HIV Prevention for Batswana Youth: Adaptation of an Evidence-Based Intervention

博茨瓦纳青年的艾滋病毒预防：采用循证干预措施

• 批准号: 8389541
• 负责人: JANET S ST LAWRENCE
• 金额: $ 15.12万
• 依托单位: MISSISSIPPI STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-01-28 至 2013-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8389541
• 关键词: 19 year old; AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Adolescent; Adult; Advisory Committees; Age; Alcohol consumption; Alcohols; Attention; Behavior; Behavior Therapy; Behavioral; Biological; Botswana; Caring; Cognitive; Collaborations; Communication; Communities; Country; Development; Educational Curriculum; Effectiveness; Evidence based intervention; Evidence based program; Feasibility Studies; Focus Groups; Future; Gender; Gender Role; HIV; Health education; Household; Incidence; Infection; Intervention; Interview; Life; Life Expectancy; Male Circumcision; Measurement; Measures; Mississippi; Monitor; Parents; Participant; Personal Communication; Play; Predatory Behavior; Preparation; Prevalence; Prevention; Prevention program; Primary Prevention; Property; Protocols documentation; Psychometrics; Randomized Controlled Trials; Research; Risk; Risk Factors; Role; Secondary Schools; Sex Characteristics; Sexuality; Strategic Planning; Teenagers; Testing; Training; Translating; Universities; Vertical Disease Transmission; Work; Youth; Zidovudine; age group; base; case finding; combat; conflict resolution; disorder prevention; evidence base; informant; interpersonal conflict; intimate partner violence; pandemic disease; parental monitoring; pregnancy prevention; programs; public health relevance; response; satisfaction; skills; social; social stigma; sugar; trend

DESCRIPTION (provided by applicant): Botswana has the 2nd highest HIV prevalence in the world, peaking at 40.2% in 30-34 year olds. Botswana also has been the world's leader in providing universal free access to AZT, prevention of mother to child transmission, an extensive network of VCT centers, and a nationwide male circumcision program. However, this emphasis on biomedical strategies for case finding, care, and treatment has not been paralleled by primary prevention programs. The new national strategic plan to be issued in 2010 now places importation and adaptation of evidence-based behavioral prevention as the highest strategic priority for the immediate future. It is in response to the new strategic plan that this collaborative R34 proposal to adapt and pilot an evidence-based program, the Becoming a Responsible Teen (BART) intervention, for Batswana youth is submitted. Guided by a teen advisory committee and a community advisory board, we will conduct focus groups with youth and in-depth interviews with key informants in the first year to inform adaptation of the measurement protocol and intervention for youths 14-19 in Gabarone secondary schools. In the 2nd year, measures will be pilot tested to establish their psychometric properties and to compare responses by gender. Role play vignettes will be drafted, their social and ecological validity assessed, and the BART intervention will be adapted for Batswana adolescents. New culturally appropriate modules addressing alcohol as a risk factor, conflict resolution to reduce intimate partner violence, and stigma reduction will be added. In addition, a new 3-session intervention for parents and a separate 3-session program for household caretakers will be added, addressing HIV/AIDS information, communicating with youth on sensitive topics, and monitoring, In the 3rd year, a pilot feasibility study will assess recruitment, retention, interventionists' fidelity, and youth and parents/caretakers' response to their respective interventions, and whether the results suggest that the Botswana version of BART provides value added when compared against the existing Life Skills curriculum in the secondary schools. This developmental application is the first step in a programmatic sequence developed in collaboration between the University of Botswana, governmental agencies and NGOs in Gaborone, and Mississippi State University. If the feasibility trial documents positive changes in behavior, it will inform a R01 application for a larger randomized controlled trial with cognitive, behavioral and biological endpoints. If the RCT provides strong evidence of effectiveness, we will work with the Ministries of Education, Health, and Youth and Culture to disseminate the intervention throughout Botswana's secondary schools and train staff in each community to deliver the program with fidelity.

描述（由申请人提供）：博茨瓦纳是世界上艾滋病毒感染率第二高的国家，在30-34奥尔兹中达到40.2%的峰值。博茨瓦纳也是世界上提供普遍免费获得AZT、预防母婴传播、广泛的VCT中心网络和全国性男性包皮环切计划的领导者。然而，这种对病例发现、护理和治疗的生物医学策略的强调并没有被初级预防计划所取代。将于2010年发布的新的国家战略计划现在将引进和调整循证行为预防作为近期的最高战略优先事项。这是为了响应新的战略计划，这一合作R34建议，以适应和试点的循证方案，成为一个负责任的青少年（BART）的干预，为蝙蝠侠青年提交。在青少年咨询委员会和社区咨询委员会的指导下，我们将在第一年与青年进行重点小组讨论，并与主要知情人进行深入访谈，以了解哈博罗内中学14-19岁青年的测量方案和干预措施的适应情况。在第二年，将对这些措施进行试点测试，以确定其心理测量特性，并按性别对反应进行比较。将起草角色扮演小插曲，评估其社会和生态有效性，并将调整BART干预措施，以适应巴吞鲁日青少年。将增加新的文化上适当的模块，处理酒精作为一个风险因素，解决冲突，以减少亲密伴侣的暴力行为，并减少耻辱。此外，还将增加一个新的针对父母的三期干预措施和一个针对家庭照料者的单独的三期方案，处理艾滋病毒/艾滋病信息，与青年就敏感话题进行沟通，并进行监测。研究结果是否表明，与中学现有的生活技能课程相比，博茨瓦纳版的BART提供了附加值。这一发展应用程序是博茨瓦纳大学、哈博罗内的政府机构和非政府组织与密西西比州立大学合作制定的方案序列的第一步。如果可行性试验记录了行为的积极变化，则将通知R 01申请进行具有认知，行为和生物学终点的大型随机对照试验。如果随机对照试验提供了有效性的有力证据，我们将与教育部、卫生部、青年和文化部合作，在博茨瓦纳的所有中学传播干预措施，并培训每个社区的工作人员忠实地提供该方案。

项目成果

Gender Differences in Sexual and Reproductive Health Protective and Risk Factors of Batswana Adolescents: Implications for Parent and Adolescent Interventions.

博茨瓦纳青少年性健康和生殖健康保护和危险因素的性别差异：对家长和青少年干预的影响。

• DOI: 10.1521/aeap.2018.30.1.35
• 发表时间: 2018
• 期刊: AIDS education and prevention : official publication of the International Society for AIDS Education
• 作者: Sun,ChristinaJ;Seloilwe,EstherS;Magowe,Mabel;Dithole,KefalotseS;Miller,KimS;StLawrence,JanetS
• 通讯作者: StLawrence,JanetS