School-Based Alcohol and HIV Prevention in South Africa

描述(由申请者提供)：拟议的项目将为南非公立学校的青少年开发、实施和评估酒精和艾滋病毒预防课程和以学校为基础的小媒体运动。该课程将部分基于“惊人的替代方案”酒精预防课程，该课程是北国计划的一部分，评估结果表明，该课程在推迟美国和包括斯威士兰在内的几个发展中国家开始使用酒精方面取得了成功。该课程还将部分基于修改后的降低风险课程，这是一门以技能为基础的艾滋病毒和怀孕预防课程，经过调整，与高感觉寻求者和冲动的决策者进行了更多的互动和成功，并被评估为成功地推迟了多个美国学生样本的性行为开始。小型媒体活动将重点放在学生的学校，并将利用海报、游戏和竞赛、漫画书和报纸、视频和其他被确定为最有可能在南非取得成功的媒体，继续在课程中制定主题。拟议的项目借鉴并扩展了我们目前正在Pietermaritzburg地区夸祖鲁-纳塔尔省的几所乡镇中学进行的预防艾滋病毒和药物滥用的探索性研究。 在2-5年级期间，我们将招收两批8年级或9年级的学生，每个学生将被跟踪两个学年。八所学校将被随机分配到干预或比较课程条件；每所学校将被随机分配到第一组或第二组期间接受小媒体干预。对于每个群体，在第一学年(2年级和4年级)，酒精和艾滋病毒预防课程将在干预课程学校实施；在第二学年(3年级和5年级)，小型媒体运动将在小型媒体学校实施。通过这个实验设计，我们将评估新的酒精和艾滋病毒预防课程和以学校为基础的南非学生小媒体活动的有效性(包括简单和联合影响)。我们还将进一步研究社会心理中介变量、个体差异变量以及酒精与性风险行为之间的关系。

DESCRIPTION (provided by applicant): The proposed project will develop, implement, and evaluate an alcohol and HIV prevention curriculum and school-based small media campaign for teens in public schools in South Africa. The curriculum will be based in part on the "Amazing Alternatives" alcohol prevention curriculum, designed as part of Project Northland and evaluated to be successful at delaying the initiation of alcohol use of both in U.S. and in several developing countries, including Swaziland. The curriculum will also be based in part on the "Modified Reducing the Risk" curriculum, a skills-based HIV and pregnancy prevention curriculum, adapted to be more interactive and successful with high sensation seekers and impulsive decision-makers, and evaluated to be successful at delaying the initiation of sexual activity in multiple U.S. samples of students. The small media campaign will be focused in the students' schools and will continue themes developed in the curriculum, using posters, games and contests, comic books and newspapers, videos, and other media determined to be most likely to succeed in the South African setting. The proposed project draws from and extends our current, exploratory HIV and substance abuse prevention study, now underway in several township secondary schools in KwaZulu-Natal Province, Pietermaritzburg area. During Years 2-5 we will recruit two cohorts of 8th or 9th grade students who will be followed for two school years each. Eight schools will be randomized to the intervention or comparison curriculum conditions; each school will be randomized to receive the small media intervention during the first or second cohort. For each cohort, during the first school year (Years 2 & 4), the alcohol and HIV prevention curriculum will be implemented in intervention curriculum schools; during the second school year (Years 3 & 5), the small media campaign will be implemented in small media schools. With this experimental design, we will assess the effectiveness (including simple and joint effects) of both a new alcohol and HIV prevention curriculum and a school-based small media campaign for South African students. We will also further investigate the relationships among social psychological mediating variables, individual difference variables, and alcohol and sexual risk-taking behaviors.