StaySafe: Reducing Risk Among Adolescents

StaySafe：降低青少年的风险

• 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
• 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
• 来源: https://reporter.nih.gov/project-details/7020011
• 关键词: AIDS; AIDS education /prevention; HIV infections; adolescence (12-20); behavior test; behavior therapy; behavioral /social science research tag; cognitive behavior therapy; communication behavior; condoms; disease /disorder prevention /control; disease /disorder proneness /risk; drug abuse prevention; gender difference; human subject; human therapy evaluation; interview; racial /ethnic difference; safe sex /sex abstinence; sex behavior; sex education; sex roles; sexually transmitted diseases; training; AIDS; AIDS education /prevention; HIV infections; adolescence (12-20); behavior test; behavior therapy; behavioral /social science research tag; cognitive behavior therapy; communication behavior; condoms; disease /disorder prevention /control; disease /disorder proneness /risk; drug abuse prevention; gender difference; human subject; human therapy evaluation; interview; racial /ethnic difference; safe sex /sex abstinence; sex behavior; sex education; sex roles; sexually transmitted diseases; training

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。