IYG-Family: Beyond "the talk" to effective pregnancy, STI, and HIV prevention

描述（由申请人提供）：这个为期3年的快速通道STTR的目标是开发和评估以家庭为基础的干预（“这是你的游戏-家庭”），为儿童（11-14岁）提供适龄的性健康生活技能教育和培训，并提高父母的 技能和自信，以支持这种培训。IYG-Family（IYG-F）将是一款在线游戏- 我们提供基于计划和资源，帮助父母和他们的孩子超越“性谈话”，参与持续的，发展适当的，怀孕，性传播感染（STI）和人类免疫缺陷病毒（HIV）预防教育的经验。该研究包括2个阶段和10个具体目标：第1阶段：开发基于理论和实践的IYG-F原型，并进行可用性和可行性测试（1-12个月）。第1阶段具体目标：1.1与我们的家长-青少年咨询小组（P-YAG）一起进行焦点小组、可接受性测试和文献审查，为国际青年年的设计提供信息; 1.2制定国际青年年的设计文件并编制原型程序; 1.3测试国际青年年原型的功能和内容（alpha测试）和可用性; 1.4评估1.5传播第一阶段的研究结果：第一阶段的报告和同行评审的出版物。第2阶段：根据第1阶段数据制定IYG系列，并进行RCT以评价IYG-F的影响（第13-36个月）。第2阶段具体目标：2.1修订IYG-F设计文件（基于第1阶段数据）并获得P-YAG的签署; 2.2制定完整的IYG-F计划; 2.3测试IYG-F原型的功能和内容（α检验）和可用性; 2.4在80个家庭中进行IYG-F的随机对照试验，以测试4个主要假设（见下文）; 2.5传播第2阶段的研究结果：第二阶段报告和同行评审出版物。四个主要假设是1。与那些没有参加国际年的青年相比，参加国际年的青年将表现出更大的意图，以避免开始性行为。2.与未参加国际年的青年相比，参加国际年的青年在性行为的社会心理决定因素方面表现出显著改善（包括知识、拒绝性活动的自我效能感增强;不那么宽容的信念和感知的规范）。3.与不参加国际年的父母相比，参加国际年的父母将报告有关亲子性健康沟通和父母监测的社会心理决定因素（包括知识，态度和自我效能）显着改善，以及与青少年性行为有关的不那么宽容的信念。4.与未接受国际家庭年的青少年和父母相比，接受国际家庭年的青少年和父母报告说，他们在性健康方面的沟通增加，父母监督增加，亲子联系增加，父母评级提高。这个项目是建立在以前的研究，由这个经验丰富的合作调查团队开发和测试一个成功的中学怀孕，性病和艾滋病毒预防计划，这是你的游戏。保持真实的，（IYG），解决知识，态度，感知规范，拒绝，和沟通技巧有关的健康关系，约会，和性。在得克萨斯州中学进行的两项随机对照试验的结果表明，在7年级和8年级干预后，心理社会效果良好，并在9年级时表现出显著的持续行为效果。家庭国际年将包括这一课程的成功技能建设部分，但也将侧重于家庭环境中有关性健康的亲子沟通和联系。家庭国际年的重要性在于，它解决了家庭在为性成熟青年做准备方面的需求与目前可用于支助他们的适合发展的干预资源之间的差距。它涉及青少年怀孕、性传播感染和艾滋病毒感染等更广泛的公共卫生问题。IYG-Family在提供独特的家庭资源方面具有创新性，以应对每个有性成熟青年的家庭所面临的挑战。除了为中学生提供发育适当的性健康教育外，IYG家庭还致力于为缺乏信心或技能的父母的不适和不确定性提供解决方案，以充分提供有效的信息和技能培训，以帮助他们的孩子做出健康和负责任的决定，健康的友谊，约会关系和性。它提供了一种具有成本效益、高保真度和易于访问的解决方案。

DESCRIPTION (provided by applicant): The goal of this 3 year Fast-Track STTR is to develop and evaluate a home-based intervention ('it's Your Game- Family') to provide age-appropriate sexual health life skills education and training for children (11-14 years) and to enhance parents' skills and self-confidence in support of this training. IYG-Family (IYG-F) will be an on-line game- based program and resource available to help parents and their children go beyond "the sex talk" to engage in an ongoing, developmentally appropriate, pregnancy, sexually transmitted infection (STI), and human immunodeficiency virus (HIV) prevention education experience. The study comprises 2 phases and 10 specific aims: Phase 1: Develop the theoretically- and empirically-based IYG-Family (IYG-F) prototype and conduct usability and feasibility testing (Months 1-12). Phase 1 Specific Aims: 1.1 Conduct focus groups, acceptability tests with our Parent-Youth Advisory Group (P-YAG) and literature review to inform IYG-F design; 1.2 Develop IYG-F design documents and program the prototype; 1.3 Test the IYG-F prototype functions and content (alpha test), and usability; 1.4 Evaluate (pilot-test) the IYG-F prototype fo feasibility and perceived value in the home setting; 1.5 Disseminate Phase 1 findings: Phase 1 report and peer reviewed publications. Phase 2: Develop IYG-Family informed from Phase 1 data and conduct a RCT to evaluate the impact of IYG-F (Months 13-36). Phase 2 Specific Aims: 2.1 Revise IYG-F design documents (based on Phase 1 data) and obtain P-YAG sign-off; 2.2 Develop the full IYG-F program; 2.3 Test the IYG-F prototype functions and content (alpha test), and usability; 2.4 Conduct a randomized controlled trial of IYG-F in 80 homes to test the 4 primary hypotheses (below); 2.5 Disseminate Phase 2 findings: Phase 2 report and peer reviewed publications. The 4 primary hypotheses are 1. Compared to those not receiving IYG-F, youth who access IYG-F will demonstrate significantly greater intentions to abstain from initiation of sexual behavior. 2. Compared to those not receiving IYG-F, youth who access IYG-F will demonstrate significantly improved psychosocial determinants of sexual behavior (including knowledge, increased self-efficacy for refusing sexual activity; less permissive beliefs and perceived norms). 3. Compared to parents not accessing IYG-F, parents who access IYG-F will report significantly improved psychosocial determinants (including knowledge, attitudes, and self-efficacy) regarding parent-child sexual health communication and parental monitoring and less permissive beliefs related to youth sexual behavior. 4. Compared to youth and parents not receiving IYG-F, youth and parents who access IYG-F will report increased communication about sexual health, increased parental monitoring, increased parent-child connectedness, and improved parenting ratings. This project is founded on previous studies by this experienced collaborative investigative team on developing and testing a successful middle school pregnancy, STI, and HIV prevention program, It's Your Game...Keep it Real, (IYG) that addresses knowledge, attitudes, perceived norms, refusal, and communication skills related to healthy relationships, dating, and sex. Results from two randomized controlled trials conducted in Texas middle schools indicate positive psychosocial outcomes after 7th and 8th grade interventions, and significant, sustained behavioral outcomes to 9th grade. IYG-Family will include the successful skill building components of this curriculum but will be developed to also focus on parent-child communication and connectedness regarding sexual health in the home environment. IYG-Family is significant because it addresses the gap between the needs of families in preparing their sexually maturing youth and the developmentally appropriate intervention resources currently available to support them. It addresses the broader public health concerns of adolescent pregnancy, and STI and HIV infection. IYG-Family is innovative in providing a unique home-based resource for a challenge faced by every family with sexually maturing youth. In addition to providing developmentally appropriate sexual health education for the middle school child IYG-Family is positioned to contribute a solution for the discomfort and uncertainty of parents who lack confidence or skills to adequately provide effective information and skills training to help their child make healthy and responsible decisions about healthy friendships, dating relationships, and sex. It contributes a solution that is cost-effective, of hih-fidelity, and readily accessible.