Adapting an eHealth HIV/STI Prevention Program for Implementation among Foster Youth

调整电子健康艾滋病毒/性传播感染预防计划以在寄养青年中实施

• 批准号: 10596545
• 负责人: Julia Brasileiro
• 金额: $ 4.19万
• 依托单位: NORTH CAROLINA STATE UNIVERSITY RALEIGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10596545
• 关键词: AIDS prevention; Address; Adolescence; Adolescent; Adolescent and Young Adult; Age; Area; Attitude; Belief; Biological; Caregivers; Caring; Cognitive; Collaborations; Communication; Consolidated Framework for Implementation Research; Development; Diagnosis; Ensure; Fostering; Frustration; Goals; HIV; Health behavior change; Health education; Individual; Intervention; Interview; Manuscripts; Methods; Modeling; North Carolina; Outcome; Participant; Pilot Projects; Population; Preparation; Prevention program; Protocols documentation; Questionnaires; Research; Research Methodology; Risk; STI prevention; Safe Sex; Sampling; Scientist; Sexual Health; Sexual abuse; Sexually Transmitted Diseases; Social Environment; Social Workers; Teenagers; Testing; Training; Training Activity; Training Programs; Underserved Population; United States Dept. of Health and Human Services; Vulnerable Populations; Youth; adolescent sexual health; adverse childhood events; care systems; career; computer science; eHealth; evidence base; experience; flexibility; foster care; foster parent; future implementation; gaps in access; health disparity; high risk; implementation barriers; implementation facilitators; implementation science; implementation strategy; improved; informant; marginalization; neurodevelopment; prevent; preventive intervention; programs; response; scale up; skill acquisition; skills; social; theories; usability

Project Summary/Abstract Youth in foster care are a vulnerable group of adolescents at high risk of acquiring sexually transmitted infections (STIs), including HIV. Youth in foster care are estimated to have 3 times the risk of a diagnosed STI compared to youth not in care. The unique developmental experience of youth in foster care–marked by a challenging social context including instability, disrupted attachments with caregivers, and adverse childhood experiences–contributes to these health disparities. This social context, along with the neurodevelopment and biological changes common during adolescence, place foster youth at particularly high risk of acquiring HIV/STIs. Developmentally tailored HIV/STI prevention programs can reduce this risk, therefore access to such programs is critical for preventing HIV/STIs among youth in foster care. However, due to their transient social context, foster youth lack access to consistent and accurate HIV/STI prevention information. The purpose of this study is to address this gap in access to a tailored HIV/STI prevention program for foster youth by: (1) adapting an evidence-based eHealth HIV/STI prevention program for use with youth in foster care (Research Aims 1 and 2), (2) identifying possible barriers and facilitators to the program’s implementation (Research Aim 3), and (3) providing training to facilitate the proposed F31 PI’s ultimate career goal of becoming an independent research scientist in HIV prevention. The proposed study methods are grounded in the Consolidated Framework for Implementation Research, which will be used to inform a mixed methods approach to program adaptation, usability testing, and identification of barriers and facilitators to implementation. To adapt the eHealth HIV/STI prevention intervention, this study will utilize systematic, participatory methods engaging a Youth Advisory Board to incorporate developmentally appropriate adaptations. To elucidate individual- and inner-level barriers and facilitators to program implementation, this study will use questionnaires to sample key stakeholders (e.g., social workers, foster youth, foster parents) affiliated with the foster care system. This study will fill a gap in access to evidence-based eHealth HIV/STI prevention programs for a marginalized and mobile population of youth at heightened risk of HIV/STI acquisition. This proposed study implements the goals of NOT-MH-20-035, “Developmentally Tailored HIV Prevention and Care Research for Adolescents and Young Adults,” by tailoring an HIV/STI prevention program for youth in foster care and conducting implementation science to identify barriers and facilitators to program implementation. Through conducting this F31 study in coordination with proposed formal training activities, the proposed F31 PI will gain rigorous training towards becoming an independent research scientist in the following areas: (1) implementation science research methods; (2) qualitative content analysis; (3) quantitative skills used in implementation science research; (4) adolescent sexual health; and (5) professional development skills (e.g., manuscript preparation and presentation skills).

项目总结/摘要 寄养青少年是青少年中的一个弱势群体，有很高的性传播风险。 性传播感染，包括艾滋病毒。据估计，寄养青年患性病的风险是诊断的3倍 相比之下，年轻人没有得到照顾。青少年在寄养家庭的独特发展经验-以 具有挑战性的社会环境，包括不稳定，与照顾者的关系中断，以及不良的童年 这些健康差距的原因。这种社会背景，沿着神经发育， 青春期常见的生物变化，使寄养青年特别容易患上 艾滋病毒/性传播感染。针对发展的艾滋病毒/性传播感染预防方案可以减少这种风险，因此，获得这种预防方案的机会是必要的。 计划对于预防寄养青年中的艾滋病毒/性传播感染至关重要。然而，由于其短暂的社会 在这种情况下，寄养青年缺乏获得一致和准确的艾滋病毒/性传播感染预防信息的机会。的目的 本研究旨在通过以下方式解决寄养青年在获得量身定制的艾滋病毒/性传播感染预防计划方面的差距：（1） 调整基于证据的电子健康艾滋病毒/性传播感染预防计划，用于寄养青少年（研究 目标1和2），（2）确定可能的障碍和促进程序的实施（研究目标 3），以及（3）提供培训，以促进拟议的F31 PI的最终职业目标，成为一个 艾滋病预防的独立研究科学家。建议的研究方法是基于 实施研究综合框架，该框架将用于为混合方法提供信息， 程序调整、可用性测试以及识别障碍和促进因素的方法， 实施.为了适应电子健康艾滋病毒/性传播感染预防干预，本研究将利用系统， 参与式方法，让青年咨询委员会参与， 适应为了阐明个人和内部层面的障碍和促进程序的实施， 研究将使用问卷对关键利益相关者进行抽样调查（例如，社会工作者、寄养青年、寄养父母） 与寄养系统有关联这项研究将填补在获得基于证据的艾滋病毒/性传播感染电子保健方面的空白 针对边缘化和移动的青年人群的艾滋病毒/性传播感染高危人群的预防方案 采集本拟定研究实现了NOT-MH-20-035“发育定制HIV”的目标 青少年和年轻人预防和护理研究”，制定艾滋病毒/性传播感染预防方案 为寄养青少年和进行实施科学，以确定障碍和促进方案 实施.通过与拟议的正式培训活动协调开展F31研究， 拟议的F31 PI将获得严格的培训，成为独立的研究科学家， 以下几个方面：（1）实施科学的研究方法;（2）定性内容分析;（3）定量 在实施科学研究中使用的技能;（4）青少年性健康;（5）专业发展 技能（例如，论文写作和演讲技巧）。

项目成果

Evaluation of a Brief Online Sexual Health Program for Adolescents: A Randomized Controlled Trial.

青少年简短在线性健康计划的评估：随机对照试验。

• DOI: 10.1177/15248399231162379
• 发表时间: 2023
• 期刊: Health promotion practice
• 影响因子: 1.9
• 作者: McCrimmon,Jordyn;Widman,Laura;Javidi,Hannah;Brasileiro,Julia;Hurst,Jeffrey
• 通讯作者: Hurst,Jeffrey

National trends and disparate access to formal and informal sex education among youth involved with the child welfare system in the USA.

美国儿童福利系统的全国趋势以及青少年接受正式和非正式性教育的机会差异。

• DOI: 10.1080/14681811.2022.2134102
• 发表时间: 2023
• 期刊: Sex education
• 作者: Brasileiro,Julia;Widman,Laura;Norwalk,Kate;McCrimmon,Jordyn;Mullins,Lily
• 通讯作者: Mullins,Lily

Parents' attitudes towards the content of sex education in the USA: Associations with religiosity and political orientation.

美国家长对性教育内容的态度：与宗教信仰和政治取向的关联。

• DOI: 10.1080/14681811.2022.2162871
• 发表时间: 2024
• 期刊: Sex education
• 作者: Hurst,JeffreyL;Widman,Laura;Brasileiro,Julia;Maheux,AnneJ;Evans-Paulson,Reina;Choukas-Bradley,Sophia
• 通讯作者: Choukas-Bradley,Sophia