HealthWise Dissemination: Translation to Multiple Schools

HealthWise 传播：翻译到多所学校

基本信息

批准号：
8116612
负责人：
LINDA Lee CALDWELL
金额：
$ 53.39万
依托单位：
PENNSYLVANIA STATE UNIVERSITY, THE
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-01 至 2015-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8116612
关键词：
AIDS/HIV problem Address Administrator Adolescent Adopted African Age Alcohol or Other Drugs use Climate Commit Cost Analysis Country Development Distal Education Educational Curriculum Environment Evidence based intervention Health Health Services Research Incidence Intervention Trial Life Link Literature Mediation Methods Modeling Monitor Outcome Outcomes Research Phase Population Prevention approach Prevention education Prevention program Process Program Sustainability Public Health Randomized Research Research Project Grants Risk Risk Behaviors Role Schools Science Series South Africa Statistical Data Interpretation Structure Students Substance abuse problem Supervision Target Populations Testing Time Training Translating Translational Research Translations Universities Vacuum Youth base computerized data processing cost design efficacy trial evidence base experience high risk high school innovation programs public health relevance research study sex risk skills substance use prevention successful intervention teacher tenth grade theories therapy design

项目摘要

DESCRIPTION (provided by applicant): The aims of this study are to advance Type 2 translational science and theory building through targeting risk and protective factors for substance use and sexual risk (e.g., HIV/AIDS) among 8th and 9th grade South African youth. We will focus on factors that influence implementation fidelity of HealthWise South Africa: Life Skills for Adolescents, an evidence-based substance use and sexual risk prevention program that fills an educational vacuum in the high school curriculum at an age when students are at very high risk for initiating substance abuse and sexual risk. HealthWise, which has systematically evolved since 2000 through phases of pilot testing and an efficacy trial, will be disseminated to 56 high schools in South Africa beginning in February 2011. This presents us with an unprecedented opportunity to conduct an innovative randomized experiment to investigate three key independent variables hypothesized to influence implementation fidelity: teacher training; teacher structure, support and supervision; and enhancement of school environment. A cost analysis will also be conducted. Longitudinal outcome and process data will be collected from teachers, principals and students. Because of its scope and innovativeness, this has potential to be a landmark Type 2 translation study that will have implications for other research on school-based prevention programs that attempt to move to scale and translate to conditions that are outside of research-driven contexts. It will also address a critical gap in sexual risk and substance use prevention among South African youth at a particularly vulnerable time. PUBLIC HEALTH RELEVANCE: This proposal is aimed at reducing adolescent risk for sexual risk and substance use through understanding the role of effective implementation strategies. The research involves an integrated approach to prevention which has proven to be efficacious in a previous trial. This proposed translational trial will be conducted with 56 diverse high schools in South Africa, where the incidence of HIV/AIDS is among the highest in the world. If this trial is successful, the approach used in this trial could be a model for South Africa and other countries.

描述（由申请人提供）：本研究的目的是通过针对8年级和9年级的南非青年中的风险和性风险（例如艾滋病毒/艾滋病）来推进2型转化科学和理论建设。我们将专注于影响南非健康状况的实施忠诚的因素：青少年的生活技能，一种基于证据的物质使用和性风险预防计划，该计划填补了学生在学生处于极高风险时的高中课程中的教育真空用于引发药物滥用和性风险。 Healthwise自2000年以来一直通过试点测试和有效试验的阶段进行系统地演变，将于2011年2月开始将南非的56所中学传播到南非的56所中学。这使我们有前所未有的机会进行创新的随机实验，以调查三个关键的研究被认为影响实施忠诚的自变量：教师培训；教师结构，支持和监督；并增强学校环境。还将进行成本分析。纵向结果和过程数据将从教师，校长和学生那里收集。由于其范围和创新性，这可能是一项具有里程碑意义的2型翻译研究，该研究将对基于学校的预防计划的其他研究产生影响，该计划试图进行扩展和转化为在研究驱动的环境之外的条件。它还将在特别脆弱的时期解决南非青年的性风险和预防药物使用的危险差距。公共卫生相关性：该提案旨在通过了解有效实施策略的作用来减少青少年性风险和物质使用的风险。该研究涉及一种综合的预防方法，该方法已在先前的试验中有效。这项拟议的翻译试验将与南非的56所不同中学一起进行，那里的艾滋病毒/艾滋病发病率是世界上最高的。如果该试验成功，则该试验中使用的方法可能是南非和其他国家的典范。