Addressing Sexual Behavior Among Disadvantaged Youth

解决弱势青少年的性行为问题

• 批准号: 6745738
• 负责人: KARIN Kristina COYLE
• 金额: $ 54.81万
• 依托单位: EDUCATION, TRAINING, & RESEARCH ASSOCS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-10 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6745738
• 关键词: HIV infections; adolescence (12-20); age at pregnancy; behavior modification; behavior test; behavioral /social science research tag; clinical research; community health services; condoms; contraceptives; curriculum; data collection methodology /evaluation; disease /disorder prevention /control; education evaluation /planning; health surveys; high risk behavior /lifestyle; human subject; longitudinal human study; outcomes research; pregnancy; psychological values; sex behavior; sexually transmitted diseases; social psychology; socioeconomics; statistics /biometry

DESCRIPTION (provided by investigator): This project is designed to reduce the risk of HIV, other sexually transmitted disease (STD), and unplanned pregnancy among high school-aged youth attending district alternative (i.e., continuation) schools. This study involves three key activities: (1) developing and implementing a theoretically-based intervention that integrates two program strategies drawn from evidenced-based prevention programs; (2) conducting a rigorous outcome and process evaluation; and (3) disseminating the study findings and materials to the field. The outcome data from this study also will provide an opportunity to better understand the sexual behavior patterns and related norms and values among youth in alternative settings, an under-studied population at great risk for HIV, other STDs, and unplanned pregnancy. The proposed study will assess the individual and combined effects of two theoretically based intervention components: (1) a skills- and norm-based HIV, other STD, and pregnancy prevention curriculum; and, (2) community involvement and service learning. The curriculum component will address essential skills, norms, and knowledge supporting behavior change and provide ample opportunities for acquisition and practice of key skill and risk reduction strategies. The service learning component will help enhance students' sense of purpose and future and provide opportunities for positive connection, both potential motivational influences to avoid risk-taking behaviors. These components stem from several effective interventions/studies, including Making Proud Choices (Jemmott, Jemmott, & Fong, 1998), Safer Choices (Coyle et al., 1999, 2001), Teen Outreach Program (TOP) (Philliber & Allen, 1992), and Reach for Health Community Youth Service (CYS) (O'Donnell et al., 2002). The intervention effects will be tested using a 2 x 2 experimental pretest-posttest-delayed posttest design involving 84 classrooms (1,512 youth). Classrooms will be randomly assigned to one of four intervention conditions: skills- and norms-based curriculum, service learning, skills and norms curriculum plus service learning, or an attention control curriculum. Students will be assessed at baseline and at 6- and 18-months after program entry. Multilevel analyses will be used to account for the clustering of students within classrooms. Few studies have examined the effects of HIV/STD/pregnancy prevention interventions with youth in alternative settings. Additionally, no published study has examined both the individual and combined effects of a skills- and norm-based curriculum and service learning. Thus, this project will advance existing research on sexual risk behavior as well as provide new data on an important youth population.

描述（由研究者提供）：本项目旨在降低就读学区替代（即继续）学校的高中青少年感染艾滋病毒、其他性传播疾病（STD）和意外怀孕的风险。本研究涉及三个关键活动：(1)开发和实施一种基于理论的干预措施，该干预措施整合了从基于证据的预防方案中提取的两种方案策略；(2)进行严格的结果和过程评估；(3)向现场传播研究成果和资料。这项研究的结果数据也将为更好地了解另类环境中青少年的性行为模式和相关规范和价值观提供机会，这是一个未被充分研究的人群，他们患艾滋病毒、其他性传播疾病和意外怀孕的风险很大。这项拟议的研究将评估两个基于理论的干预组成部分的单独和综合效果：(1)基于技能和规范的艾滋病毒、其他性病和怀孕预防课程；(2)社区参与与服务学习。课程内容将涉及支持行为改变的基本技能、规范和知识，并为获取和实践关键技能和降低风险策略提供充足的机会。服务学习成分有助于增强学生的目标感和未来感，并提供积极联系的机会，两者都是避免冒险行为的潜在动机影响。这些组成部分源于几个有效的干预/研究，包括做出骄傲的选择（Jemmott, Jemmott, & Fong， 1998年），更安全的选择（Coyle等人，1999年，2001年），青少年外展计划（TOP） （Philliber和Allen， 1992年），以及健康社区青年服务（CYS） （O'Donnell等人，2002年）。干预效果将采用2 × 2实验前测后测延迟后测设计进行测试，涉及84个教室（1,512名青少年）。教室将被随机分配到四种干预条件中的一种：基于技能和规范的课程，服务学习，技能和规范课程加服务学习，或注意力控制课程。学生将在项目进入后的基线和6个月和18个月进行评估。将使用多层次分析来解释教室内学生的聚集性。很少有研究检查艾滋病毒/性病/怀孕预防干预措施对另类环境中的青少年的影响。此外，没有发表的研究调查了以技能和规范为基础的课程和服务学习的个人和综合影响。因此，该项目将推进现有的关于性危险行为的研究，并为重要的青年群体提供新的数据。