A Parent-Child Program to Prevent Adolescent Pregnancy

描述(由申请者提供)：这个项目将开发和评估一个基于理论的互动多媒体程序，供父母及其青春期子女(10-14岁)使用，以防止青少年怀孕。该计划将有行为为重点的沟通技能培训和教育内容，既有量身定做，也有针对性的用户。它将根据父母关于青春期性行为的价值观进行调整(即：(A)延迟性接触(DSI)并向儿童提供关于避孕药具和性传播感染(STI)的教育，(B)未接受避孕/性传播感染教育的DSI，或(C)未接受避孕/STI教育的节欲)。此外，节目内容将针对(A)父母种族/民族(即非裔美国人、高加索人和西班牙裔)、(C)父母性别和(D)儿童性别。完成后，这个全面的计划将包括一个供父母使用的组件，以及另一个供父母和孩子一起使用的组件。该计划旨在有效解决父母及其子女的知识缺陷，并提供与父母关于青春期性行为的价值观一致的父母和子女之间有效沟通的培训和建模。该方案将以光盘、因特网/内联网、DVD和VHS录像带格式开发。它将适合在广泛的环境中使用(例如，家庭、工作场所、卫生和社区组织)。第一阶段的原型将针对有女儿的非裔美国母亲(青春期意外怀孕风险最高的亚群)，她们重视DSI，但希望接受避孕/性传播感染教育。它将在两个城市社区中心进行随机试验进行评估。

DESCRIPTION (provided by applicant): This project will develop and evaluate a theoretically-based interactive multi-media program for use by parents and their adolescent children (10-14 years of age) to prevent adolescent pregnancy. The program will have behaviorally focused communication skills training and educational content that is both tailored and targeted to the user. It will be tailored by parental values regarding adolescent sexual behavior (i.e., (a) delay sexual involvement (DSI) and provide the child with education about contraceptives and sexually transmitted infections (STI), (b) DSI with no contraceptive/STI education, or (c) abstinence with no contraceptive/STI education). In addition, program content will be targeted by (a) parental race/ethnicity (i.e., African American, Caucasian, and Hispanic), (c) parental gender, and (d) gender of the child. When complete, this comprehensive program will include a component for use by the parent, and another for use by the parent and child together. The program will be designed to effectively address the knowledge deficits of both parents and their children, and provide training and modeling in effective communication between the parent and child that are consistent with the parent's values regarding adolescent sexual behavior. The program will be developed in CD-ROM, Internet/intranet, DVD and VHS videotape formats. It will be appropriate for use in a broad range of settings (e.g., homes, worksites, health and community organizations). The Phase I prototype will target African American mothers of daughters (the subgroup at highest risk for adolescent unintended pregnancy) who value DSI, but want contraceptive/STI education. It will be evaluated in a randomized trial at 2 urban community centers.