HIV RISK REDUCTION FOR SUBSTANCE-DEPENDENT ADOLESCENTS

这项申请要求资助评估两种行为艾滋病毒风险 减少物质依赖青少年的干预模式， 将其结果与全面的健康教育控制进行比较 条件 150名物质依赖青少年进入一个住宅 治疗方案将招募参与者。 50人参加 (10在5个队列波的每一个中）将被随机分配到12个会话 基于行为技能训练的小组干预; 50 (10/组，5组）将被随机分配到12节课程中 基于相同的行为技能培训模式加上艾滋病毒风险 致敏成分（BST+RS）; 50名参与者（10名/组，5组） 将被随机分配到一个全面的健康教育对照组 相同时间的条件。 干预前后以及 6-和12个月随访评估，所有受试者将完成测量 艾滋病风险知识、健康心理控制源、对艾滋病的态度 预防，对避孕套的态度，社会支持，自我报告 性行为和物质使用的频率，自我和反应， 艾滋病风险、冲动性和感觉的功效、个性化 寻求，以及解决问题能力的录音评估 和行为技能的角色扮演模拟高风险的情况下。 作为 将收集确证措施、性病和怀孕信息 从治疗计划中。所有的年轻人将在进入 药物治疗，并将同时参与其中一项干预措施 接受药物依赖治疗， 出院后一年。 多变量数据分析将比较两者 实验方案对照教育控制条件进行评价 干预措施对降低风险行为的影响。 据推测 所有这三种干预措施都将增加对艾滋病毒/艾滋病的认识， 只有两种干预措施结合行为技能训练， 产生一个更内在的控制点，对 减少风险和使用避孕套，在角色扮演中提高行为技能 颁布，增加社会支持和个人价值观符合 预防行为，降低性病和怀孕率后， 干预接受风险敏感化部分的受试者 (BST+RS）预计将在个性化方面表现出更大的变化， 风险，自我和反应效能，以及性行为比那些谁 单独接受技能培训（BST）。 研究结果将有助于 与高风险物质依赖青少年一起工作的环境。

This application requests funding to evaluate two behavioral HIV risk reduction intervention models with substance dependent adolescents and to compare their outcome against a comprehensive health education control condition. 150 substance dependent adolescents entering a residential treatment program will be recruited for participation. 50 participants (10 in each of 5 cohort waves) will be randomly assigned to a 12 session small group intervention based on behavior skills training (BST); 50 (10/group, 5 groups) will be randomly assigned into a 12 session program based on the same behavior skills training model plus an HIV risk sensitization component (BST+RS); and 50 participants (10/group, 5 groups) will be randomly assigned to a comprehensive health education control condition of the same duration. Before and after the intervention and at 6- and 12-month follow up assessments, all subjects will complete measures of AIDS risk knowledge, health locus of control, attitudes toward HIV prevention, attitudes toward condoms, social support, self-reported frequencies of sexual behavior and substance use, self- and response- efficacy, personalization of AIDS risk, impulsivity, and sensation seeking, as well as audiotaped assessments of problem solving competency and behavioral skill in role play simulations of high risk situations. As corroborative measures, STD and pregnancy information will be collected from the treatment program. All youths will be recruited upon entry into drug treatment and will participate in one of the interventions concurrent with treatment for their substance dependency and then be followed for one year post discharge. Multivariate data analyses will compare the two experimental programs against the education control condition to evaluate the interventions' impact in lowering risk behavior. It is hypothesized that all three interventions will increase knowledge about HIV/AIDS, but that only the two intervention incorporating behavior skills training will produce a more internal locus of control, more favorable attitudes toward risk reduction and condom use, greater behavioral skill in role play enactments, increase social support and personal values consistent with precautionary behavior, and lower STD and pregnancy rates following the intervention. Subjects who receive the risk sensitization component (BST+RS) are predicted to demonstrate greater change in personalization of risk, self- and response-efficacy, and sexual behavior than those who received skills training alone (BST). The results will be useful to settings that work with high risk substance dependent adolescents.