Partner-Specific HIV Risk Reduction for Drug Using Incarcerated Adolescents

针对吸毒被监禁青少年的特定合作伙伴的艾滋病毒风险降低

• 批准号: 7804005
• 负责人: CYNTHIA ROSENGARD
• 金额: $ 8.54万
• 依托单位: WOMEN AND INFANTS HOSPITAL-RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-25 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7804005
• 关键词: AIDS/HIV problem; Acquaintances; Adolescent; Alcohol abuse; Alcohol or Other Drugs use; Attitude; Behavior; Behavior Therapy; Behavioral; Clinical Trials; Cognitive Therapy; Collaborations; Communication; Communities; Condition; Criminal Justice; Decision Making; Dependence; Discipline; Drug Use Disorder; Drug abuse; Drug usage; Effectiveness of Interventions; Family; Feedback; Friendships; Future; HIV; Health; Imprisonment; Individual; Injection of therapeutic agent; Intervention; Intervention Studies; Knowledge; Learning; Life Style; Mediating; Modeling; Motivation; National Institute of Drug Abuse; Numbers; Object Attachment; Outcome; Participant; Perception; Pharmaceutical Preparations; Phase; Population; Pregnancy; Prevention; Randomized; Randomized Controlled Clinical Trials; Rate; Recommendation; Recruitment Activity; Relative (related person); Reporting; Research; Research Personnel; Residential Facilities; Risk; Risk Behaviors; Risk Reduction; Self Efficacy; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Specific qualifier value; Staging; Substance Use Disorder; Substance abuse problem; System; Teenagers; Testing; Treatment Efficacy; base; condoms; expectation; experience; high risk sexual behavior; lifestyle intervention; peer; programs; psychoeducation; safer sex; sex; size; skills; social; therapy development; transmission process; trial comparing; young adult

DESCRIPTION (provided by applicant): Incarcerated adolescents represent a group at high risk for health consequences associated with risky sexual behaviors. They report greater participation in a number of sexual risk behaviors (including sexual risk in conjunction with drug use), higher rates of sexually transmitted diseases (STDs) and pregnancy than their non-detained adolescent peers. Adolescents, including incarcerated teens, report sexual behavior both with partners with whom there is a relationship (main partners) and partners with whom there may be a friendship or only an acquaintance (non-main partners). Condom use is more common with non-main than main sex partners and substance use in conjunction with sexual risk also appears to vary by partner type. The long-term objective of this research program is to reduce HIV risk behavior among adolescents involved in the criminal justice system who abuse non-injection drugs by developing and establishing the efficacy of an intervention that includes a specific focus on partner-specific decision-making and behavior through presenting relevant information, enhancement of prevention motivation, opportunities to learn and -practice safer sex behavioral skills, and sexual decision-making in conjunction with substance use. Furthermore, we seek to advance knowledge of the mechanisms of action by which interventions reduce HIV risk behavior. In the present application, we propose to develop and pilot test a partner-specific HIV risk reduction intervention for incarcerated adolescents who report substance abuse. In the first phase of the study we will pilot the intervention with 20 incarcerated adolescents and elicit their feedback regarding their experiences and perceptions of the intervention. Following refinement of the intervention, we will conduct a small randomized trial (n=60) to examine the efficacy of the intervention relative to a healthy lifestyles psychoeducation intervention (HLS). We expect that, relative to CBT-SA), participants randomized to the intervention condition will have lower levels of sex-related HIV risk behavior and of substance use in conjunction with sexual risk. We will also examine the potential mechanisms by which the intervention produces a reduction in health risk behaviors. If found to be efficacious, this intervention will help to reduce the acquisition of HIV among substance using incarcerated adolescents.

描述（由申请人提供）：被监禁的青少年代表了与危险性行为相关的健康后果的高风险群体。他们报告说，与未被拘留的青少年同龄人相比，他们更多地参与一些危险性行为（包括与吸毒有关的性风险），患性传播疾病和怀孕的比率更高。青少年，包括被监禁的青少年，报告与有关系的伴侣（主要伴侣）和可能有友谊或只是熟人的伴侣（非主要伴侣）发生性行为。与主要性伴侣相比，非主要性伴侣使用避孕套更为普遍，与性风险相关的药物使用似乎也因性伴侣类型而异。这项研究计划的长期目标是减少刑事司法系统中滥用非注射毒品的青少年的艾滋病毒风险行为，方法是制定和建立干预措施的效力，其中包括通过提供相关信息，加强预防动机，学习和实践安全性行为技能的机会，以及性决策与药物使用的关系此外，我们寻求推进干预措施减少艾滋病毒风险行为的作用机制的知识。在本申请中，我们提出为报告药物滥用的被监禁青少年开发和试点测试特定于伴侣的HIV风险降低干预。在研究的第一阶段，我们将试点干预与20个被监禁的青少年，并征求他们的反馈意见，他们的经验和干预的看法。在完善干预措施后，我们将进行一项小型随机试验（n=60），以检查干预措施相对于健康生活方式心理教育干预（HLS）的有效性。我们预计，相对于CBT-SA），随机分配到干预条件的参与者将具有较低水平的性相关HIV风险行为和与性风险相关的物质使用。我们还将研究干预措施减少健康风险行为的潜在机制。如果发现有效，这一干预措施将有助于减少吸毒的被监禁青少年感染艾滋病毒的情况。