Developing a Dyadic Intervention for STI/HIV Prevention in Youth

制定青少年性传播感染/艾滋病毒预防的二元干预措施

基本信息

批准号：
9392727
负责人：
MARIA E. TRENT
金额：
$ 18.9万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-29 至 2019-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9392727
关键词：
AIDS prevention Address Adolescence Adolescent Adolescent and Young Adult Adult Affect African American Appointment Baltimore Behavior Behavior Therapy Caring Communication Communities Complex Counseling Couples Data Decision Making Development Diagnosis Effectiveness Effectiveness of Interventions Eligibility Determination Epididymitis Evaluation Event Evidence based intervention Face Failure Family Planning Feeling Female Future Gender Goals HIV HIV Infections HIV risk Health Health Educators Health behavior Health behavior change Health education Heterosexuals Individual Inequality Infection Infection prevention Intervention Joints Life Cycle Stages Maryland Mediation Medical Modeling Motivation Outcome Participant Partner Notification Patient Self-Report Patients Pilot Projects Poverty Prevalence Prevention strategy Preventive Intervention Primary Health Care Provider Public Health Publishing Randomized Recruitment Activity Recurrence Regulation Reporting Reproductive Health Research Risk Risk Reduction Self Efficacy Sentinel Services Sexual Health Sexual Partners Sexually Transmitted Diseases Sister Social Network Statistical Data Interpretation Teenagers Testing Time United States Visit Work Youth base commune condoms coping design disorder control disorder risk educational atmosphere effective intervention evidence base health disparity indexing life time cost male pilot trial primary care setting programs public health intervention randomized trial response satisfaction sex sexual relationship shared decision making standard of care success therapy design therapy development transmission process trial design young adult young man young woman

项目摘要

ABSTRACT While public health programs have demonstrated modest success in reducing the adolescent and young adult (AYA) risk for STI/HIV, significant health disparities remain. The risk of STI/HIV is not uniform among AYA. AYA residing in segregated urban communities with high STI prevalence and complicated sexual networks face even greater risk for disease and associated complications. Additional supports designed to increase engagement in care and reduce STI acquisition and transmissions are urgently needed to meet the sexual health and reproductive health goals for the nation. Overwhelmingly, AYA STI prevention interventions have targeted individuals and individual-level factors. While effective, these interventions do not adequately address other important influences affecting AYA risk for STI/HIV, such as partner or relationship influences on sexual decision-making and behavior. Partner notification and treatment is a key strategy for disease control and has previously been tested among adults for STI/HIV prevention work but has yet to be evaluated for AYA. Our prior research demonstrates that AYAs with complicated STIs are likely to notify their partners to seek treatment (88-92%); however, AYAs receiving brief behavioral interventions, relative to those receiving standard of care were 3 times more likely to be successful in arranging for their partner's treatment. Thus, partner interventions may hold promise for harnessing the power of relationship dynamics to enhance sexual decision-making, communication, and subsequent health behaviors. We propose to pilot test an intervention designed to change sexual health outcomes by understanding partners and the learning environment related to sex [COUPLES] by simultaneously delivering two evidence-based STI/HIV prevention interventions Sister- to-Sister Teen and Focus on the Future. The simultaneous delivery of effective interventions will be augmented with a joint partner health education counseling session focused on enhancing communication and negotiation of safe sexual practices within the relationship. If successful, this pilot will support the development of a larger trial designed to evaluate the effectiveness of this approach in the busy primary care setting by providing evidence that AYA can and will safely engage their partners in a supportive primary care setting that integrates high quality treatment with evidence-based STI/HIV prevention interventions delivered by health educator teams.

抽象的尽管公共卫生计划在减少青少年和年轻成人（AYA）患病/艾滋病毒的风险，仍然存在明显的健康差异。感染/艾滋病毒的风险不是统一的在Aya中。 AYA居住在隔离的城市社区，具有高性病的流行和复杂的性行为网络面临着更大的疾病风险和相关并发症的风险。旨在的其他支持迫切需要增加对护理的参与并减少性传播感染的收购和传播国家的性健康和生殖健康目标。绝大多数是Aya STI预防干预措施已经针对个人和个人级别的因素。虽然有效，但这些干预措施不能充分解决影响AYA风险感染/艾滋病毒风险的其他重要影响，例如伴侣或关系影响性决策和行为。伴侣通知和治疗是疾病控制的关键策略并以前曾在成年人中进行了STI/HIV预防工作的测试，但尚未对AYA进行评估。我们先前的研究表明，具有复杂性传播疾病的AYA可能会通知其伴侣寻求治疗（88-92％）；但是，相对于接收的AYA接受了简短的行为干预措施在安排伴侣的治疗方面，成功的护理标准的可能性要高3倍。因此，伴侣干预措施可能有望利用关系动态的力量增强性行为决策，沟通和随后的健康行为。我们建议试行测试干预旨在通过了解合作伙伴和与学习环境相关的方式来改变性健康结果通过同时提供两种基于证据的性传播感染/艾滋病毒预防干预措施姐妹 - 姐姐青少年，专注于未来。同时提供有效干预措施将得到增强联合合作伙伴健康教育咨询会议重点是增强沟通和谈判关系中安全的性行为。如果成功，该飞行员将支持更大的发展旨在通过提供的试验来评估这种方法在繁忙的初级保健环境中的有效性 Aya可以并且将安全地与他们的合作伙伴一起参与支持的基于整合的支持性初级保健环境的证据健康教育者提供的高质量治疗通过基于证据/艾滋病毒的预防性预防干预措施团队。