Preventing HIV through Affect Management for High-Risk Early Adolescents

通过对高危早期青少年进行情感管理来预防艾滋病毒

• 批准号: 8472541
• 负责人: Christopher D. Houck
• 金额: $ 43.39万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-19 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8472541
• 关键词: AIDS prevention; Abstinence; Address; Adolescent; Affect; Affective; Age; Alcohol or Other Drugs use; Alcohols; Attitude; Behavioral; Cognitive; Coitus; Collaborations; Contracts; County; Development; Emotional; Emotions; Exhibits; Feeling; Future; Goals; HIV; HIV risk; Health; Health Promotion; Health education; Intervention; Learning; Mediating; Mediator of activation protein; Patient Self-Report; Peer Pressure; Pharmaceutical Preparations; Prevention; Prevention Research; Prevention program; Randomized Controlled Trials; Regulation; Relative (related person); Request for Applications; Rhode Island; Risk; Risk Behaviors; Risk Factors; Role; Schools; Sex Behavior; Substance abuse problem; System; Teenagers; Time; Treatment Efficacy; Unsafe Sex; Youth; active control; base; condoms; conduct problem; depressive symptoms; early adolescence; emotion regulation; emotional factor; experience; health knowledge; high risk; improved; innovation; junior high school; peer; prevent; public health relevance; seventh grade; sex; sex risk; sexually active; skills; social; tenth grade; transmission process

DESCRIPTION (provided by applicant): Early Adolescents are at risk for HIV due to risk behaviors (e.g., unprotected sex, substance abuse) initiated during this developmental period, and delaying initiation into this risk can have a significant impact on an adolescent's future health. Many early adolescents are at high risk for contracting HIV due to emotional, behavioral, and substance use factors. Underlying all of these problems are difficulties with affect regulation. Emotional reactivity appears to interfere with the use of cognitive skills learned in traditional health education or HIV prevention programs, and recent evidence highlights the role of affect dysregulation in increasing the likelihood of sexual risk behaviors among adolescents. Also, early adolescence is a time when teens are developing their understanding of emotions and their ability to regulate affect. These findings suggest an important role for an intervention that can reach vulnerable early adolescents to address emotional factors associated with risk situations, such as those involving sex, alcohol, and drugs, in order to reduce HIV risk behaviors. This project, guided by the Social Personal Framework of HIV Risk Behavior, will target high-risk early adolescents (those who exhibit emotional, behavioral, or substance use risks) at urban junior high schools in Providence County, Rhode Island. This randomized, controlled trial will evaluate the efficacy of an Affect Management skills intervention in comparison to a control condition (General Health Promotion) for reducing risk behaviors with 432 high-risk seventh graders who will be followed for three years. The efficacy of the intervention in reducing sexual risk will be determined by less self-reported sexual behavior, improved emotion regulation skills, and differences in HIV- and abstinence-related attitudes among vulnerable early adolescents. The information gained in this project will improve our understanding of how to prevent early teens from engaging in HIV risk behaviors. This project represents an innovative progression in HIV prevention whose implementation in school settings has great potential for sustainability and relevance for early adolescents everywhere.

描述（由申请人提供）：由于风险行为（例如，未受保护的性行为，滥用药物）在此发育时期内发起的风险行为（例如，延迟到这种风险）会对青少年的未来健康产生重大影响。由于情绪，行为和药物使用因素，许多早期的青少年患HIV的风险很高。所有这些问题的根本是影响调节的困难。情绪反应似乎干扰了在传统健康教育或艾滋病毒预防计划中学习的认知技能的使用，最近的证据突显了影响失调在增加青少年性风险行为可能性方面的作用。同样，青春期早期是青少年在发展情绪及其调节情感能力的时代。这些发现表明，干预措施的重要作用可以吸引脆弱的早期青少年，以解决与风险情况相关的情绪因素，例如涉及性，酒精和毒品的情绪因素，以减少HIV风险行为。该项目以艾滋病毒风险行为的社会个人框架为指导，将针对罗德岛州普罗维登斯县的城市初中的高风险早期青少年（表现出情感，行为或物质使用风险的人）。与控制条件（一般健康促进）相比，这项随机，对照试验将评估影响管理技能干预措施的功效，以减少432名高危七年级学生的风险行为，这将持续三年。干预措施减少性风险的疗效将取决于自我报告的性行为，改善情绪调节技能以及易受伤害的早期青少年的艾滋病毒和禁欲相关态度的差异。该项目获得的信息将提高我们对如何防止青少年早期从事艾滋病毒风险行为的理解。该项目代表了艾滋病毒预防的创新进展，其在学校环境中的实施具有巨大的可持续性和与各地早期青少年相关性的潜力。

项目成果

Commentary: pediatric psychology research informing policy for AIDS-affected youth in Africa.

评论：儿科心理学研究为非洲受艾滋病影响的青少年制定政策提供信息。

• DOI: 10.1093/jpepsy/jss073
• 发表时间: 2012
• 期刊: Journal of pediatric psychology
• 影响因子: 3.6
• 作者: Houck,ChristopherD;Hadley,Wendy
• 通讯作者: Hadley,Wendy

Adolescent Emotion Regulation and Parent-Child Discussions about Sexual Behaviors.

• DOI: 10.1080/19317611.2020.1858381
• 发表时间: 2021
• 期刊: International journal of sexual health : official journal of the World Association for Sexual Health
• 作者: Shuster CL;Houck CD;Tooley EM
• 通讯作者: Tooley EM

Relationships of parental monitoring and emotion regulation with early adolescents' sexual behaviors.

• DOI: 10.1097/dbp.0000000000000160
• 发表时间: 2015-06
• 期刊: Journal of developmental and behavioral pediatrics : JDBP
• 作者: Hadley W;Houck CD;Barker D;Senocak N
• 通讯作者: Senocak N

Relationship Between Unsupervised Time and Participation in an Emotion Regulation Intervention and Risk Outcomes.

• DOI: 10.1097/dbp.0000000000000498
• 发表时间: 2017
• 期刊: Journal of developmental and behavioral pediatrics : JDBP
• 作者: Hadley W;Barker D;Thamotharan S;Houck CD
• 通讯作者: Houck CD

Perceptions of siblings' sexual activity predict sexual attitudes among at-risk adolescents.

• DOI: 10.1097/dbp.0000000000000130
• 发表时间: 2015-05
• 期刊: Journal of developmental and behavioral pediatrics : JDBP
• 作者: Almy B;Long K;Lobato D;Plante W;Kao B;Houck C
• 通讯作者: Houck C