A Parent and Adolescent HIV/STD Risk Reduction Program

家长和青少年艾滋病毒/性病风险降低计划

基本信息

批准号：
7685073
负责人：
ELLEN JOHNSON SILVER
金额：
$ 25.45万
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：
2009
资助国家：
美国
起止时间：
2009-04-02 至 2012-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7685073
关键词：
17 year old AIDS diagnosis AIDS/HIV problem Address Adolescent Adolescent Risk Behavior Adopted Adult Age Attention Attitude Behavior Behavioral Characteristics Child City Planning Cognitive Coitus Communication Communities Control Groups Counseling Data Development Distal Drug Formulations Economically Deprived Population Education Educational process of instructing Educational workshop Effectiveness Eligibility Determination Enrollment Evaluation Expectancy Family Feedback Focus Groups Gender Generations Goals HIV HIV Infections Happiness Home environment Hour Individual Infection Internships Intervention Intervention Studies Knowledge Lead Learning Link Longevity Love Measures Mediator of activation protein Minor Minority Minority Groups Modeling Monitor New York City Outcome Parenting Education Parents Participant Phase Play Preparation Prevention program Preventive Intervention Procedures Process Professional counselor Randomized Randomized Controlled Clinical Trials Randomized Controlled Trials Recruitment Activity Reporting Research Research Design Research Personnel Risk Risk Behaviors Risk Factors Risk Reduction Role Running Sampling Self Efficacy Series Sex Behavior Sexual Health Sexuality Sexually Transmitted Diseases Social support Societies Supervision Surveys System Techniques Teenagers Testing Theoretical model Time Training Training Programs Trust Unsafe Sex Work Youth alcohol and other drug base boys communication behavior condoms design disorder prevention disorder risk experience girls high risk inner city innovation intervention program meetings parent-child communication parental monitoring peer post intervention prevent programs public health relevance role model safer sex satisfaction sex sex risk sexual debut sexual relationship sexually active skills theories transmission process young adult

项目摘要

DESCRIPTION (provided by applicant): Minority group inner-city adolescents are at high risk for HIV/STDs. Several theory-based preventive interventions for adolescents have been tested, but the magnitude of their effects is small. While researchers have noted the importance of using a socio-ecological framework and emphasized the links between family context/characteristics and adolescent sexual risk behavior, few family-based HIV/STD interventions for teens have been evaluated. This proposal is for a 3-year exploratory/ developmental study involving a partnership between our Preventive Intervention Research Center and Planned Parenthood of New York City (PPNYC). Its goal is to apply an iterative approach that will support the early phases of development and evaluation of a family-based HIV/STD prevention program for 14-17 year old sexually experienced adolescents. This work is preparation for submitting an R01 in which we will conduct a full scale two-group intent-to-treat randomized controlled trial. The proposed family-based intervention has 2 components:1) "Let's Talk," an adaptation of a successful HIV/STD prevention program for inner-city adolescents, is a 13-session paid prevention program in which teens learn about safer sex behavior. Goals include helping teens to understand how gender and relationships norms influence sexual risk, and include sessions on talking to parents. In a 6-week internship, teens then develop and present a workshop of their own to educate their parents about teen sexual relationships and how youth want parents to talk to them about sex; and 2) a series of 4 skill-based peer educational workshops that help parents communicate more comfortably and effectively about sexuality with adolescents. They are conducted by PPNYC's Adult Role Models (ARMs), who are community parents trained as peer educators. We will involve the target community in this endeavor by first conducting focus groups with 20 adolescents and their parents to obtain input on the proposed program content and on possible strategies to recruit and retain families in the research and intervention. We then will conduct a pilot "run-through" of each of the two parts of the intervention with these families to evaluate the feasibility and acceptability of the intervention to participants. Last, we will recruit and randomize 66 families into a small-scale RCT of the revised program that will compare risk reduction effects of Let's Talk combined with the added parent workshops to those obtained when the adolescent intervention is given alone. This will allow us to: 1) test proposed recruitment procedures, 2) pre-test study measures, and 3) obtain the preliminary data needed as a pre-requisite to estimating effect sizes for a full-scale study. Public Health Relevance Adolescents are at high risk for HIV/AIDS and that risk is increasing in minority teens. Some previous risk reduction programs have been shown to be moderately effective, but the magnitude and longevity of effects has been disappointing. The study will provide information on risk and protective factors associated with adolescent sexual behavior and ways of intervening with adolescents and parents to prevent or reduce risk.

描述（由申请人提供）：少数群体内城青少年对艾滋病毒/性病的风险高。已经测试了一些基于理论的预防性干预措施，但其影响的大小很小。尽管研究人员指出了使用社会生态框架的重要性，并强调了家庭环境/特征与青少年性风险行为之间的联系，但对青少年的基于家庭的HIV/STD干预措施很少。该建议是针对为期3年的探索/发展研究，涉及我们的预防性干预研究中心与纽约市计划生育（PPNYC）之间的合作关系。它的目标是采用一种迭代方法，该方法将支持14-17岁的性经验丰富的青少年开发和评估的早期阶段和评估。这项工作是准备提交R01的准备工作，我们将在其中进行全尺度的两组意向性随机对照试验。拟议的基于家庭的干预措施有2个组成部分：1）“让我们谈谈”，改编了一项成功的艾滋病毒/STD预防计划，为市中心青少年预防计划，是一项13条经营的预防预防计划，青少年了解更安全的性行为。目标包括帮助青少年了解性别和人际关系规范如何影响性风险，并包括与父母交谈的会议。在一个为期6周的实习中，青少年随后成立并举办了自己的研讨会，以教育父母有关青少年性关系的教育，以及青年如何希望父母与他们谈论性行为； 2）一系列基于技能的同伴教育研讨会，可帮助父母更舒适，有效地与青少年进行性行为。它们由PPNYC的成人榜样（ARM）进行，他们是接受过同伴教育者培训的社区父母。我们将首先与20名青少年及其父母进行焦点小组，以获取有关拟议的计划内容的意见以及在研究和干预中招募和留住家庭的可能策略，从而使目标社区参与这项工作。然后，我们将对这些家庭的干预措施中的每个部分进行“直通”试点，以评估干预措施对参与者的可行性和可接受性。最后，我们将招募并随机将66个家庭随机分为修订程序的小规模RCT，将Let's Talk的风险降低效果与附加的家长研讨会相结合与单独进行青少年干预时获得的风险效应。这将使我们能够：1）测试提出的招聘程序，2）测试前研究措施，3）获得所需的初步数据，作为估算全面研究效果大小的先决条件。公共卫生相关性青少年对艾滋病毒/艾滋病的风险很高，少数青少年的风险正在增加。以前的一些降低风险计划已显示出适度的有效性，但是效果的规模和寿命令人失望。该研究将提供有关与青少年性行为相关的风险和保护因素的信息，以及与青少年和父母进行干预的方式，以防止或降低风险。