Yo Puedo: Future Opportunities for Youth

Yo Puedo：年轻人的未来机会

基本信息

批准号：
8124903
负责人：
ALEXANDRA M MINNIS
金额：
$ 18.44万
依托单位：
RESEARCH TRIANGLE INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-01 至 2013-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8124903
关键词：
21 year old Accounting Address Adolescent Adult Attitude Behavior Behavioral Birth Rate California Central America Characteristics Clinic Cohort Studies Communities Complement Contraceptive Usage Control Groups Data Developed Countries Development Economics Education Educational Curriculum Effectiveness Ensure Environment Ethnic group Evaluation Feasibility Studies Female Focus Groups Frequencies Future Gender Health Health Services Immigrant Immigration Incentives Intervention Interview Knowledge Latina Latino Legal Life Linguistics Measures Mentors Methods Mexico Mission Monitor National Institute of Allergy and Infectious Disease Neighborhoods Outcome Participant Pathway interactions Pattern Persons Pharmaceutical Preparations Phase Pilot Projects Play Pregnancy Pregnancy Rate Pregnancy in Adolescence Prevention approach Provider Randomized Randomized Controlled Trials Recruitment Activity Reporting Reproductive Health Research Research Design Rewards Risk Role Safety San Francisco Schools Services Sex Behavior Shapes Social Network Structure Students Surveys Target Populations Teenagers Time Training United States Violence Youth aged arm base child bearing college design early childbearing experience gang high school improved innovation literacy meetings member novel payment post intervention pregnancy prevention pregnant prevent programs prospective public health relevance response skills skills training social social cognitive theory socioeconomics teen birth therapy design trial comparing unintended pregnancy willingness

项目摘要

DESCRIPTION (provided by applicant): Adolescent pregnancy rates in the United States remain higher than in any developed nation, with disproportionately high pregnancy rates in Latina adolescents. The proposed study builds on our research with Latino adolescents in San Francisco's Mission District that revealed the strong connection between gang affiliation and unintended pregnancy and the important role that street gangs play in shaping social networks. We propose to conduct formative design research and pilot the feasibility of an innovative intervention (Yo Puedo ["I can"]: Future Opportunities for Youth) that combines conditional cash transfers (CCTs) and a life skills education to address social network influences and socioeconomic opportunities in a neighborhood where youth experience substantial gang exposure and high rates of early childbearing. Informed by behavioral economics and social learning theory and developed with input from community partners, Yo Puedo will target youth 16 to 21 years old and same-aged members of their social network. Criteria for receipt of the CCTs will be established by youth themselves and will be tied to educational and skill development and participation in reproductive health activities. We will complement the CCTs with life skills training derived from effective unintended pregnancy prevention curriculum that addresses norms that influence early childbearing and partnerships, and that will be tailored to support youth in achieving intervention objectives. We will begin by conducting formative methodological research to design a CCT incentive structure best suited to promoting educational and reproductive health wellness for youth in San Francisco's Mission District (Aim 1). We will design the incentive structure using adapted contingency valuation methods from economics. To evaluate the feasibility of implementing Yo Puedo (Aim 2), we will conduct a pilot with randomization of 60, 3-person social networks (180 youth in total) to the intervention or observational control group. We will assess our ability to recruit youth to a randomized study with an observational control arm; our ability to recruit and retain 3-person social networks; and our integration of the CCTs and life skills curriculum. Finally, through the randomized study and 8 focus groups conducted post- intervention with youth participants, adult mentors and community providers, we will determine whether distributing reward payments to youth directly had negative effects and examine preliminary patterns in intermediary outcomes over time (Aim 3). Based on the study results, we will revise the intervention and design a future Phase 3 effectiveness evaluation. PUBLIC HEALTH RELEVANCE: Innovative interventions to prevent persistently high rates of unintended pregnancy among Latino youth are needed. This study consists of novel formative methodological research using approaches from economics and a feasibility evaluation of a combined conditional cash transfer and tailored life skills intervention (Yo Puedo ["I can"]: Future Opportunities for Youth) designed for youth aged 16 to 21 in San Francisco. The study findings will guide design of a future Phase 3 effectiveness evaluation of this intervention.

描述（由申请人提供）：美国的青少年怀孕率仍然高于任何发达国家，其中拉丁裔青少年的怀孕率高得不成比例。这项拟议的研究建立在我们对旧金山教会区拉丁裔青少年的研究基础上，该研究揭示了帮派归属与意外怀孕之间的密切联系，以及街头帮派在塑造社交网络中发挥的重要作用。我们建议进行形成性设计研究，并试点创新干预措施（Yo Puedo [“我能”]：青年的未来机会）的可行性，该干预措施将有条件现金转移支付（CCT）和生活技能教育相结合，以解决社交网络影响和社会经济问题在一个年轻人经历大量帮派接触和高早育率的社区中提供机会。 Yo Puedo 以行为经济学和社会学习理论为基础，并在社区合作伙伴的投入下开发，将针对 16 至 21 岁的青少年及其社交网络中的同龄成员。获得 CCT 的标准将由青少年自己制定，并将与教育和技能发展以及生殖健康活动的参与联系起来。我们将通过源自有效的意外怀孕预防课程的生活技能培训来补充 CCT，该课程涉及影响早育和伙伴关系的规范，并将量身定制以支持青年实现干预目标。我们将首先进行形成性方法研究，设计一个最适合促进旧金山教会区青少年教育和生殖健康的 CCT 激励结构（目标 1）。我们将采用经济学中的应急评估方法来设计激励结构。为了评估实施 Yo Puedo（目标 2）的可行性，我们将进行试点，将 60 个 3 人社交网络（总共 180 名青少年）随机分配到干预组或观察对照组。我们将评估我们招募年轻人参加带有观察对照组的随机研究的能力；我们招募和保留三人社交网络的能力；以及我们对 CCT 和生活技能课程的整合。最后，通过随机研究和 8 个焦点小组对青少年参与者、成人导师和社区提供者进行后干预，我们将确定直接向青少年分配奖励是否会产生负面影响，并检查随时间推移中间结果的初步模式（目标 3）。根据研究结果，我们将修改干预措施并设计未来的第三阶段有效性评估。公共卫生相关性：需要采取创新干预措施来防止拉丁裔青年意外怀孕率持续居高不下。本研究包括采用经济学方法的新颖的形成性方法研究，以及对有条件现金转移和量身定制的生活技能干预（Yo Puedo [“我能”]：青年的未来机会）相结合的可行性评估，专为 16 至 21 岁的青年设计。旧金山。研究结果将指导该干预措施未来第三阶段有效性评估的设计。