并提供临床治疗方面的专业知识，并提供临床治疗，从事暴力的青少年女孩的临床治疗，以促进约会和经济学的技能，（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（5预防研究方法和统计以及（6）获得有关专业发展问题的指导。这些培训目标将通过正式的课程和研讨会，集中的临床和研究经验以及指导团队成员进行的近距离研究监督来实现。该K-award的培训计划将为研究预防性干预的影响提供对一群脆弱的年轻妇女的影响所需的机会。公共卫生相关性：（请参阅说明）：青少年约会暴力和艾滋病毒感染构成了两个重大的公共卫生问题。不断发展的文献将约会暴力与艾滋病毒风险联系起来，但是尚未开发出现有的预防干预措施来减少受害约会关系受害的青少年女孩的艾滋病毒风险行为。该人群的预防计划的制定至关重要，并且与最近的公共卫生目标一致。