Reducing HIV/STI Risk Among Adolescents Aged 12 to 14 Years: a Randomized Controlled Trial of Project Prepared.
Reducing HIV/STI Risk Among Adolescents Aged 12 to 14 Years: a Randomized Controlled Trial of Project Prepared.
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减少12至14岁青少年的艾滋病毒/性传播感染风险：准备项目的随机对照试验。
DOI：
10.1007/s11121-021-01203-0
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Leu CS
中科院分区：
文献类型：
--
作者：
Bauman LJ;Watnick D;Silver EJ;Rivera A;Sclafane JH;Rodgers CRR;Leu CS
尽管呼吁为12至14岁过渡到青春期的青年提供基于证据的艾滋病毒/性传播感染预防方案，但几乎没有有效的方案。在纽约布朗克斯进行的两组意向治疗随机试验中，397名参与者被随机分配到项目准备组或注意力控制组。参与者在基线、6个月和12个月完成调查。Prepared有两个部分，一个为期11个课程的计划和一个为期3周的实习。内容涵盖了性风险行为、社会认知、性别规范、人际关系和韧性。青少年建立了沟通技能，并具有与准备好的相同的强度和结构，但没有性内容。在这两个项目中，男孩和女孩一起接受了 11青少年混合小组的训练.主要结果是艾滋病毒知识、自我效能、避孕套结果预期和行为意图。次要结果是对关系的期望和对危险的性别规范的认可。广义估计方程分析显示，与T2岁的青少年相比，随机接受准备的青少年在艾滋病毒知识、性自我效能和使用避孕套的结果预期方面有显著改善。在T3阶段，在使用避孕套的预期结果、性自我效能感和性伴侣对HIV/AIDS或性传播感染的沟通意向上存在显著差异。按性别进行的分析显示，项目对男孩(打算与伴侣谈论避孕套使用、禁欲自我效能、性自我效能和避孕套结果预期)和女孩(性别规范和禁欲结果预期)都有影响。为有效降低青少年的风险做好准备。临床试验.gov ID：nct01880450，协议ID：10.1007-551.在线版本包含补充材料，可在10.1007/s11121-021-820-0获得。
Despite calls for evidence-based HIV/STI prevention programs for youth aged 12 to 14 transitioning to adolescence, few effective programs exist. In a two-group intent-to-treat randomized trial in the Bronx, NY, 397 participants were randomly assigned to Project Prepared or an attention control, TEEN. Participants completed surveys at baseline, 6 months, and 12 months. Prepared had two components, an 11-session program and a 3-week internship. Content covered sexual risk behavior, social cognitions, gender norms, relationships, and resilience. TEEN built communication skills and had the same intensity and structure as Prepared but no sexual content. In both, boys and girls were trained together in mixed groups of ~ 11 teens. Primary outcomes were HIV knowledge, self-efficacy, condom outcome expectancy, and behavioral intentions. Secondary outcomes were relationship expectations and endorsement of risky gender norms. Generalized estimating equation analyses showed youth randomized to Prepared had significant improvements compared to TEEN at T2 in HIV knowledge, sexual self-efficacy, and outcome expectancy for condom use. At T3, there were significant differences favoring Prepared in outcome expectancy for condom use, sexual self-efficacy, and intention for partner communication about HIV/AIDS or STIs. Analyses by gender showed program effects in both boys (intention to talk to a partner about condom use, abstinence self-efficacy, sexual self-efficacy, and condom outcome expectancy) and girls (gender norms, and abstinence outcome expectancy). Prepared effectively reduced risk in young adolescents. ClinicalTrials.gov ID: NCT01880450, Protocol ID: 2008-551 The online version contains supplementary material available at 10.1007/s11121-021-01203-0.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
3.1
作者：
Ellen, JM;Adler, N;Tschann, J
通讯作者：
Tschann, J
影响因子：
4.4
作者：
Bauman, LJ;Berman, R
通讯作者：
Berman, R
影响因子：
1
作者：
Atkiss, Katy;Moyer, Matthew;Roland, Michele
通讯作者：
Roland, Michele
影响因子：
4.2
作者：
DePadilla, Lara;Windle, Michael;DiClemente, Ralph
通讯作者：
DiClemente, Ralph