Preventing HIV/STI Risk Behavior in Girls with Delinquency, Drug Abuse & Trauma

预防青少年犯罪和吸毒的艾滋病毒/性传播感染危险行为

• 批准号: 8731843
• 负责人: DANA K SMITH
• 金额: $ 69.52万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8731843
• 关键词: AIDS prevention; AIDS/HIV problem; Accountability; Accounting; Address; Adolescent; Adolescent and Young Adult; Age; Alcohol or Other Drugs use; Behavior; Biological; Case Management; Centers for Disease Control and Prevention (U.S.); Communication; Communities; Contracts; Control Groups; County; Drug abuse; Drug usage; Evidence based intervention; Family; Female Adolescents; Gender; Group Therapy; HIV; HIV Infections; HIV risk; Health; Imprisonment; Infection; Institute of Medicine (U.S.); Intervention; Justice; Knowledge; Life; Mediating; Mediator of activation protein; Mental Health; Modeling; Oregon; Outcome; Outcome Measure; Parenting behavior; Parents; Participant; Patients; Pharmaceutical Preparations; Policy Maker; Population; Positive Reinforcements; Prevention program; Preventive Intervention; Problem Solving; Protocols documentation; Public Health; Randomized; Research; Research Personnel; Risk; Risk Behaviors; Risk Factors; Risk-Taking; Running; Safety; Sampling; Sexually Transmitted Diseases; Supervision; Testing; Training Support; Trauma; United States; Youth; base; boys; clinical practice; drug abuse prevention; effective intervention; effective therapy; experience; foster care; girls; high risk; high risk behavior; high risk sexual behavior; intervention program; juvenile justice system; meetings; physical conditioning; prevent; probation; programs; public health relevance; skills; social; therapy development; treatment program

DESCRIPTION (provided by applicant): Girls in the juvenile justice system have been found to have high rates of co-occurring delinquency, drug abuse, and trauma. Girls with this triple-threat risk constellation are at high risk for engaging in risky sexual behavior and for contractin sexually transmitted infections (STIs), including HIV. Because HIV is associated with serious health-related problems, identifying interventions that effectively prevent and treat HIV risk behaviors has been at the forefront of recent research and clinical practice. Although effective interventions exist for the treatment of HIV risk behaviors in boys in the juvenile justice system, to our knowledge, no effective programs have been identified for girls with the triple-threat constellation of behaviors in the juvenile justice system. The proposed study aims to fill this gap by adapting and testing an intervention to reduce HIV/STI risk behavior among girls with the triple-threat risk constellation. The proposed study is a resubmission of a competing continuation (renewal) of the ProTeens study, which focuses on testing a family-centered intervention for treating HIV risk, drug use, and delinquency in boys ("Preventing Drug Abuse and HIV/AIDS in Delinquent Youths: An Integrated Intervention"; R01DA025857); adaptations will be made to address the treatment needs of delinquent girls. The girls and their parent(s) will be randomly assigned to either a family- centered triple-threat intervention condition (INT; n = 100) or to an active comparison condition (n = 100) consisting of group therapy and case management (GCM). The INT condition will consist of individually administered HIV preventive intervention for adolescent girls involved in the juvenile justice system that integrally addresses delinquency, drug abuse, and trauma exposure, along with group-based training and support for parents. The girl and parent components will run concurrently for three months. The GCM condition will consist of group therapy and case management for girls provided as usual by the juvenile justice department. Given the well-documented detrimental social, health, and mental health outcomes associated with HIV/STI risk behaviors, and the lack of effective gender-based preventive interventions for girls in the juvenile justice system, the proposed intervention protocol has the potential of a high public health impact yielding positive implications for patients, clinicians, researchers, and policy makers.

描述（由申请人提供）：在少年司法系统中的女孩被发现有高比率的共同发生的犯罪，药物滥用和创伤。具有这三重威胁风险的女孩从事危险性行为和感染性传播感染（STI），包括艾滋病毒的风险很高。由于艾滋病毒与严重的健康相关问题有关，因此确定有效预防和治疗艾滋病毒风险行为的干预措施一直处于最近研究和临床实践的最前沿。虽然在少年司法系统中存在治疗男孩艾滋病毒危险行为的有效干预措施， 据我们所知，在少年司法系统中没有为具有三重威胁行为的女孩确定有效的方案。拟议的研究旨在填补这一空白 通过调整和测试干预措施，减少具有三重威胁风险的女孩的艾滋病毒/性传播感染风险行为。拟议的研究是ProTeens研究的竞争性延续（更新）的重新提交，该研究侧重于测试以家庭为中心的干预措施，用于治疗男孩的艾滋病毒风险、药物使用和犯罪（“预防犯罪青年的药物滥用和艾滋病毒/艾滋病：综合干预”; R 01 DA 025857）;将进行调整以满足犯罪女孩的治疗需求。女孩和她们的父母将 随机分配到以家庭为中心的三重威胁干预条件（INT; n = 100）或由团体治疗和病例管理（GCM）组成的主动比较条件（n = 100）。INT条件将包括对少年司法系统中的少女进行单独管理的艾滋病毒预防干预， 青少年犯罪、药物滥用和创伤暴露，沿着以小组为基础的培训和对父母的支持。女孩和父母部分将同时进行三个月。GCM条件将包括少年司法部门照常为女孩提供的团体治疗和案件管理。鉴于有充分证据证明有害的社会，健康和心理健康的结果与艾滋病毒/性传播感染的风险行为，并缺乏有效的基于性别的预防性干预措施的女孩在少年司法系统中，拟议的干预议定书有可能产生很高的公共卫生影响产生积极的影响，为患者，临床医生，研究人员和政策制定者。