AOD/HIV PREVENTION IN MALE ADOLESCENT DETAINEES

拟议的调查旨在应用和测试一种提供酒精和其他药物(AOD)的模型- 对安全设施内的男性青少年被拘留者(MAD)进行相关的艾滋病毒风险降低干预。这 该模型旨在减少AOD、危险性行为(RSB)和AOD相关的HIV危险行为 (AOD/HIV)通过以媒体素养为基础并结合行为准则的干预措施 由社会认知和问题行为理论提出的变化。这项研究提出了一种随机、 对照纵向设计，检验干预效果。干预措施将包括一项 设施和基于社区的组件。在五年项目执行期内，567个马德兰将 参加这项研究的选定方面。MADS将在设施中完成评估(事前/事后 干预)和社区(出院后1个月、6个月和12个月)。这个 这项研究的具体目标是：(A)测试问题行为的组成部分和基于SCT的AOD/HIV 针对MADS的风险降低干预旨在减少AOD、RSB和AOD/HIV以及积极的 修改被认为调解这些结果的知识、态度和信念；(B)确定 中介物(例如，AOD/HIV知识、避免HIV危险行为的自我效能以及AOD预期、场所 对照)解释或统计说明干预结果随时间的差异；以及(C)测试 留住参与者的计划战略。这项研究将由一组全国公认的 行为科学家。将使用定性(过程)和定量(ANOVA、MANOVA)技术 分析数据。本研究项目将提供有关MADS如何应对目标的新知识 AOD/HIV干预。研究结果将为推广干预措施提供重要信息。 这群人。预防艾滋病毒传播对公共卫生的影响和潜力将是 如果测试的干预措施被证明如调查人员预期的那样有效，则最大化。项目五-- 每年的直接成本为2,510,491美元。

The proposed investigation aims to apply and test a model for delivering an alcohol and other drug (AOD) - related HIV risk reduction intervention to male adolescent detainees (MADs) within a secured facility. This model is designed to reduce AOD, risky sexual behavior (RSB), and AOD-related HIV risk behavior (AOD/HIV) through an intervention that is grounded in media literacy and integrates principles for behavioral change set forth by social cognitive and problem behavior theories. This study proposes a randomized, controlled longitudinal design to test the efficacy of the intervention. The intervention will include both a facility and community-based component. Over the five-year project implementation period, 567 MADs will be enrolled in selected aspects of the study. MADs will complete assessments in the facility (pre/post intervention) and community (1-month, 6-month, and 12-month following their release from the facility). The specific aims for this study are: (a) to test the components of a problem behavior and SCT-based AOD/HIV risk reduction intervention for MADs designed to reduce AOD, RSB, and AOD/HIV as well as positively modify knowledge, attitudes and beliefs believed to mediate these outcomes; (b) to determine whether the mediators (e.g., AOD/HIV knowledge, self-efficacy to avoid HIV risk behavior, and AOD expectancies, locus of control) explain or statistically account for differences in intervention outcomes over time; and (c) to test a programmatic strategy for participant retention. This study will be led by a group of nationally recognized behavioral scientists. Qualitative (process) and quantitative techniques (ANOVA, MANOVA)will be used to analyze the data. This study project will provide new knowledge on how MADs respond to a targeted AOD/HIV intervention. The outcomes will provide important information for replication of interventions with this population. The public health implications and potential for preventing HIV transmission will be maximized if the tested intervention proves as effective as anticipated by the investigators. The project five- year direct cost is $2,510,491.