Recruiting, engaging & retaining families for interventions to prevent HIV transm

招聘、吸引

基本信息

批准号：
7623172
负责人：
Norweeta Germaine Milburn
金额：
$ 19.25万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-05-15 至 2011-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7623172
关键词：
AIDS prevention Address Administrator Adolescent Adult African American Caring Centers for Disease Control and Prevention (U.S.)Characteristics Communication Community Health Education Conflict (Psychology)Coping Skills County Development Drug usage Effectiveness Enrollment Ensure Evidence based intervention Family Family Relationship Family member Focus Groups Goals HIV HIV Infections Intervention Intervention Studies Interview Link Los Angeles Marketing Mental Health Methods Monitor National Institute of Drug Abuse Outcome Parents Performance Pharmaceutical Preparations Phase Population Prevention Problem Solving Problem behavior Process Protocols documentation Randomized Recruitment Activity Reporting Research Research Design Resolution Risk Risk Behaviors Role Schools Social Environment Students Substance abuse problem Surveys Symptoms System Testing United States National Institutes of Health Youth base behavior change coping design evidence base high risk improved informant juvenile justice system prevent probation programs public health relevance recidivism safer sex sex risk skills social success teacher

项目摘要

DESCRIPTION (provided by applicant): The goal of this application is to show that by enhancing the recruitment, engagement, and retention of families, the rate of participation in, and the effectiveness of a brief family intervention for African American youth at risk for HIV infection - delinquent adolescents - can be significantly strengthened. The proposed study will utilize "Families that Care: Guiding Good Choices" (GGC) (aka "Preparing for the Drug Free Years"); a brief efficacious family intervention that increases family connectedness and decreases drug use. We will attempt to optimize participation by developing an enhanced protocol that addresses contextual barriers pertaining to recruitment, engagement and retention. The enhanced protocol will include a motivational DVD for parents, a motivational recruitment session and a pre-session for families to tell their stories and describe their current family goals. The efficaciousness of the GGC will be further increased by customizing it for use with African American delinquent adolescents and their families. The research will entail two phases. Phase 1 will encompass the tailoring of GGC and development of the enhanced protocol. Phase 2 will pilot test the enhanced protocol and GGC with 60 African American delinquent adolescents currently on probation who are enrolled in 6 Los Angeles County Office of Education's Community Day Schools and their parents (parents includes an adult guardian). Families (African American students on probation and their parents) will be randomly assigned to a protocol condition (enhanced protocol/GGC or standard protocol/GGC) and monitored at 3 months. The research aims are to: 1.) develop an enhanced protocol for recruiting, engaging and retaining African American delinquent adolescents in probation schools and their parents in GGC; 2.) examine the appropriateness of GGC for a new population (African American delinquent adolescents in probation schools and their parents) as perceived by administrators, teachers, students and parents through qualitative focus groups and key informant interviews; and 3.) pilot test the enhanced protocol and GGC using a randomized two groups design to evaluate the efficacy of the enhanced protocol in achieving optimal recruitment, engagement and retention, and preliminarily examine the efficacy of GGC to improve family functioning, mental health, and problem behaviors (HIV risk behaviors, school performance and recidivism). PUBLIC HEALTH RELEVANCE African Americans are at high risk for long-term negative, HIV-related outcomes (Anderson & Smith, 2005; Centers for Disease Control and Prevention, 2005; Shavers-Hornaday et al., 1997) as are delinquent adolescents on probation (Morris et al., 1995), and delinquent adolescents who cycle in and out of the juvenile justice system (Benda et al., 2001). Recent efforts that have achieved success suggest that individually focused prevention efforts need to be embedded within broader social contexts, such as the family system, to sustain behavior change (Lightfoot et al., 2006; Rotheram-Borus, 2005; Pequegnat et al., 2001; Boyd-Franklin et al., 2001).The goal of this R21 application is to show that by enhancing the recruitment, engagement, and retention of families, the rate of participation in, and the effectiveness of an evidence based brief family intervention for African American youth at risk for HIV infection can be significantly strengthened.

描述（由申请人提供）：本申请的目的是表明，通过增强家庭的招聘，参与和保留，参与率以及对有艾滋病毒感染风险的非裔美国人青年的短暂家庭干预的有效性 - 犯罪青少年 - 犯罪青少年 - 可以显着加强。拟议的研究将利用“关心的家庭：指导良好的选择”（GGC）（又称“为无药物准备的准备”）；短暂的有效家庭干预措施增加了家庭联系并减少药物使用。我们将尝试通过制定一个增强的协议来优化参与，该协议解决与招聘，参与和保留有关的上下文障碍。增强的协议将包括针对父母的激励性DVD，励志招聘会议以及对家庭讲述故事并描述其当前家庭目标的会议。通过将其定制供非裔美国人犯罪青少年及其家人使用，将进一步提高GGC的有效性。该研究将需要两个阶段。第1阶段将涵盖GGC的剪裁和增强协议的开发。第2阶段将与60名非裔美国人犯罪青少年进行缓刑的60名非裔美国犯罪青少年进行试点测试，这些协议和GGC正在接受缓刑，这些青少年已入选洛杉矶县6个教育社区日间学校及其父母（父母包括成人监护人）。家庭（缓刑及其父母的非洲裔美国学生）将随机分配到协议条件（增强协议/GGC或标准方案/GGC），并在3个月时进行监控。该研究的目的是：1。）制定增强的协议，用于招募，参与和保留非裔美国人犯罪的青少年在缓刑学校及其父母在GGC中； 2.）通过定性焦点小组和主要的线人访谈，检查了GGC对新人群（缓刑学校及其父母的犯罪青少年及其父母的犯罪青少年）的适当性； 3.）试点使用随机两组设计来测试增强的协议和GGC，以评估增强协议在实现最佳招募，参与和保留率方面的功效，并初步研究GGC改善家庭功能，心理健康，心理健康和问题行为的功效（HIV风险行为和学校表现，学校的表现和累犯）。公共卫生相关性非洲裔美国人面临与HIV相关的长期负面影响的高风险（Anderson＆Smith，2005;疾病控制与预防中心，2005年； Shavers-Hornaday等，1997）以及试用期间的犯罪青少年，也是如此（Morris等人，1995年，1995年），以及Whitquent Adecents and delinquent and and and and and and and and and and and and and and and and and and jude of Jude of Jude of Jude of Jude。取得成功取得成功的最新努力表明，要维持行为变化的更广泛的社会环境，例如家庭系统（Lightfoot等，2006; Rotheram-Borus，2005; Pequegnat等，2001; Boyd-Franklin eftrienting of Noriest andrienting andive of的范围），以增强R21的范围，需要将个人系统置于更广泛的社会环境中，以维持行为的变化。参与以及基于证据的对艾滋病毒感染风险的非洲裔美国青年的简短家庭干预的有效性可以得到显着加强。