Online education for high school students to reduce HIV and related sexual behavior risk

为高中生提供在线教育，以降低艾滋病毒和相关性行为风险

• 批准号: 10406366
• 负责人: Kimberly M Nelson
• 金额: $ 24.61万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-17 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10406366
• 关键词: 18 year old; AIDS prevention; AIDS/HIV problem; Administrator; Adolescent; Adolescent Medicine Trials Network; Adult; Age; Aggressive behavior; Anal Sex; Anxiety; Behavioral; Communication; Communities; Complement; Consent; Critical Thinking; Development; E-learning; Education; Educational Curriculum; Elements; Feedback; General Population; Goals; HIV; HIV Infections; HIV risk; Health; Health Educators; Health education; Heterosexuals; High School Student; Home; Intention; Intervention; Intervention Trial; Interview; Knowledge; Learning; Learning Module; Longitudinal Studies; Mainstreaming; Mediation; Mental Depression; Outcome; Persons; Pilot Projects; Population; Pornography; Pre-Post Tests; Prevention approach; Process; Public Health; Randomized Controlled Trials; Research; Risk; Risk Behaviors; STI prevention; Sampling; Schools; Self Administration; Self-Direction; Sex Education; Sexual Health; Sexual and Gender Minorities; Sexually Transmitted Diseases; Strategic Planning; Students; Surveys; System; Testing; United States; United States National Institutes of Health; Universities; Unsafe Sex; Visual; Youth; acceptability and feasibility; adolescent sexual behavior; base; behavior influence; behavioral outcome; comparative efficacy; condoms; data format; dating violence; design; evidence base; high school; infection risk; innovation; intervention effect; minority children; online delivery; online intervention; pilot test; prevent; primary outcome; programs; racial and ethnic; recruit; research and development; satisfaction; sex; sexual HIV transmission; sexual minority male; sexual minority youth; sexual risk behavior; sexual violence; skills; teacher; theories; therapy development; transmission process; web site

PROJECT SUMMARY/ABSTRACT Human immunodeficiency virus (HIV) and sexually transmitted infections (STIs) substantially burden youth 14– 18 years of age in the United States (US). Heightened risk for HIV/STI acquisition among adolescents is due in part to inadequate sexual health education (i.e., “sex ed”) in the US. Some youth lack access to accurate and relevant information about sex and HIV/STI prevention and turn to sexually explicit media (SEM) to learn how to have sex. Mainstream SEM often depicts high-risk sex including condomless sex and aggressive sex with no consent negotiation. Consequently, the 2020 version of the National Sex Education Standards for K-12 recommends that US schools educate students about SEM. Despite this, no evidence-based SEM education programs exist. The Co-PIs of this project have tested SEM education programs for youth, but their existing programs were either designed exclusively for sexual minority male youth, or focused on SEM but without HIV/STI education built in. The present project will be informed by elements of both prior SEM education programs and produce a new, theory-based, online SEM education module for all high school youth to be used as part of school-based sex ed. The new online module will focus on the unrealistic sex depicted in SEM and HIV/STI prevention and incorporate education about sexual consent and dating violence. Specifically, our Aim 1 formative research and intervention development process will: (1) Include in-depth formative interviews with the intended end-users and administrators of the SEM education, including 40 youth (ages 14-18), 10 school- based health educators, and 10 school administrators recruited from our partner school systems; (2) Use interview results to guide selection of content elements from our prior SEM education programs and tailor the content for the new population and setting; and (3) Refine module content choices and visuals using a Delphi process with 5 nationally-recognized sex ed and SEM experts. For Aim 2, we will pilot test the feasibility and acceptability of the online SEM module with a sample of 14-18 year old youth (N=40) recruited from our partner school systems. Youth will self-administer the SEM module at home and complete pre- and post-test surveys. A random subset of 20 will also be interviewed about intervention content and process. Primary outcomes are related to feasibility and acceptability including (a) user satisfaction; (b) intervention retention; and (c) research retention. We will also generate preliminary estimates of efficacy by comparing pre- and post- test scores on behavioral outcomes (condom use, HIV/STI testing, dating violence), behavioral intention outcomes (intentions to use condoms), and knowledge outcomes (HIV/STI-related knowledge, SEM-related knowledge). Consistent with stated priorities in the NIH Strategic Plan for HIV-Related Research, the proposed research constitutes a new and innovative HIV prevention approach within a sexual health wellness framework (i.e., sex ed) that will help to build connections with community-based partners (i.e., school systems) to prevent new HIV infections among adolescents.

项目总结/文摘