Male Teen Pregnancy Prevention Project (Male TPP Project)

男性青少年预防怀孕项目（男性TPP项目）

• 批准号: 9330799
• 负责人: David Louis Bell
• 金额: $ 91.83万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-30 至 2018-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9330799
• 关键词: Male; Teen; Pregnancy; Prevention; Project

 DESCRIPTION (provided by applicant): In the U.S., teen unintended pregnancy and STIs remain at epidemic levels. Rates of teen fatherhood are especially high among non-Hispanic Black and Hispanic teens. Initiatives to prevent teen pregnancy have focused primarily on female adolescents; how to effectively counsel young men to reduce their risk of fathering a teen pregnancy is unclear. We proposed to adapt, implement and rigorously evaluate an innovative computer-assisted motivational interviewing (CAMI) intervention, originally designed and implemented with girls, for use with young men, age 15-24 years old, to reduce their risk of fathering a teen pregnancy. We will use qualitative methods to modify the CAMI for use with young men. Then we will enroll 646 young men, ages 15 to 24 years, from 2 inner city high schools, a young men's clinic and from community agencies and randomize them to either a modified CAMI aimed at Teen Pregnancy Prevention (CAMI-TPP) or a CAMI aimed at diet, physical activity and tobacco use (CAMI- Fitness). The CAMI-TPP group will receive four, 30-minute MI coaching sessions over 12 weeks and one 30 minute booster at 6-months with a MI coach; sessions will be guided by a computer- generated, feedback aimed at increasing condom use, supporting female partners' contraceptive use, and completing a reproductive health visit with STI testing. The CAMI-Fitness group will receive four, 30-minute MI coaching sessions over 12 weeks and one 30 minute booster at 6-months with a MI coach; sessions will be guided by a computer-generated, feedback aimed at diet, physical activity and tobacco use. Both interventions are identical in length and timing but vary in the target behavior (pregnancy prevention versus fitness). We will track the two groups of young men through a 12 week intervention phase and a 12-month follow-up phase to assess differences in sexual and contraceptive behaviors by group. The specific aim of the study is to evaluate the efficacy of the CAMI-TPP compared to CAMI-Fitness in reducing sexual behaviors that increase the risks of fathering an unintended teen pregnancy by increasing condom use and female partner use of moderately and highly effective reversible contraception. We hypothesize that the CAMI-TPP will increase the proportion of participants who report condom use at last intercourse as well as female partner use of contraception. We also predict that those who receive CAMI-TPP will report higher completion of a reproductive health service visit with STI and/or HIV testing over the course of study participation compared to those in the CAMI-Fitness group. If proven effective, the CAMI-TPP could be broadly implemented as a method to decrease the risk of young men fathering a teen pregnancy.

 描述（由申请人提供）：在美国，青少年意外怀孕和性传播感染仍处于流行水平。在非西班牙裔黑人和西班牙裔青少年中，青少年父亲的比例特别高。预防少女怀孕的举措主要集中在少女身上;如何有效地咨询年轻男子，以减少他们成为少女怀孕父亲的风险，目前还不清楚。我们建议调整，实施和严格评估一种创新的计算机辅助动机访谈（CAMI）干预措施，最初设计和实施的女孩，用于年轻男子，年龄15-24岁，以减少他们的父亲的青少年怀孕的风险。我们将使用定性的方法来修改CAMI用于年轻男性。然后，我们将从2所内城高中、一家青年男子诊所和社区机构招募646名15至24岁的青年男子，并将他们随机分配到旨在预防青少年怀孕的改良CAMI（CAMI-TPP）或旨在饮食、体育活动和烟草使用的CAMI（CAMI-健身）。CAMI-TPP组将在12周内接受4次30分钟的MI辅导课程，并在6个月时接受一次30分钟的MI辅导;课程将由计算机生成的反馈指导，旨在增加避孕套的使用，支持女性伴侣的避孕药具使用，并完成生殖健康访问和STI测试。CAMI健身小组将在12周内接受四次30分钟的MI教练课程，并在6个月内接受一次30分钟的MI教练助推器;课程将由计算机生成的针对饮食，体育活动和烟草使用的反馈指导。这两种干预措施在时间和时间上都是相同的，但在目标行为（预防怀孕与健身）上有所不同。我们将通过12周的干预阶段和12个月的随访阶段跟踪两组年轻男性，以评估各组在性行为和避孕行为方面的差异。该研究的具体目的是评估CAMI-TPP与CAMI-Fitness相比在减少性行为方面的有效性，这些性行为通过增加避孕套的使用和女性伴侣使用中度和高度有效的可逆避孕措施来增加意外少女怀孕的风险。我们假设CAMI-TPP将增加参与者在最后一次性交时使用避孕套以及女性伴侣使用避孕措施的比例。我们还预测，那些接受CAMI-TPP的人将报告在研究参与过程中完成生殖健康服务访问的STI和/或HIV检测的比例高于CAMI-Fitness组。如果证明有效，CAMI-TPP可以广泛实施，作为降低年轻男性青少年怀孕风险的方法。