Factors Associated with Teens' Non-Responsiveness to HIV Intervention

青少年对艾滋病毒干预无反应的相关因素

基本信息

批准号：
7685682
负责人：
JESSICA A SALES
金额：
$ 14.22万
依托单位：
EMORY UNIVERSITY
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：
2009-04-01 至 2014-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7685682
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Adolescent Adoption African American Alcohol consumption Anxiety Area Behavior Behavior Therapy Behavioral Centers for Disease Control and Prevention (U.S.)Characteristics Classification Commit Communities Contracts County Data Development Educational workshop Effectiveness Epidemic Esthesia Evaluation Evidence based intervention Exposure to Failure Female Adolescents Future Gender Goals HIV HIV Infections HIV/STD Health Impulsivity Individual Individual Differences Intervention Interview Knowledge Mental Health Mentored Research Scientist Development Award Mentors Methods Modeling National Institute of Mental Health Participant Pattern Personality Pharmaceutical Preparations Pilot Projects Population Prevention Research Prevention program Preventive Intervention Process Psychological Factors Psychosocial Factor Qualitative Research Randomized Recording of previous events Relative (related person)Research Research Design Research Personnel Research Training Risk Risk Behaviors Risk Reduction Sales Science Services Sex Behavior Societies Structure Subgroup Surveys Target Populations Techniques Teenagers Testing Trauma Universities base behavior change career condoms coping design emotion regulation evidence base follow-up health disparity high risk high risk behavior meetings member named group programs psychosocial public health relevance research study safer sex sex risk skills systematic review theories trait

项目摘要

DESCRIPTION (provided by applicant): I am committed to a career in HIV/STD prevention research. To become a fully independent investigator, I am applying for the NIMH Mentored Research Scientist Development Award (K01) to augment my training and research in HIV/STD prevention research for vulnerable adolescents. Towards this goal, I will participate in courses, workshops, seminars, and mentoring meetings to enhance my existing knowledge and research skills, and acquire new knowledge and research skills specific to the design, implementation, adaptation and evaluation of HIV/STD prevention programs for adolescents. My proposed research plan, to be conducted at Emory University and the Fulton County Department of Health and Wellness, in Atlanta, Georgia, with the guidance of my Mentors (Primary Mentor: R. DiClemente, Co-Mentors: G. Wingood and S. Kalichman), can contribute significantly to the field of adolescent HIV prevention science in substantive and practical ways. Study 1 is a mixed-method study patterned after research conducted by my Co-Mentor (Dr. Kalichman), designed to: 1) identify the proportion of African-American female adolescents exposed to an HIV intervention that do not change their condom use, and 2) describe the personal, behavioral and psychosocial factors associated with "failure to change" condom use following an HIV intervention. Data from Study 1 directly informs Study 2. In Study 2, I will adapt an existing effective gender and culturally tailored adolescent HIV intervention developed by my Mentors (Dr. DiClemente, & Dr. Wingood), to enhance its efficacy for promoting condom use among African-American female adolescents who did not change their condom use after participating in an HIV intervention. The adaptation process will be guided by a sequential and systematic adaptation model, developed by Drs. Wingood and DiClemente, to facilitate the adaptation process. Study 2 is also a pilot test of the effectiveness of the adapted SiHLE intervention for this subgroup of non-responsive adolescents. The findings from the two studies in this application will make significant contributions to our understanding of adolescent sexual risk behavior and the development of effective HIV interventions which could modify the risk trajectory for HIV acquisition in hard-to-change adolescents. PUBLIC HEALTH RELEVANCE: HIV prevention interventions tailored for African-American adolescent females who are non-responsive to sexual behavior risk-reduction interventions are urgently needed as these individuals are at especially high- risk for contracting HIV/STDs. The adoption of the adapted SiHLE intervention by other health departments and community-based AIDS service organizations has the potential to reach a broad audience and a population substantially impacted by the HIV epidemic.

描述（由申请人提供）：我致力于艾滋病毒/性病预防研究。为了成为一名完全独立的研究者，我正在申请 NIMH 指导研究科学家发展奖 (K01)，以加强我在弱势青少年艾滋病毒/性病预防研究方面的培训和研究。为了实现这一目标，我将参加课程、讲习班、研讨会和指导会议，以增强我现有的知识和研究技能，并获得专门针对艾滋病毒/性病预防项目的设计、实施、调整和评估的新知识和研究技能。青少年。我提议的研究计划将在佐治亚州亚特兰大的埃默里大学和富尔顿县健康与保健部进行，并在我的导师（主要导师：R. DiClemente，共同导师：G. Wingood 和 S. Kalichman）能够以实质性和实用的方式为青少年艾滋病毒预防科学领域做出重大贡献。研究 1 是一项混合方法研究，以我的合作导师（Kalichman 博士）进行的研究为模式，旨在：1）确定接受艾滋病毒干预且不改变安全套使用的非裔美国女性青少年的比例， 2) 描述与艾滋病毒干预后“未能改变”安全套使用相关的个人、行为和社会心理因素。研究 1 的数据直接为研究 2 提供信息。在研究 2 中，我将采用由我的导师（DiClemente 博士和 Wingood 博士）开发的现有有效的性别和文化定制青少年艾滋病毒干预措施，以提高其在促进青少年使用安全套方面的功效。参与艾滋病毒干预后没有改变安全套使用情况的非裔美国女性青少年。适应过程将由 Drs. 开发的连续且系统的适应模型指导。 Wingood 和 DiClemente，以促进适应过程。研究 2 也是一项试点测试，旨在检验调整后的 SiHLE 干预措施对无反应青少年亚组的有效性。本申请中两项研究的结果将为我们了解青少年性危险行为以及制定有效的艾滋病毒干预措施做出重大贡献，这些干预措施可以改变难以改变的青少年感染艾滋病毒的风险轨迹。公共卫生相关性：迫切需要针对对性行为风险降低干预措施无反应的非裔美国青春期女性量身定制艾滋病毒预防干预措施，因为这些人感染艾滋病毒/性病的风险特别高。其他卫生部门和社区艾滋病服务组织采用经过调整的 SiHLE 干预措施有可能惠及广大受众和受艾滋病毒流行严重影响的人群。