Salud y el Exito: Addressing Proven Factors in HIV Prevention for Latino Youth

Salud y el Exito：解决拉丁裔青年艾滋病毒预防中已证实的因素

• 批准号: 7749802
• 负责人: LYDIA N O'DONNELL
• 金额: $ 64.16万
• 依托单位: EDUCATION DEVELOPMENT CENTER, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7749802
• 关键词: AIDS prevention; AIDS/HIV problem; Acculturation; Address; Adolescent; Adopted; Age; Alcohol or Other Drugs use; Behavior; California; Child; Communication; Communities; Complex; Country; Development; Economics; Education; Educational Intervention; Effectiveness of Interventions; Empirical Research; English Language; Enrollment; Environment; Evaluation; Evaluation Studies; Failure; Family; Family Characteristics; Focus Groups; Fostering; Foundations; Funding; Future; Gender; Goals; Health; Health education; Immigrant; Individual; Intervention; Latino; Lead; Life; Living Wills; Mediating; Monitor; National Institute of Child Health and Human Development; New York; Outcome; Parenting Education; Parenting behavior; Parents; Pattern; Play; Poverty; Pregnancy in Adolescence; Prevention; Prevention program; Printing; Randomized; Randomized Controlled Trials; Risk; Risk Behaviors; Risk Factors; Risk-Taking; Sampling; Schools; Sex Education; Sexuality; Solid; Student Dropouts; Students; Surveys; Teenagers; Telephone; Testing; Time; Training; Translating; United States National Institutes of Health; Work; Youth; base; design; early childbearing; early sex initiation; education planning; effective intervention; experience; health disparity; high school; innovation; middle school; novel; outreach; parental involvement; parental role; preadolescence; prevent; programs; public health relevance; reproductive; role model; sex; sexually active; social; success; teacher; teen birth; tool; user-friendly

DESCRIPTION (provided by applicant): Padres Unidos por la Salud y el ¿xito de Nuestros Hijos aims to support Latino parents and schools in their efforts to promote the healthy choices of children, with the goal of reducing behaviors that lead to elevated levels of HIV/AIDS in urban Latino communities. The study is designed to advance efforts to begin HIV prevention early, during the preteen and young adolescent years, before youth establish patterns of behavior that jeopardize their health and success, or "Salud y ¿xito." Salud y ¿xito draws on a solid foundation of theoretical and empirical research that underscores the importance of supporting the primary role that parents play in healthy youth development. The study will test a bilingual version of a multi-year parent-mediated intervention, Salud y ¿xito, with primary Spanish- as well as English-speaking Latino parents and youth. This intervention consists of parent education delivered through sets of audio-CDs to promote positive parenting practices, including monitoring, rule setting, communication, and support. In addition, Salud y ¿xito M s, an enhanced version of this parent-mediated approach, will be tested. This enhanced intervention integrates audio-CD parent education with a school-based parent involvement program, PALMS Tools for Latino Family Outreach. These tools facilitate the creation of welcoming environments that encourage parental involvement in their preteens' and young adolescents' academic success and future education planning. This is critical because Latinos experience the highest levels of school dropout and school failure, which are both consequences and risk factors for risky behaviors related to HIV/AIDS. Both intervention components have a common purpose: Promoting positive parenting practices known to foster resiliency and protect youth from risk. The specific aims are to: (1) Enroll and randomly assign 60 urban schools serving high proportions of Latino families to one of three conditions: (a) Salud y ¿xito multi-year parent education; (b) Salud y ¿xito M s parent education supplemented with PALMS; or a (c) comparison condition (health education print materials); (2) Enroll 1600 Latino families with youth from 6th grade classes in the study and conduct telephone parent surveys and youth classroom surveys at baseline; (3)Implement Salud y ¿xito intervention components at schools assigned to the intervention conditions; (4) Conduct youth surveys at 3- and 15-month follow-ups to test whether the interventions are effective in reducing risk behaviors and intentions and promoting school attachment and pro-social activities; (5) Conduct parent surveys at 3- and 15-month follow-ups to test whether the interventions promote and sustain positive parenting practices; (6) Examine how parenting practices and youth outcomes vary by individual and family characteristics, including gender as well as acculturation; and (7) Examine whether youth outcomes are explained by parenting practices and identify which parenting practices mediate the relationship between experimental condition and youth outcomes. PUBLIC HEALTH RELEVANCE: Salud y el ¿xito aims to support Latino parents and schools in their efforts to promote the academic success and healthy choices of children, with the goal of reducing behaviors that lead to elevated levels of HIV/AIDS in urban Latino communities. This innovative parent-mediated prevention program targets urban schools serving large numbers of Latino families, where high proportions of youth are sexually initiated before the age of 15, placing them at risk of HIV/AIDS and other negative health, educational, economic and social outcomes, including teen pregnancies, teen births, and school dropout.

描述（由申请人提供）：拉丁美洲儿童健康与健康联盟神父旨在支持拉丁裔家长和学校努力促进儿童的健康选择，目标是减少导致城市拉丁裔社区艾滋病毒/艾滋病水平升高的行为。这项研究的目的是在青少年形成危害其健康和成功的行为模式之前，即在青春期前和青少年早期开始预防艾滋病毒的工作。该计划利用了坚实的理论和实证研究基础，强调了支持父母在青少年健康发展中发挥主要作用的重要性。这项研究将测试一种双语版本的多年父母调解干预，Salud y¿xito，主要是西班牙语-以及讲英语的拉丁裔父母和年轻人。这一干预措施包括通过一套音频光盘对家长进行教育，以促进积极的育儿做法，包括监督、规则制定、沟通和支持。此外，还将测试Salud y¿xito M s，即这种家长调解方法的改进版本。这种强化的干预措施将音频- cd家长教育与以学校为基础的家长参与计划相结合，即拉丁裔家庭外展棕榈工具。这些工具有助于创造温馨的环境，鼓励父母参与他们的青春期前和青少年的学业成功和未来的教育规划。这一点至关重要，因为拉丁美洲人的辍学率和学业失败率最高，这既是与艾滋病毒/艾滋病有关的危险行为的后果，也是风险因素。这两个干预组成部分都有一个共同的目的：促进积极的养育做法，以培养适应能力并保护青少年免受风险。具体目标是：(1)招收和随机分配60所拉丁裔家庭比例很高的城市学校，满足以下三个条件之一：(a)实行多年家长教育；(b)向M的父母提供以PALMS为补充的教育；或(c)比较条件（健康教育印刷品）；(2)选取1600个六年级拉美裔家庭为研究对象，并在基线进行电话家长调查和青少年课堂调查；(3)在指定干预条件的学校实施Salud y¿xito干预组件；(4)在随访3个月及15个月时进行青少年调查，以测试干预措施在减少危险行为和意图、促进学校依恋和亲社会活动方面是否有效；(5)在3个月及15个月的随访期间进行家长调查，以测试干预措施是否能促进和维持积极的育儿做法；(6)研究个人和家庭特征（包括性别和文化适应）对养育子女做法和青少年结果的影响；(7)考察父母教养方式是否可以解释青少年结果，并确定哪种父母教养方式可以调解实验条件与青少年结果之间的关系。