An Interactive Education Program to Reduce High Risk Behavior in Adolescents

减少青少年高风险行为的互动教育计划

• 批准号: 10546750
• 负责人: Christopher D. Houck
• 金额: $ 26.61万
• 依托单位: KLEIN BUENDEL, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-19 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10546750
• 关键词: 18 year old; Address; Adolescence; Adolescent; Adolescent Risk Behavior; Affect; Age; Assertiveness; Attention; Awareness; Behavioral; Biological; Cognition; Coitus; Collaborations; Communities; Competence; Data; Decision Making; Development; Education; Emotional; Emotions; Exhibits; Feedback; Female; Female Adolescents; Future; HIV; Health; Health Professional; Health Promotion; Health behavior change; Health education; Hospitals; Internet; Intervention; Interview; Link; Male Adolescents; Marketing; Measures; Mediating; Methods; Online Systems; Outcome; Parents; Participant; Patient Self-Report; Pattern; Performance; Persons; Phase; Pilot Projects; Prevention; Professional Education; Puberty; Public Health; Randomized; Randomized Controlled Trials; Recording of previous events; Reporting; Research; Rhode Island; Risk; Schools; Self Efficacy; Sex Behavior; Sex Education; Sexual Health; Sexually Transmitted Diseases; Signal Recognition Particle; Small Business Technology Transfer Research; System; Tablets; Technology; Teenagers; Testing; Time; Training; Translating; Translations; Waiting Lists; Work; Youth; acceptability and feasibility; adolescent health; adolescent sexual health; after-school program; base; behavior change; comparison group; condoms; critical developmental period; design; digital; digital intervention; disorder prevention; distress tolerance; early adolescence; efficacious intervention; efficacy evaluation; emotion regulation; emotional factor; follow-up; group intervention; health communication; health knowledge; high risk behavior; improved; innovation; male; novel; novel strategies; prevent; preventive intervention; programs; prototype; randomized trial; school health; sex; sexual health intervention; sexual initiation delay; sexual risk taking; skills; skills training; social; technological innovation; tenth grade; unintended pregnancy; uptake; web-based intervention

Internet-based TRAC (i-TRAC): Interactive Emotion Regulation Skills Training to Improve Adolescent Sexual Health Adolescence is a critical developmental period during which behavioral patterns are formed that have powerful influences on current and future health. This is particularly true for sexual behavior, which is affected by the biological changes of puberty as well as normative developmental tasks around sexual exploration. Engaging in sexual behavior in early adolescence (before age 15) is associated with more partners, less condom use, and more frequent sex as teens get older, and these factors increase risk for negative health outcomes (e.g., sexually transmitted infections and unplanned pregnancy) throughout their lives. Many sexual health interven- tions teach prevention skills, such as assertiveness or condom use; the premise of the current application is that these skills are often unused by adolescents because of deficits in emotion regulation (ER), which is un- addressed in most sexual health education. Our research team has developed and tested a novel, engaging, efficacious, and developmentally tailored group intervention (Project TRAC) to teach ER skills to early adoles- cents within the context of sexual health. A study of Project TRAC showed that participants taught ER skills were less likely to start having sex over the 2.5 year follow up. While efficacious, the small group format of the program presents barriers to sustainability and dissemination; significant advantages of web-based delivery exist. To explore whether the ER concepts of TRAC could be taught in a web-based format, we completed a pilot study to translate TRAC's ER content to a web-based intervention (iTRAC), using Designing for Dissemi- nation principles that enhance the likelihood of successful dissemination upon completion. iTRAC demonstrat- ed feasibility and acceptability, and a randomized trial showed that iTRAC participants reported significantly better emotional competence compared to waitlist control participants. The proposed Fast Track project will complete the technology adaptation of the program to include its sexual health content and content linking ER to sexual health. This adaptation (iTRAC for Sexual Risk Prevention; iTRAC-SRP), using well-established the- oretical frameworks, will be approached with advisory boards of school professionals and early adolescents, leading to prototypes of the completed intervention in Phase 1. Phase 2 will include the creation of the remain- ing digital intervention, an acceptability trial, and a randomized controlled trial (RCT) of 120 early adolescents (12-14 years) comparing iTRAC-SRP to a waitlist control. This project represents innovation in adolescent sexual health; its implementation has great potential for sustainability and accessibility.

基于互联网的TRAC(I-TRAC)：互动情绪调节技能培训，以改善青少年 性健康 青春期是一个关键的发展时期，在这个时期形成的行为模式具有强大的 对当前和未来健康的影响。对于性行为来说尤其如此，性行为受到 青春期的生物学变化以及围绕性探索的规范性发展任务。引人入胜 青春期早期(15岁之前)的性行为与更多的伴侣，较少使用避孕套， 随着青少年年龄的增长，性行为更加频繁，这些因素增加了负面健康结果的风险(例如， 性传播感染和意外怀孕)。很多人的性健康干预- 避孕药教授预防技能，如自信或使用避孕套；目前应用的前提是 这些技能往往没有被青少年使用，因为情绪调节(ER)方面的缺陷，这是不 在大多数的性健康教育中都提到了。我们的研究团队开发并测试了一种新颖的、引人入胜的 有效的、为发展量身定制的团体干预(项目TRAC)，向青春期早期儿童传授急诊室技能- 在性健康的背景下。TRAC项目的一项研究表明，参与者教授ER技能 在两年半的随访期内开始性行为的可能性较小。虽然有效，但小团体形式的 计划对可持续性和传播构成障碍；基于网络的交付的显著优势 是存在的。为了探讨TRAC的ER概念能否以基于网络的形式教授，我们完成了一个 将TRAC的ER内容转换为基于网络的干预(ITRAC)的试点研究，使用DisSemi设计- 国家原则，提高完成后成功传播的可能性。ITRAC示范- ED的可行性和可接受性，随机试验表明，iTRAC参与者报告说 与等待名单控制参与者相比，他们的情绪能力更强。拟议的快速通道项目将 完成节目的技术改编，包括其性健康内容和链接ER的内容 为性健康干杯。这一适应(用于防止性风险的iTRAC；iTRAC-SRP)，使用了成熟的- 理论框架，将与学校专业人员和早期青少年的顾问委员会接触， 导致在第一阶段完成干预的原型。第二阶段将包括创建剩余- 对120名早期青少年进行ING数字干预、可接受性试验和随机对照试验(RCT) (12-14岁)将iTRAC-SRP与等待名单对照进行比较。这个项目代表了青少年的创新 性健康；其实施在可持续性和可获得性方面具有巨大潜力。