REPLICATING A PEER INTERVENTION IN A MULTI-CULTURAL CITY

在多元文化城市中复制同伴干预

• 批准号: 6033294
• 负责人: DIANE M. MORRISON
• 金额: $ 48.05万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6033294
• 关键词: AIDS education /prevention; adolescence (12-20); age at pregnancy; behavioral /social science research tag; clinical research; education evaluation /planning; high risk behavior /lifestyle; human subject; human therapy evaluation; low socioeconomic status; motivation; peer group; racial /ethnic difference; sex behavior; sexually transmitted diseases; social support network

DESCRIPTION (Adapted from Applicant's Description) High rates of STDs and pregnancies among teens, and high personal and societal costs associated with teen pregnancy, STDs, and HIV, demonstrate that interventions to reduce sexual risk behavior are urgently needed. Examination of the success of school-based interventions suggests that providing information is not enough, and that interventions need to be culturally tailored and grounded. This application, submitted in response to RFA HD-98-015, proposes to replicate a community- based HIV intervention that targets naturally- occurring friendship networks, "Focus on Kids" (FoK), that Stanton et al. (1996) demonstrated to be efficacious in randomized trials with low income, African-American youth in Baltimore, MD. The investigators will tailor the intervention to a different, multicultural population, in a randomized, controlled experiment. They will compare the FoK intervention to two alternative conditions; to disentangle confounded effects of intervention content and mode of delivery: a control group similar to Stanton's; and an alternative control group that delivers the same intervention to youth who are not attending with friends, to allow the investigator to determine whether any intervention effect observed is due to the effect of friendships or to the content of the intervention. They will also assess a range of beliefs, norms and intentions, in order to understand how the intervention achieves the goal of behavior change. Specifically, the investigators aim: (1) to replicate, in a different and more ethnically diverse, community, the "Focus on Kids", intervention; (2) to determine whether the intervention effects are due to the intervention content, to grouping participants within friendship networks, or to both; (3) to evaluate mediators of the effects of the intervention suggested by Protection Motivation Theory (PMT) and the Theory of Reasoned Action (TRA); (4) to examine the maintenance of intervention effects over a 12-month follow- up period; and (5) to involve individuals, agencies, and other groups in the target community in the intervention and its implementation, and to build resources that will enable the intervention, if effective, to be delivered to young people in the control groups at the end of the follow-up period.

描述(根据申请人的描述改编)性传播疾病的高发病率和 青少年怀孕，以及与此相关的高昂的个人和社会成本 青少年怀孕、性传播疾病和艾滋病毒表明，减少性行为的干预措施 风险行为是迫切需要的。试析校本教育的成败 干预措施表明，仅提供信息是不够的，而且 干预措施需要在文化上量身定做并扎根于世。此应用程序， 提交给RFA HD-98-015，建议复制一个社区- 以自然产生的友谊网络为目标的艾滋病毒干预， 《聚焦儿童》(FOK)，斯坦顿等人。(1996)被证明是 在低收入非洲裔美国青年的随机试验中有效 马里兰州巴尔的摩调查人员将针对不同的、 在随机对照实验中，研究对象为多元文化人群。他们会 将FOK干预与两种替代条件进行比较；以解开 干预内容和交付方式的混淆效果：一项对照研究 与Stanton的相似的组；以及一个替代的对照组，提供 对没有和朋友一起参加的青少年进行同样的干预，让 调查人员确定观察到的任何干预效果是否由于 友谊的影响或干预的内容。他们会 还要评估一系列信念、规范和意图，以便了解 干预如何实现行为改变的目标。 具体地说，研究人员的目标是：(1)复制，在不同的和 更多种族多元化、社区、“关注儿童”、干预； 确定干预效果是否源于干预 内容，对友谊网络内的参与者进行分组，或两者兼而有之；(3) 评估以下建议的干预效果的调解人 保护动机理论(PMT)和理性行动理论(TRA)； (4)审查干预效果在12个月内的维持情况- (5)让个人、机构和其他团体参与 目标社区的干预及其实施，并构建 如果有效，将使干预措施能够交付到的资源 对照组中的青年在随访期结束时接受治疗。