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: 8711827
• 负责人: Christine Margaret Markham
• 金额: $ 77.22万
• 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 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8711827
• 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; eighth grade; experience; improved; innovation; middle school; ninth grade; parent-child communication; parental involvement; parental monitoring; pregnancy prevention; programs; prototype; psychosocial; seventh grade; 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.

描述（由申请人提供）：此 3 年快速通道 STTR 的目标是开发和评估基于家庭的干预措施（“这是你的游戏 - 家庭”），为儿童提供适合年龄的性健康生活技能教育和培训（11-14岁）并提高父母的 支持本次培训的技能和自信心。 IYG-Family（IYG-F）将是一款在线游戏- 基于可用的计划和资源，帮助父母及其孩子超越“性谈话”，参与持续的、适合发育的怀孕、性传播感染 (STI) 和人体免疫缺陷病毒 (HIV) 预防教育体验。该研究包括 2 个阶段和 10 个具体目标： 第 1 阶段：开发基于理论和经验的 IYG-Family (IYG-F) 原型并进行可用性和可行性测试（第 1-12 个月）。第一阶段的具体目标： 1.1 开展焦点小组、与我们的家长青少年咨询小组 (P-YAG) 进行可接受性测试以及文献回顾，为 IYG-F 设计提供信息； 1.2 制定IYG-F设计文件并对样机进行编程； 1.3 测试IYG-F原型机的功能和内容（alpha测试）以及可用性； 1.4 评估（试点测试）IYG-F 原型在家庭环境中的可行性和感知价值； 1.5 传播第一阶段的研究结果：第一阶段的报告和同行评审的出版物。第 2 阶段：根据第 1 阶段的数据制定 IYG-Family，并进行随机对照试验以评估 IYG-F 的影响（第 13-36 个月）。第二阶段具体目标： 2.1 修订IYG-F设计文件（基于第一阶段数据）并获得P-YAG签核； 2.2 制定完整的 IYG-F 计划； 2.3 测试IYG-F原型机的功能和内容（alpha测试）以及可用性； 2.4 在 80 个家庭中进行 IYG-F 随机对照试验，以检验 4 个主要假设（如下）； 2.5 传播第二阶段的研究结果：第二阶段的报告和同行评审的出版物。 4 个主要假设是 1. 与未接受 IYG-F 的青少年相比，接受 IYG-F 的青少年将表现出明显更大的避免开始性行为的意愿。 2. 与未接受 IYG-F 的青少年相比，接受 IYG-F 的青少年将表现出性行为的社会心理决定因素显着改善（包括知识、拒绝性活动的自我效能感增强；较少的宽容信念和感知规范）。 3. 与未参加 IYG-F 的父母相比，参加 IYG-F 的父母将报告在亲子性健康沟通和父母监督方面的社会心理决定因素（包括知识、态度和自我效能）显着改善，以及与性健康相关的较少宽容的信念青少年的性行为。 4. 与未接受 IYG-F 的青少年和家长相比，接受 IYG-F 的青少年和家长将报告更多关于性健康的沟通、更多的家长监督、增强的亲子联系以及提高的育儿评级。该项目建立在这个经验丰富的合作调查团队之前的研究基础上，旨在开发和测试成功的中学怀孕、性传播感染和艾滋病毒预防计划，这是你的游戏...保持真实（IYG），该计划解决了知识、态度、感知等问题。与健康关系、约会和性有关的规范、拒绝和沟通技巧。在德克萨斯州中学进行的两项随机对照试验的结果表明，七年级和八年级干预后出现了积极的心理社会结果，并且到九年级时也出现了显着且持续的行为结果。 IYG-Family 将包括该课程中成功的技能培养部分，但还将重点关注家庭环境中有关性健康的亲子沟通和联系。 IYG-Family 意义重大，因为它解决了家庭在准备性成熟青少年方面的需求与目前可用于支持他们的适合发展的干预资源之间的差距。它解决了青少年怀孕、性传播感染和艾滋病毒感染等更广泛的公共卫生问题。 IYG-Family 创新性地提供了独特的家庭资源，以应对每个拥有性成熟青少年的家庭所面临的挑战。除了为中学生提供适合发展的性健康教育外，IYG-Family 还致力于为那些缺乏信心或技能的父母提供解决方案，以解决他们的不适和不确定性，从而充分提供有效的信息和技能培训，帮助他们的孩子健康成长。关于健康的友谊、约会关系和性的负责任的决定。它提供了一种经济高效、高保真且易于访问的解决方案。