HIV PREVENTION & LIFE OPTIONS FOR YOUTH IN FOSTER CARE

描述(摘自摘要)：在这项研究中，研究人员将 制定和评估艾滋病毒预防和教育规划计划 寄养中遭受虐待和被忽视的青少年，将予以实施 通过独立生活计划(ILP)，这是一个技能建设计划， 在青少年退伍前为他们提供生活技能 监护权。先前的研究表明，教育参数，如 与老师的关系、逃学、成绩和教育 愿望可以预测艾滋病毒的风险知识、态度、行为 意图和行为。虽然短暂的认知行为 在短期和长期的随访中，干预措施似乎是有希望的 表明在这种高危青少年中取得的结果不会持久。 人口。艾滋病毒预防的一个组成部分--滥用和被忽视 青年应该包括为青年提供机会、技能和希望 为了他们的未来。这可以通过实施一项生活技能来实现 将艾滋病毒预防与终身选择建设相结合的计划 强调教育抱负和规划的干预。 将采用实验设计，随机分配430名青少年 要么是艾滋病毒预防加生活选择条件，要么是常规护理 条件。这两个条件都将在8个月的干预期间提供 相位。将使用评估的数据对该计划进行评估 在前、后和9个月的跟踪访谈中。主要结果是 都会是艾滋病毒的危险行为。次要成果包括：知识和 对艾滋病毒预防的态度、自我效能感、从事 艾滋病毒风险行为、未来的愿望和对储蓄的信念，以及 教育计划。这项研究的一个主要优点是，该计划将 通过ILP交付，ILP是一个完善的、由国家管理的计划 在社区里。ILP将提供：(1)获得高风险被滥用和 被忽视的青年；(2)尽职尽责的工作人员的参与 与研究理念一致的计划；以及(3) 有可能将为拟议研究开发的课程传播到 ILP计划在全州范围内(在密苏里州的七个地区) 社会服务部)和全国范围内。

DESCRIPTION (adapted from the Abstract): In this study the researchers will develop and evaluate an HIV-prevention plus educational planning program for abused and neglected youths in foster care, which will be implemented through the Independent Living Program (ILP), a skills-building program that provides life skills to youths before they are discharged from state custody. Previous research indicates that educational parameters such as relationships with teachers, skipping school, grades, and educational aspirations are predictive of HIV-risk knowledge, attitudes, behavioral intentions, and behaviors. Although brief cognitive-behavioral interventions appear to be promising in the short term, long-term follow-up indicates that outcomes achieved do not last in this high risk adolescent population. An integral part of HIV-prevention with abused and neglected youth should involve providing youths with opportunities, skills, and hope for their futures. This can be achieved by implementing a life skills program that integrates HIV-prevention with a life-options building intervention that emphasizes educational aspirations and planning. An experimental design will be used and 430 youths will be assigned randomly either to an HIV-Prevention Plus Life Options condition or to the usual care condition. Both conditions will be delivered over an 8-month intervention phase. Evaluation of the program will be performed using data assessed during pre-, post-, and 9-month follow-up interviews. The primary outcome will be HIV-risk behaviors. Secondary outcomes include: knowledge and attitudes about HIV prevention, self-efficacy, intentions to engage in HIV-risk behaviors, future aspirations and beliefs about savings, and educational plans. A major strength of this study is that the program will be delivered through the ILP, a well-established, state-administered program in the community. ILP will provide: (1) access to high-risk abused and neglected youths; (2) the involvement of committed staff delivering a program whose philosophy is consistent with that of the study; and (3) the potential to disseminate the curriculum developed for the proposed study to ILP programs both statewide (in the seven regions of Missouri's Department of Social Services) and nationwide.