Integrating HIV and Substance Abuse Prevention for Hispanic Families: La Familia

描述（由申请人提供）：关于西班牙裔人口中近期和远程压力源（包括移民前压力事件）的影响的研究缺乏，仍然需要开发能够解决这些压力源的干预措施，并减少负面风险行为，如吸毒和危险的性行为（Avison & Gotlib, 1994）。因此，目前存在一个巨大的心理健康专业人员、学校辅导员、儿科医生和研究人员的市场，他们需要为西班牙裔青年及其家庭提供有效的行为健康预防干预措施。尽管许多西班牙裔青年药物滥用、少女怀孕、不安全性行为和艾滋病毒的风险增加（普拉多等人，2006年），但缺乏针对西班牙裔青年药物滥用和艾滋病毒预防的商业循证实践（塞万提斯，卡波斯，杜埃纳斯和阿雷利亚诺，2003年）。这项拟议的SBIR一期研究的长期目标是修订Familia Adelante （FA）早期药物干预和预防项目（塞万提斯，2005年），纳入艾滋病毒预防部分，从而使Familia Adelante成为一个有效的商业模式项目。通过专家小组和西班牙裔家庭目标人群成员（n=144）的定性数据收集，这项I期SBIR研究将修改FA计划，包括艾滋病毒预防成分，并确定设计II期SBIR研究的可行性，该研究将在西班牙裔家庭的多地点随机临床试验样本中测试Familia Adelante-Revised （FA- r）。在成功完成第二阶段SBIR研究后，BAI的目标是将FA-R用于商业目的，向卫生和精神卫生保健提供者、学校精神卫生人员和与西班牙裔家庭合作的研究人员推销。

DESCRIPTION (provided by applicant): There is a dearth of research on the affects of recent and remote stressors (including pre- migration stress events) in the Hispanic population and there remains the need for the development of interventions which can address these stressors, and reduce negative risky behavior such as drug use and risky sexual behaviors (Avison & Gotlib, 1994). As such, there currently exists a large market of mental health professionals, school counselors, pediatricians, and researchers who are in need of effective behavioral health prevention interventions for Hispanic youth and their families. Although many Hispanic youth are at increased risk for substance abuse, teen pregnancy, unsafe sexual practices and HIV (Prado et al., 2006), there is a lack of commercially available evidence-based practices for Hispanic youth which target substance abuse and HIV prevention (Cervantes, Kappos, Duenas & Arellano, 2003). The long- term objective of this proposed SBIR Phase I research is to revise the Familia Adelante (FA) early drug intervention and prevention program (Cervantes, 2005) to incorporate an HIV prevention component, so as to make Familia Adelante an effective and commercially available model program. Through qualitative data collection with an expert panel and members of the target population of Hispanic families (n=144), this Phase I SBIR study will revise the FA program to include an HIV prevention component, as well as determine the feasibility of designing a Phase II SBIR study which will test the Familia Adelante-Revised (FA-R) in a multi site randomized clinical trial sample of Hispanic families. Upon successful completion of the Phase II SBIR study, BAI aims at marketing the FA-R for commercial purposes to health and mental health care providers, school mental health personnel and researchers who work with Hispanic families. PUBLIC HEALTH RELEVANCE: There currently exists a large market of mental health professionals, school counselors, pediatricians, and researchers who are in need of effective behavioral health prevention interventions for Hispanic youth and their families. Although many Hispanic youth are at increased risk for substance abuse, teen pregnancy, unsafe sexual practices and HIV (Prado et al., 2006), there is a lack of commercially available evidence- based practices for Hispanic youth which target substance abuse and HIV prevention (Cervantes, Kappos, Duenas & Arellano, 2003). The long-term objective of this proposed SBIR research is to revise the Familia Adelante (FA) early drug intervention and prevention program (Cervantes, 2005) by incorporating an HIV prevention component, so as to make Familia Adelante an effective and commercially available model program. This Phase I SBIR study will revise the FA program to include an HIV prevention component, as well as determine the feasibility of designing a Phase II SBIR study which will test the Familia Adelante-Revised (FA-R) in a multi site randomized clinical trial sample of Hispanic families.