Risk, Roles and Relationships: Project Prepared

风险、角色和关系：项目准备

• 批准号: 7897645
• 负责人: Laurie J Bauman
• 金额: $ 77.58万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-20 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7897645
• 关键词: AIDS prevention; Abstinence; Acquired Immunodeficiency Syndrome; Address; Adolescence; Adolescent; Adopted; Adult; Age; Attitude; Award; Behavior; Belief; Caring; Child; Cognitive; Coitus; Color; Commit; Communication; Communication Aids for Disabled; Communities; Community Developments; Competence; Computer Assisted; Contraceptive methods; Counseling; Country; Data Collection; Development; Education; Educational workshop; Effectiveness; Elements; Eligibility Determination; Engineering; Enrollment; Ethnic Origin; Evidence based program; Expectancy; Family; Female; Focus Groups; Future; Gender; Gender Role; Generations; HIV; HIV/STD; Harm Reduction; Head; Healthcare; Intention; Internships; Intervention; Intervention Studies; Journals; Knowledge; Latino; Lead; Leadership; Learning; Letters; Life; Life Style; Literature; Love; Measures; Medical center; Mentors; Modeling; Neighborhoods; New York City; Outcome; Ownership; Parents; Participant; Peer Pressure; Planning Theory; Population; Pregnancy; Pregnancy in Adolescence; Prevention; Prevention program; Preventive Intervention; Primary Prevention; Problem behavior; Procedures; Process; Production; Professional counselor; Program Effectiveness; Psychology; Public Health; Questionnaires; Race; Randomized; Randomized Controlled Trials; Recruitment Activity; Research Project Grants; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Role; Screening procedure; Self Efficacy; Services; Sex Behavior; Sexual Development; Sexuality; Sexually Transmitted Diseases; Social Environment; Societies; Staging; Surveys; Symptoms; Teenagers; Testing; Time; Training; Training Programs; Unconscious State; Unsafe Sex; Youth; aged; alcohol and other drug; base; boys; cohort; community based participatory research; community setting; condoms; design; early adolescence; empowerment; expectation; experience; falls; girls; group intervention; health disparity; high risk; high risk behavior; high risk sexual behavior; improved; inner city; innovation; man; meetings; member; peer; planetary Atmosphere; positive youth development; premature; prevent; programs; psychologic; public health relevance; randomized trial; resilience; response; sex; sex risk; skills; social; social cognitive theory; social skills; success; successful intervention; teacher; theories; therapy design; time use; tool

DESCRIPTION (provided by applicant): We propose a two-group randomized trial of Project Prepared, an HIV/STI prevention program for youth aged 12-14. It folds together elements of three interventions we designed for middle adolescents into a comprehensive intervention that is developmentally appropriate for youth in early adolescence. Project Prepared has two parts. First is a 14-session training program held over 7 weeks that covers five major predictors of high risk behavior: developmental na¿vet¿, cognitive factors, gender roles, relationship factors and family formation. It is followed by a 5-week internship that incorporates resilience and youth development through making youth peer educators to other adolescents about HIV/STI risk. Project Prepared is theoretically based, comprehensive, intensive, and appropriate to the developmental stage, race/ethnicity, and social context of inner-city youth of color. It emphasizes skills in avoiding risky sexual situations, and provides medically accurate information about sexual development, sexually transmitted infections and pregnancy. We will conduct a two group randomized trial (n=400) to test the effectiveness of Project Prepared on cognitive factors (HIV/STI knowledge, sexual self-efficacy; intention to use a condom); relationship factors (immature romantic beliefs, relationship self-efficacy), gender norms (macho man, powerless female), and resilience. The control condition will be TEEN, an award winning program with proven effectiveness in reducing psychological symptoms with no HV/STD content. PUBLIC HEALTH RELEVANCE: Black and Latino youth are at particular risk for HIV/STIs, but currently available interventions for young adolescents have shown only modest, short term effects. We have developed an intensive, comprehensive HIV/STI prevention program, for youth aged 12-14, Project Prepared. The project is expected to generate important information on sexual risk behavior in early adolescents, and may lead to a new program that is effective in reducing HIV/STI risk for youth in the future.

描述（由申请人提供）：我们提议对 Project Ready 进行一项两组随机试验，这是一项针对 12-14 岁青少年的 HIV/STI 预防计划。它将我们为中期青少年设计的三种干预措施的要素结合在一起，形成一种适合青春期早期青少年发育的综合干预措施。项目准备有两个部分。首先是为期 7 周、为期 14 节的培训计划，涵盖高风险行为的五个主要预测因素：发展天真、认知因素、性别角色、关系因素和家庭形成。接下来是为期 5 周的实习，通过让青年同伴教育其他青少年了解艾滋病毒/性传播感染风险，将韧性和青年发展结合起来。项目准备具有理论基础、全面、深入，适合城市内有色人种青年的发展阶段、种族/民族和社会背景。它强调避免危险性行为的技能，并提供有关性发育、性传播感染和怀孕的医学上准确的信息。我们将进行一项两组随机试验（n = 400），以测试 Project Ready 对认知因素（HIV/STI 知识、性自我效能、使用安全套的意愿）的有效性；关系因素（不成熟的浪漫信念、关系自我效能）、性别规范（男子气概的男人、无能为力的女性）和复原力。控制条件将是 TEEN，这是一项屡获殊荣的计划，已被证明可以有效减少心理症状，且不含 HV/STD 内容。 公共卫生相关性：黑人和拉丁裔青年感染艾滋病毒/性传播感染的风险特别高，但目前针对青少年的干预措施仅显示出适度的短期效果。我们为 12 至 14 岁的青少年制定了强化、全面的艾滋病毒/性传播感染预防计划，项目已准备就绪。该项目预计将产生有关青少年早期性危险行为的重要信息，并可能导致制定一项新计划，有效降低未来青少年感染艾滋病毒/性传播感染的风险。