BRIEF ADOLESCENT ALCOHOL/HIV PREVENTION INTERVENTIONS

申请人摘要：需要简短的干预来解决 早期性活动和饮酒导致的复合问题 不受青少年无人监督的社交活动影响。简介 可以接触到大量青少年的干预措施 信息和/或增加照顾者的指导，如健康 提供者，可能会降低无人监督的社交饮酒率 青少年。我们的目标是：1)修改我们的音频自我评估和教育 该计划增加了青少年提供者对避孕套的讨论， 避孕套的使用增加，性传播疾病的迹象减少， 以便具体处理酒精/艾滋病毒风险的社会背景，2) 进行随机试验以确定a)音频干预 单独或b)音频+医生干预减少青少年饮酒 和性行为。华盛顿特区卫生领域的六项初级保健实践 维修组织(约20名医生)将参加 这项研究。研究人员将分别招聘大约18名 医生的病人年龄在12岁到15岁之间。青少年将会是 随机分为三个研究组：I-常规护理组、II-仅音频组、III-音频组 +医生。医患讨论避免饮酒和 性别将通过一般健康检查和TAP录音进行评估 青少年离职面谈。将对青少年的酒精行为进行测量 分别在4个月、8个月和12个月后通过电话采访指标医生就诊。 这项研究将演示音频自我评估是单独进行还是在 与提供者的建议相结合可以减少青少年饮酒和 无保护措施的性交。尽管这项研究的目标是中国的青少年 初级保健，简短的干预措施可以得到更广泛的管理，如果 证明是有效的。

APPLICANT'S ABSTRACT: Brief interventions are needed to address the compounded problem of early sexual activity and alcohol use which results from the unsupervised social activities of young adolescents. Brief interventions which can reach a large number of adolescents with salient messages and/or increase the guidance by care givers, such as health providers, may decrease rates of unsupervised social drinking among adolescents. We aim to: 1) Revise our audio self-assessment and education program, which increased adolescent-provider discussion about condoms, increased condom use, and decreased signs of sexually transmitted diseases, so that it specifically addresses the social context of alcohol/HIV risk, 2) Conduct a randomized trial to determine whether a) an audio intervention alone or b) an audio + physician intervention reduces adolescent alcohol use and sexual behavior. Six primary care practices in Washington, D.C. health maintenance organizations (approximately 20 physicians) will participate in this study. Research staff will recruit approximately 18 of each physician's patients age 12 through 15 years. Adolescents will be randomized into three study groups: I-Usual Care, II-Audio Only, III-Audio + Physician. Physician-patient discussion about avoiding alcohol use and sex will be assessed by tap recordings of the general health examination and adolescent exit interviews. Adolescents' alcohol behaviors will be measured by telephone interview 4-, 8- and 12-months after the index physician visit. This study will demonstrate whether audio self-assessment alone or in conjunction with provider advice can decrease adolescent alcohol use and unprotected sexual intercourse. Although the study targets adolescents in primary care, the brief interventions could be more broadly administered if shown effective.