Brief Alcohol and HIV Prevention for Homeless Adolescents Who Exited Foster Care

针对退出寄养的无家可归青少年的简短酒精和艾滋病毒预防

基本信息

批准号：
7555348
负责人：
Ronald Greer Thompson
金额：
$ 23.04万
依托单位：
COLUMBIA UNIV NEW YORK MORNINGSIDE
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-30 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7555348
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Address Adherence Adolescent Age Alcohol consumption Alcohols Attention Attitude Behavior Behavioral Behavioral Model Cessation of life Cognitive Collaborations Competence Condition Crisis Intervention Development Educational Curriculum Effectiveness Employment Environmental Risk Factor Feedback Focus Groups Goals HIV HIV Infections Healthy People 2010 Homelessness Housing Independent Living Individual Intervention Interviewer Manuals Modeling Motivation National Institute on Alcohol Abuse and Alcoholism New York New York City Participant Provider Public Health Rate Readiness Research Resources Risk Risk Behaviors Risk Reduction Risk-Taking Sampling Services Sex Behavior Staging Testing Time Training Unsafe Sex alcohol measurement alcohol misuse base community living design early /brief intervention /therapy experience foster care housing instability innovation instrument life history motivational enhancement therapy pilot trial prevent response satisfaction skills social theories therapy design

项目摘要

DESCRIPTION (provided by applicant): This R21 application proposes the development and pilot feasibility trial of One Plus One (OPO), an innovative, theory-driven, two-session, individual-level intervention designed to reduce alcohol use, HIV sexual risk behaviors, and the use of alcohol during sexual activities among older adolescents who experienced housing instability or became homeless after transitioning from foster care to independent living. OPO will integrate brief motivational and cognitive-behavioral strategies to address adolescent alcohol and HIV risk behaviors and incorporate detailed feedback for risk reduction that are tailored to individual risk factors, environmental context, and stage of readiness to change. The intervention requires minimal resources, is readily transferable to other settings, and should be less likely to encounter attrition problems associated with longer, multi-session interventions. Moreover, even if this brief intervention is somewhat less effective than lengthy, more intensive approaches, the increased coverage from ease of dissemination may eventually result in a larger overall public health effect. PUBLIC HEALTH RELEVANCE The proposed research aims to develop and pilot an innovative, theory-driven, two-session, individual-level intervention designed to reduce alcohol use, HIV sexual risk behaviors, and the use of alcohol during sexual activities among older adolescents who became homeless after transitioning from foster care to independent living. This is one of few studies to integrate brief motivational and cognitive-behavioral strategies to address older adolescent alcohol and HIV risk behaviors and incorporate detailed feedback for risk reduction that are tailored to individual risk factors, environmental context, and stage of readiness to change. The intervention requires minimal resources, is readily transferable to other settings, should be less likely to encounter attrition problems associated with longer, multi-session interventions, and may, therefore, eventually result in a larger overall public health effect than more intensive approaches.

描述（由申请人提供）：此R21申请提出了一份（OPO）的开发和飞行员可行性试验，这是一种创新的，由理论驱动的，二次，两项，个人级别的干预措施，旨在减少酒精使用，HIV性风险行为，以及在经历过住房不稳定或从事无家可归的生活中的性生活中的性活动中使用酒精的使用。 OPO将整合简短的动机和认知行为策略，以解决青少年酒精和艾滋病毒的风险行为，并纳入详细的降低风险反馈，这些反馈是针对个人风险因素，环境环境和准备变化准备的阶段量身定制的。干预措施需要最少的资源，容易转移到其他设置，并且应遇到与更长的，多课程干预措施相关的流失问题。此外，即使这种简短的干预措施比冗长，更密集的方法效果不佳，但由于易于传播而增加的覆盖范围最终可能会导致更大的总体公共卫生效应。公共卫生相关性拟议的研究旨在开发和试行创新的，以理论驱动的，两节，个人级别的干预措施，旨在减少饮酒，艾滋病毒性风险行为，以及在从福斯特护理过渡到独立生活后无家可归的年长青少年中的性活动中使用酒精。这是为了整合简短的动机和认知行为策略的少数研究之一，以解决年龄较大的青少年酒精和艾滋病毒风险行为，并结合详细的降低风险反馈，这些反馈是针对个人风险因素，环境环境以及改变的准备阶段量身定制的。干预措施需要最少的资源，容易转移到其他环境中，应该遇到与更长，多课程干预措施相关的流失问题，因此最终可能导致更大的总体公共健康效应，而不是更密集的方法。