StaySafe: Reducing Risk Among Adolescents

StaySafe：降低青少年的风险

基本信息

批准号：
7020011
负责人：
Laurie J Bauman
金额：
$ 74.36万
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：
2002
资助国家：
美国
起止时间：
2002-04-09 至 2008-03-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Minority group inner-city adolescents are at particular risk for acquiring HIV/STDs. Interventions based on Social Cognitive theory have been successful in reducing risk, but the magnitude of effects has been small. We propose a new intervention, StaySafe, to inner-city teens aged 13-16 who are virgins. StaySafe will provide a basic HIV/STD harm reduction intervention in 8 sessions based on Social Cognitive Theory. However, we will augment this content with sessions on gender, gender roles, gender beliefs, and HIV risk. We will then engage them as paid collaborators with us in a Participatory Action Research project on gender and HIV/STD risk. They will help develop the study, conduct media analysis, do participant observation on gender behavior in their communities, and participate in data analysis and interpretation. Our hypothesis is that learning how gender contributes to risk for HIV by being a participant in action research will give them ownership of the complex ideas underpinning gender norms and provide the tools they need to recognize and resist gendered messages that increase HIV/STD risk. StaySafe will have two parts: (1) a paid 8-session HIV /STD prevention program that provides skills and knowledge about sexual risk reduction and includes gender role content, and (2) a paid position on the "Gender and HIV" research study for 6 weeks working 4 hours per week. We propose a three-group intent-to-treat randomized controlled trial involving 600 minority group inner-city adolescents recruited from Montefiore Medical Center (200 per group). The two control groups are: (1) Staycool, an 8-session HIV/STD harm reduction program that uses the same HIV curriculum as StaySafe but without the gender content or the research experience; and (2) So4Real, an 8-session HIV/STD harm reduction program that uses the same HIV curriculum as Staysafe, including the gender content, but without the research experience. Contrasting StayCool with So4Real will assess the effectiveness of adding gender content to HIV/STD interventions; comparing So4Real to Staysafe will assess the effect of the gender content combined with the research internship. Adolescents will be interviewed five times: baseline; T2 (2 months after baseline when curriculum training is completed, to assess effects of the training itself); T3 (4 months later, 6 months post-baseline, when the StaySafe internship experience is completed to assess the effects of the gender internship); T4 (one year after baseline) and T5 (1 8 months post baseline) to assess longer-term effects.

描述（由申请人提供）：少数群体内城市青少年是特别有获取艾滋病毒/性病的风险。基于社会的干预措施认知理论在降低风险方面已成功，但效果很小。我们向内城提出了一种新的干预措施， 13-16岁的青少年是处女。停工将提供基本的艾滋病毒/性病危害基于社会认知理论的8个会议的减少干预。然而，我们将通过有关性别，性别角色，性别的会议来增强此内容信念和艾滋病毒风险。然后，我们将与我们一起与我们一起与我们一起参与在有关性别和艾滋病毒/性病风险的参与式行动研究项目中。他们将有助于发展研究，进行媒体分析，进行参与者观察关于其社区的性别行为，并参与数据分析和解释。我们的假设是学习性别如何促进风险作为艾滋病毒，成为行动研究的参与者将使他们拥有基于性别规范的复杂思想，并提供了他们需要的工具识别并抵制增加艾滋病毒/性病风险的性别信息。停滞不前将有两个部分：（1）一项有效的8条艾滋病毒 /性病预防计划提供有关减少性风险的技能和知识，包括性别角色内容，以及（2）“性别和艾滋病毒”研究的付费职位每周工作4个小时。我们提出了三组意图对治疗随机对照试验涉及600个少数群体内城青少年从蒙特菲奥尔医疗中心招募（每组200）。两个控制组为：（1）StayCool，一种使用的8条艾滋病毒/性病损害计划，使用与停滞的艾滋病毒课程相同，但没有性别含量或研究经验；（2）SO4REAL，8条艾滋病毒/性病降低使用与Staysafe相同的HIV课程的程序，包括性别内容，但没有研究经验。与SO4REAL对比鲜明的住宿将评估将性别含量添加到艾滋病毒/性病的有效性干预措施；比较SO4REAL与停工将评估性别内容与研究实习相结合。青少年会采访了五次：基线； T2（基线后2个月，课程培训完成，以评估培训本身的影响）； T3（4个月后来，在基线后六个月，当时的实习经验是完成以评估性别实习的影响）； T4（一年后基线）和T5（基线后1 8个月）评估长期影响。