Risk, Roles and Relationships: Project Prepared

风险、角色和关系：项目准备

• 批准号: 8076187
• 负责人: Laurie J Bauman
• 金额: $ 91.39万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-20 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8076187
• 关键词: AIDS prevention; Abstinence; Acquired Immunodeficiency Syndrome; Address; Adolescence; Adolescent; Adopted; Adult; Age; Attitude; Award; Behavior; Belief; Caring; Child; Cognitive; Coitus; Color; Commit; Communication; Communication Aids for Disabled; Communities; Community Developments; Competence; Computer Assisted; Contraceptive methods; Counseling; Country; Data Collection; Development; Education; Educational workshop; Effectiveness; Elements; Eligibility Determination; Engineering; Enrollment; Ethnic Origin; Evidence based program; Expectancy; Family; Female; Focus Groups; Future; Gender; Gender Role; Generations; HIV; HIV/STD; Harm Reduction; Head; Healthcare; Intention; Internships; Intervention; Intervention Studies; Journals; Knowledge; Latino; Lead; Leadership; Learning; Letters; Life; Life Style; Literature; Love; Measures; Medical center; Mentors; Modeling; Neighborhoods; New York City; Outcome; Ownership; Parents; Participant; Peer Pressure; Planning Theory; Population; Pregnancy; Pregnancy in Adolescence; Prevention; Prevention program; Preventive; Primary Prevention; Problem behavior; Procedures; Process; Production; Professional counselor; Program Effectiveness; Public Health; Questionnaires; Race; Randomized; Randomized Controlled Trials; Recruitment Activity; Research Project Grants; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Role; Screening procedure; Self Efficacy; Services; Sex Behavior; Sexual Development; Sexuality; Sexually Transmitted Diseases; Social Environment; Societies; Staging; Surveys; Symptoms; Teenagers; Testing; Time; Training; Training Programs; Unconscious State; Unsafe Sex; Youth; aged; alcohol and other drug; base; boys; cohort; community based participatory research; community setting; condoms; design; early adolescence; empowerment; expectation; experience; falls; girls; group intervention; health disparity; high risk; high risk behavior; high risk sexual behavior; improved; inner city; innovation; man; meetings; member; peer; planetary Atmosphere; positive youth development; premature; prevent; programs; psychologic; public health relevance; randomized trial; resilience; response; sex; sex risk; skills; social; social cognitive theory; social skills; success; successful intervention; teacher; theories; therapy design; time use; tool

DESCRIPTION (provided by applicant): We propose a two-group randomized trial of Project Prepared, an HIV/STI prevention program for youth aged 12-14. It folds together elements of three interventions we designed for middle adolescents into a comprehensive intervention that is developmentally appropriate for youth in early adolescence. Project Prepared has two parts. First is a 14-session training program held over 7 weeks that covers five major predictors of high risk behavior: developmental na¿vet¿, cognitive factors, gender roles, relationship factors and family formation. It is followed by a 5-week internship that incorporates resilience and youth development through making youth peer educators to other adolescents about HIV/STI risk. Project Prepared is theoretically based, comprehensive, intensive, and appropriate to the developmental stage, race/ethnicity, and social context of inner-city youth of color. It emphasizes skills in avoiding risky sexual situations, and provides medically accurate information about sexual development, sexually transmitted infections and pregnancy. We will conduct a two group randomized trial (n=400) to test the effectiveness of Project Prepared on cognitive factors (HIV/STI knowledge, sexual self-efficacy; intention to use a condom); relationship factors (immature romantic beliefs, relationship self-efficacy), gender norms (macho man, powerless female), and resilience. The control condition will be TEEN, an award winning program with proven effectiveness in reducing psychological symptoms with no HV/STD content. PUBLIC HEALTH RELEVANCE: Black and Latino youth are at particular risk for HIV/STIs, but currently available interventions for young adolescents have shown only modest, short term effects. We have developed an intensive, comprehensive HIV/STI prevention program, for youth aged 12-14, Project Prepared. The project is expected to generate important information on sexual risk behavior in early adolescents, and may lead to a new program that is effective in reducing HIV/STI risk for youth in the future.

描述（由申请人提供）：我们提出了一项针对12-14岁青少年的HIV/STI预防项目Project Prepared的两组随机试验。它将我们为中期青少年设计的三种干预措施的要素折叠成一种全面的干预措施，适合青少年早期的发展。项目准备分为两部分。首先是为期7周的14期培训项目，涵盖了5个主要的高风险行为预测因素：发育特征、认知因素、性别角色、关系因素和家庭组成。随后是为期5周的实习，通过让青少年同伴教育者向其他青少年宣传艾滋病毒/性传播感染风险，将适应能力和青年发展结合起来。项目准备是基于理论的，全面的，密集的，适合于城市内有色人种青年的发展阶段，种族/民族和社会背景。它强调避免危险性行为的技能，并提供关于性发育、性传播感染和怀孕的准确医学信息。我们将进行一项两组随机试验（n=400），以测试Project Prepared在认知因素（HIV/STI知识、性自我效能感、使用安全套的意愿）方面的有效性；关系因素（不成熟的浪漫信念，关系自我效能），性别规范（大男子主义的男人，无能为力的女人）和弹性。对照条件将是TEEN，这是一个屡获殊荣的项目，已被证明在减少无hiv /STD内容的心理症状方面有效。