CHOICES-TEEN: A Bundled Risk Reduction Intervention for Juvenile Justice Females

CHOICES-TEEN：针对少年司法女性的捆绑风险降低干预措施

• 批准号: 8356131
• 负责人: Danielle Elizabeth Parrish
• 金额: $ 11.61万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-15 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8356131
• 关键词: AIDS prevention; Adherence; Adolescent; Adult; Affect; Alcohol consumption; Alcohols; Award; Behavior; Behavior Therapy; Bundling; Centers for Disease Control and Prevention (U.S.); Client; Clinic; Communities; Comorbidity; County; County Hospitals; Criminal Justice; Data; Development; Elements; Female; Female Adolescents; Fetal Alcohol Exposure; Gender; Goals; HIV; HIV Infections; Health; Health Professional; High Prevalence; Indium; Individual; Intervention; Intervention Studies; Jail; Justice; Manuals; Measures; Medical; Mental Health; Modeling; Morbidity - disease rate; Nicotine; Outcome; Pilot Projects; Population; Population Intervention; Pregnancy; Pregnancy in Adolescence; Prevention; Prevention Research; Prevention approach; Prevention program; Primary Prevention; Randomized Clinical Trials; Research; Risk; Risk Behaviors; Risk Reduction; Science; Services; Smoking; Staging; Testing; Texas; Treatment Efficacy; Unplanned pregnancy; Vulnerable Populations; Woman; Youth; aged; arm; base; brief intervention; condoms; efficacy trial; ethnic minority population; evidence base; follow-up; high risk; high risk drinking; juvenile justice system; knowledge base; male; member; motivational enhancement therapy; multidisciplinary; prevent; probation; research and development; satisfaction; sex risk; substance use prevention; therapy development; transmission process

DESCRIPTION (provided by applicant): Adolescent females detained or on probation in juvenile justice settings engage in multiple health risk behaviors that place them at risk for HIV and pregnancy affected by nicotine or alcohol. Specifically, they engage in frequent sexual risk behaviors, placing them at risk of unplanned pregnancy, STIs and HIV, while also smoking and engaging in high risk alcohol use, placing them at risk of both nicotine- and alcohol-exposed pregnancy. The long-term goal of the proposed line of research is to develop and test bundled (targeting more than one behavior) interventions to reduce HIV transmission and the risk of pregnancies exposed to nicotine and alcohol among females in the juvenile justice system. Bundling efficiently aggregates services to promote "synergistic gain" when intervening with high-risk populations. The overall objective of this study is to assess the feasibility and promise of an adapted CHOICES preconception intervention (CHOICES-TEEN) in reducing the risk of HIV, nicotine-exposed pregnancy (NEP), and alcohol-exposed pregnancy (AEP) in adolescent females on intensive community probation. The original CHOICES intervention consisted of four sessions and was efficacious for adult women in reducing the risk of AEP in several high risk settings. Given the comorbidity of smoking and risky drinking, and similar outcomes of those completing two sessions compared to four in this efficacy trial, a shorter, two-session bundled CHOICES intervention to reduce both AEP and NEP risk is being tested in a randomized clinical trial in the Harris County Hospital District clinics with adult females. To this end, the current study posits that a two-session CHOICES intervention adapted to target multiple bundled health risks-AEP, NEP, and HIV-will be feasible, acceptable, and promising in reducing these risks among females on community-based juvenile probation. This study will: Aim 1: Modify the efficacious CHOICES preconception intervention to target the prevention of HIV, AEP, and NEP. The result will be a two session individual intervention (CHOICES-TEEN) and accompanying therapy manual based on the Transtheoretical Model (TTM) and Motivational Interviewing. Aim 2: Conduct a one-arm feasibility trial with females in the juvenile justice system to assess the promise of CHOICES-TEEN. This pilot study will: 1) demonstrate the feasibility of delivering CHOICES-TEEN with master's level mental health professionals within a juvenile justice setting; 2) determine acceptance of CHOICES-TEEN as measured by client adherence, retention, and treatment satisfaction; and 3) assess client improvement at 3-month follow-up (e.g., reduction of risk of HIV, NEP, and AEP). This study will inform subsequent Stage II/III behavioral intervention studies and contribute to a missing, fundamental element in the knowledge base - further understanding of the feasibility of targeting bundled health risks in high-risk adolescents, and the potential promise of a gender-specific intervention for this population. PUBLIC HEALTH RELEVANCE: Adolescent females detained or on probation in juvenile justice settings present with a unique health risk profile, including the risk of HIV infection. Ths project will investigate the feasibility and promise of a gender-specific "bundled" brief intervention to target multiple health risks for this high-risk population. Findings will inform fuure evidence-based prevention programming for this vulnerable population, many of whom are ethnic minorities disproportionately at risk.

描述（由申请人提供）：在少年司法机构被拘留或缓刑的青春期女性从事多种健康风险行为，使她们面临尼古丁或酒精影响下感染艾滋病毒和怀孕的风险。具体来说，她们经常从事性危险行为，使她们面临意外怀孕、性传播感染和艾滋病毒的风险，同时吸烟和从事高风险饮酒，使她们面临尼古丁和酒精暴露的怀孕风险。拟议的研究路线的长期目标是开发和测试捆绑（针对多种行为）干预措施，以减少青少年司法系统中女性接触尼古丁和酒精的艾滋病毒传播和怀孕风险。当对高危人群进行干预时，捆绑有效地聚集了服务，以促进“协同收益”。本研究的总体目标是评估其可行性和前景

项目成果

CHOICES-TEEN: Reducing Substance-Exposed Pregnancy and HIV among Juvenile Justice Adolescent Females.

CHOICES-TEEN：减少少年司法青少年女性中接触药物的怀孕和艾滋病毒。

• DOI: 10.1177/1049731518779717
• 发表时间: 2019
• 期刊: Research on social work practice
• 影响因子: 1.8
• 作者: Parrish,DanielleE;vonSternberg,Kirk;Benjamins,LauraJ;Duron,JacquelynnF;Velasquez,MaryM
• 通讯作者: Velasquez,MaryM