Evidence-based multi level risk reduction for Bahamian mid-adolescents

巴哈马中青少年基于证据的多层次风险降低

基本信息

批准号：
8415912
负责人：
BONITA FRANCES STANTON
金额：
$ 18.49万
依托单位：
WAYNE STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-06-01 至 2015-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8415912
关键词：
10 year old AIDS prevention AIDS/HIV problem Abstinence Acquired Immunodeficiency Syndrome Address Adolescence Adolescent Adolescent Risk Behavior African Age Attention Bahamas Behavior Behavior Control Behavior Therapy Behavioral Caribbean region Caring Categories Cells Centers for Disease Control and Prevention (U.S.)Child Clinical Trials Design Collaborations Color Commit Communication Consent Consultations Country Data Decision Making Developing Countries Development Diffusion Education Educational Curriculum Effectiveness Elements Enrollment Environment Environmental Exposure Epidemic Epidemiology Evaluation Exhibits Exposure to Family health status Funding Future Goals Government HIV HIV Infections HIV Seroprevalence HIV risk Health Policy Hour Individual Intention Intervention Knowledge Learning Letters Life Literature Meta-Analysis Motivation Nature Pan American Health Organization Parents Perception Persons Population Positioning Attribute Postdoctoral Fellow Prevalence Prevention Prevention Research Prevention program Process Publishing Randomized Randomized Controlled Trials Recruitment Activity Reporting Research Research Personnel Resources Risk Risk Behaviors Risk Reduction Safe Sex Sampling Schedule Schools Students Subgroup Testing Theoretical model Time Training Transportation Turks and Caicos Islands UNESCO Update Work Youth base career cohort condoms design effective intervention eighth grade elementary school environmental intervention evidence base experience follow-up group intervention high risk high school intervention effect member middle school ninth grade parental involvement parental monitoring parental role post intervention prevent programs protective behavior response sex sex risk sixth grade skills success teacher theories therapy design young adult

项目摘要

Over the last quarter century, substantial progress has been made in effecting purposeful behavioral change to reduce HIV/AIDS risk. Nevertheless, specific demographic and socio-geographic sub-groups remain at high risk and substantial challenges in maintaining purposeful behavioral change persist. Among those groups remaining at high risk are adolescents and young adults, persons of color, and individuals residing in transitional and developing countries. Challenges that have continued to confront behavioral risk reduction interventions include: a) waning intervention effects over time; b) changing environmental exposures and responses thereto that occur during adolescence; and c) the resource intensive nature of multiple session behavioral interventions especially in resource poor settings such as developing and transitional countries. This competitive renewal of R01MH069229 will focus on a particularly high risk population (youth of African descent attending Grade 10 in government high schools in The Bahamas, a nation with an HIV sero- prevalence of 3%) and proposes a four-cell, randomized, controlled trial designed to address each of the four challenges outlined above, building upon our ongoing research. During the past 4.5 years in our current funding period, the US-Bahamian research team has been evaluating the Bahamian adaptation of a 10- session adolescent HIV prevention program entitled "Focus on Youth in The Caribbean" (FOYC) and the 1- hour adapted parental monitoring intervention entitled "Caribbean Informed Parents and Children Together" (CImPACT) through a randomized, controlled three-celled trial involving 1360 Grade 6 youth and 1175 of their parents. Beginning at the 6 months follow-up and extending through 24 months follow-up, condom-use, condom-use intention, and relevant perceptions and knowledge were significantly higher among FOYC youth compared to control youth. Despite the efficacy of FOYC, the and 36 (preliminary data) actual rates among both FOYC and control youth are concerningly low (e.g. condom-use rates at 24 months and 36 months was 30% and 40% among FOYC youth and 20% and 25% among controls). Therefore, the Department of Education of The Bahamas and the US-Bahamian Research Team seek to identify an effective intervention that can be delivered to Grade 10 students in The Bahamas. In the research described in this submission, we propose to: a) Recruit 2600 youth (and their parents) from 172 Grade 10 FHLE classrooms over two years from all 7 government high schools in New Providence, The Bahamas; b) Randomly assign at the level of the classroom 2400 youth (and their parents) from 160 classes to one of four intervention conditions: 1) HFLE only (no parent intervention); 2) BFOOY only (no parent intervention); 3) BFOOY plus ImPACT (delivered to parent-youth dyads with a six month parent booster); or 4) BFOOY plus GFI (delivered to parent-youth dyads with a six month parent booster); c) Randomly assign one of the seven high schools (with ~12 HFLE classes and ~200 students) to a "control school" condition to explore possible class-to-class contamination within schools; d) Assess intervention effects on the entire sample at 6, 12, 18 and 24 months post-intervention (and among parents at 6 and 12 months); and e) Conduct sub-group analyses to explore: i) the impact of interventions received at two critical junctures during adolescence; ii) the effect of being part of a longitudinal trial on risk/protective behaviors; and iii) the extent of intervention contamination if the unit of randomization is the class rather than the school.

在上个四分之一世纪，在实施有目的的行为改变方面取得了重大进展降低艾滋病毒/艾滋病风险。然而，特定的人口统计和社会地理子组仍在维持有目的的行为改变的高风险和重大挑战持续存在。其中仍然处于高风险的群体是青少年和年轻人，有色人种以及居住在过渡和发展中国家。继续面对行为风险的挑战干预措施包括：a）随着时间的推移逐渐减弱的干预效果； b）改变环境暴露和青春期发生的反应； c）多次会议的资源密集型性质行为干预措施，尤其是在资源较差的环境中，例如发展和过渡国家。 R01MH069229的这种竞争续约将集中于特别高的风险人群（年轻人非洲血统在巴哈马的公立高中就读10年级，这个国家患有艾滋病毒血清患病率为3％），并提出了四个旨在解决这四个的四个细胞，随机，对照试验基于我们正在进行的研究，上面概述了上面概述的挑战。在过去的4。5年中，我们当前资助期，美国巴哈马研究小组一直在评估巴哈马的改编10- 会议青少年预防艾滋病毒预防计划，题为“关注加勒比海的青年”（FOYC）和1- 小时改编的父母监测干预措施为“加勒比海的父母和孩子在一起” （cimpact）通过一项随机，受控的三细胞试验，涉及1360年6年级的青年和1175 他们的父母。从6个月的随访开始，一直延伸到24 几个月的随访，避孕套，避孕套的意图以及相关的看法和知识是与对照青年相比，FOYC青年的年轻人明显更高。尽管Foyc有效，但和36（初步数据） FOYC和对照青年的实际费率较低（例如，使用避孕套的速率为24个月 FOYC青年的36个月为30％和40％，对照组为20％和25％。因此，巴哈马教育部和美国 - 巴哈马研究小组寻求确定有效的干预措施可以交付给巴哈马的10年级学生。在描述的研究中在此提交中，我们建议：a）172年FHLE的2600名青年（及其父母）巴哈马新普罗维登斯（New Providence）的所有7所政府高中两年中的教室； b）从160个课程中随机分配教室2400年青年（及其父母）四个干预条件：1）仅HFLE（没有父母干预）； 2）仅Bfooy（没有父母干涉）; 3）Bfooy Plus Impact（以六个月的父母助推器交付给父母 - 尤特二元组）；或4）BFOOY加上GFI（以六个月的父母助推器交付给父母-Youth Dyads）； c）随机将七个高中（约有12个HFLE课程和约200名学生）分配给“控制学校” 探索学校内可能的班级污染的条件； d）评估干预影响干预后6、12、18和24个月的整个样本（在6和12个月的父母中）；和 e）进行子组分析以探索：i）在两个关键时刻接受干预措施的影响在青春期； ii）成为纵向试验对风险/保护行为的一部分的影响；和iii）干预污染的程度，如果随机分配单位是阶级而不是学校。

项目成果

期刊论文数量（33）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Parental Monitoring and Risky Behavior in Bahamian Youth.

巴哈马青少年的父母监督和危险行为。

DOI：
10.18357/ijcyfs34201211483
发表时间：
2012
期刊：
International journal of child, youth & family studies : IJCYFS
影响因子：
0
作者：
Jones,Giavana;Chen,Xinguang;Stanton,Bonita;Dinaj-Koci,Veronica;Deveaux,Lynette;Lunn,Sonja;Brathwaite,Nanika;Gomez,MPerry
通讯作者：
Gomez,MPerry

Intention to use condom, cusp modeling, and evaluation of an HIV prevention intervention trial.

DOI：
发表时间：
2013-07
期刊：
Nonlinear dynamics, psychology, and life sciences
影响因子：
0
作者：
Xinguang Chen;B. Stanton;Din Chen;Xiaoming Li
通讯作者：
Xinguang Chen;B. Stanton;Din Chen;Xiaoming Li

Effects on condom use of an HIV prevention programme 36 months postintervention: a cluster randomized controlled trial among Bahamian youth.

DOI：
10.1258/ijsa.2010.010039
发表时间：
2010-09
期刊：
International journal of STD & AIDS
影响因子：
1.4
作者：
Chen X;Stanton B;Gomez P;Lunn S;Deveaux L;Brathwaite N;Li X;Marshall S;Cottrell L;Harris C
通讯作者：
Harris C

The impact of youth, family, peer and neighborhood risk factors on developmental trajectories of risk involvement from early through middle adolescence.

青少年、家庭、同伴和邻里风险因素对青春期早期到中期风险参与发展轨迹的影响。

DOI：
10.1016/j.socscimed.2014.01.023
发表时间：
2014
期刊：
Social science & medicine (1982)
影响因子：
0
作者：
Wang,Bo;Deveaux,Lynette;Li,Xiaoming;Marshall,Sharon;Chen,Xinguang;Stanton,Bonita
通讯作者：
Stanton,Bonita

A quarter century of HIV prevention intervention efforts among children and adolescents across the globe.

四分之一个世纪以来，全球儿童和青少年都在进行艾滋病毒预防干预工作。