REPLICATING A PEER INTERVENTION IN A MULTI-CULTURAL CITY

描述（改编自申请人的描述）性病的高发病率， 青少年怀孕，以及与怀孕有关的高昂的个人和社会成本， 青少年怀孕，性病和艾滋病毒，表明干预措施，以减少性行为， 风险行为是迫切需要的。 校本课程成功的检验 干预措施表明，提供信息是不够的， 干预措施需要有文化上的针对性和基础。 这个应用程序， 提交的回应RFA HD-98-015，建议复制一个社区- 以自然形成的友谊网络为目标的艾滋病干预， Stanton等人（1996年）证明，“关注儿童”（FoK） 在低收入的非裔美国青年中进行的随机试验中， 马里兰州巴尔的摩。 研究人员将根据不同的情况， 多元文化的人口，在一个随机的，受控的实验。 他们将 将FOK干预与两种替代条件进行比较; 干预内容和提供方式的混杂效应：对照 一组类似斯坦顿的;和一个替代控制组，提供了 对不与朋友一起参加的青年进行同样的干预， 研究者确定观察到的任何干预效应是否是由于 友谊的影响或干预的内容。 他们将 也评估一系列的信念，规范和意图，以了解 干预如何实现行为改变的目标。 具体来说，研究人员的目标是：（1）复制，在不同的， 更种族多样化，社区，“关注儿童”，干预;（2） 确定干预效果是否是由于干预 内容，分组友谊网络内的参与者，或两者;（3） 评估建议的干预措施的影响的介导因素， 保护动机理论与理性行为理论 (4)在12个月的随访中检查干预效果的维持情况- （5）让个人、机构和其他团体参与到 目标社区的干预和实施，并建立 如果干预措施有效，将能够提供资源， 在随访期结束时，对照组的年轻人。

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.