A Parent and Adolescent HIV/STD Risk Reduction Program

家长和青少年艾滋病毒/性病风险降低计划

基本信息

批准号：
8049645
负责人：
ELLEN JOHNSON SILVER
金额：
$ 15.74万
依托单位：
ALBERT EINSTEIN COLLEGE OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-04-02 至 2013-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8049645
关键词：
17 year old AIDS diagnosis AIDS/HIV problem Address Adolescent Adolescent Risk Behavior Adopted Adult Age Attention Attitude Behavior Behavioral Characteristics Child Cognitive Coitus Communication Communities Control Groups Counseling Data Development Distal Drug Formulations Economically Deprived Population Education Educational process of instructing Educational workshop Effectiveness Eligibility Determination Enrollment Evaluation Expectancy Exploratory/Developmental Grant Family Feedback Focus Groups Gender Generations Goals HIV HIV Infections Happiness Home environment Hour Individual Infection Internships Intervention Intervention Studies Knowledge Lead Learning Link Longevity Love Measures Mediator of activation protein Minor Minority Minority Groups Modeling Monitor New York City Outcome Parenting Education Parents Participant Phase Play Preparation Prevention program Preventive Preventive Intervention Procedures Process Professional counselor Randomized Randomized Controlled Trials Recruitment Activity Reporting Research Research Design Research Personnel Risk Risk Behaviors Risk Factors Risk Reduction Role Running Sampling Self Efficacy Series Sex Behavior Sexual Health Sexuality Sexually Transmitted Diseases Social support Societies Supervision Surveys System Techniques Teenagers Testing Theoretical model Time Training Training Programs Trust Unsafe Sex Work Youth alcohol and other drug base boys communication behavior condoms design disorder prevention disorder risk experience girls high risk inner city innovation intervention program meetings parent-child communication parental monitoring peer post intervention prevent programs public health relevance randomized trial role model safer sex satisfaction sex sex risk sexual debut sexual relationship sexually active skills theories transmission process

项目摘要

DESCRIPTION (provided by applicant): Minority group inner-city adolescents are at high risk for HIV/STDs. Several theory-based preventive interventions for adolescents have been tested, but the magnitude of their effects is small. While researchers have noted the importance of using a socio-ecological framework and emphasized the links between family context/characteristics and adolescent sexual risk behavior, few family-based HIV/STD interventions for teens have been evaluated. This proposal is for a 3-year exploratory/ developmental study involving a partnership between our Preventive Intervention Research Center and Planned Parenthood of New York City (PPNYC). Its goal is to apply an iterative approach that will support the early phases of development and evaluation of a family-based HIV/STD prevention program for 14-17 year old sexually experienced adolescents. This work is preparation for submitting an R01 in which we will conduct a full scale two-group intent-to-treat randomized controlled trial. The proposed family-based intervention has 2 components:1) "Let's Talk," an adaptation of a successful HIV/STD prevention program for inner-city adolescents, is a 13-session paid prevention program in which teens learn about safer sex behavior. Goals include helping teens to understand how gender and relationships norms influence sexual risk, and include sessions on talking to parents. In a 6-week internship, teens then develop and present a workshop of their own to educate their parents about teen sexual relationships and how youth want parents to talk to them about sex; and 2) a series of 4 skill-based peer educational workshops that help parents communicate more comfortably and effectively about sexuality with adolescents. They are conducted by PPNYC's Adult Role Models (ARMs), who are community parents trained as peer educators. We will involve the target community in this endeavor by first conducting focus groups with 20 adolescents and their parents to obtain input on the proposed program content and on possible strategies to recruit and retain families in the research and intervention. We then will conduct a pilot "run-through" of each of the two parts of the intervention with these families to evaluate the feasibility and acceptability of the intervention to participants. Last, we will recruit and randomize 66 families into a small-scale RCT of the revised program that will compare risk reduction effects of Let's Talk combined with the added parent workshops to those obtained when the adolescent intervention is given alone. This will allow us to: 1) test proposed recruitment procedures, 2) pre-test study measures, and 3) obtain the preliminary data needed as a pre-requisite to estimating effect sizes for a full-scale study. Public Health Relevance Adolescents are at high risk for HIV/AIDS and that risk is increasing in minority teens. Some previous risk reduction programs have been shown to be moderately effective, but the magnitude and longevity of effects has been disappointing. The study will provide information on risk and protective factors associated with adolescent sexual behavior and ways of intervening with adolescents and parents to prevent or reduce risk.

描述（由申请人提供）：市中心的少数群体青少年感染艾滋病毒/性病的风险很高。已经测试了几种针对青少年的基于理论的预防干预措施，但其效果很小。尽管研究人员已经注意到使用社会生态框架的重要性，并强调了家庭背景/特征与青少年性危险行为之间的联系，但很少评估针对青少年的基于家庭的艾滋病毒/性病干预措施。该提案是一项为期 3 年的探索性/发展性研究，涉及我们的预防干预研究中心和纽约市计划生育协会 (PPNYC) 之间的合作伙伴关系。其目标是采用迭代方法，支持针对 14-17 岁有性经历的青少年的基于家庭的 HIV/STD 预防计划的早期开发和评估。这项工作是为提交 R01 做准备，我们将在其中进行全面的两组意向治疗随机对照试验。提议的以家庭为基础的干预措施有两个组成部分：1)“Let's Talk”是一项针对内城区青少年的成功的艾滋病毒/性病预防计划的改编，是一项为期 13 节的付费预防计划，青少年可以在其中了解更安全的性行为。目标包括帮助青少年了解性别和关系规范如何影响性风险，并包括与父母交谈的课程。在为期 6 周的实习中，青少年自行举办研讨会，向父母介绍青少年性关系以及青少年希望父母如何与他们谈论性； 2) 一系列 4 个基于技能的同伴教育研讨会，帮助父母更舒适、更有效地与青少年就性问题进行沟通。这些活动由 PPNYC 的成人榜样 (ARM) 进行，他们是受过同伴教育培训的社区家长。我们将让目标社区参与到这项工作中，首先与 20 名青少年及其家长进行焦点小组讨论，以获取对拟议计划内容以及招募和留住家庭参与研究和干预的可能策略的意见。然后，我们将与这些家庭一起对干预的两个部分进行试点“运行”，以评估干预的可行性和参与者的可接受性。最后，我们将招募并随机分组 66 个家庭参加修订后计划的小规模随机对照试验，该试验将比较 Let's Talk 结合增加的家长研讨会的风险降低效果与单独进行青少年干预时所获得的效果。这将使我们能够：1）测试拟议的招募程序，2）预测试研究措施，以及3）获得所需的初步数据，作为估计全面研究效果大小的先决条件。公共卫生相关性青少年感染艾滋病毒/艾滋病的风险很高，而且这种风险在少数族裔青少年中正在增加。先前的一些降低风险计划已被证明具有一定的效果，但其影响的程度和持续时间却令人失望。该研究将提供与青少年性行为相关的风险和保护因素的信息，以及干预青少年和父母以预防或降低风险的方法。