Risk, Roles and Relationships: Project Prepared

描述（由申请人提供）：我们提出了一个两组随机试验的项目准备，艾滋病毒/性病预防计划，为12-14岁的青少年。它将我们为中年青少年设计的三种干预措施的要素结合在一起，形成一种适合青少年早期发育的综合干预措施。项目准备有两个部分。首先是一个为期7周的14节培训课程，涵盖了高危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。随后是为期5周的实习，通过使青年同伴教育者向其他青少年介绍艾滋病毒/性传播感染风险，将复原力和青年发展纳入其中。项目准备是有理论基础的，全面的，密集的，并适合发展阶段，种族/民族，和社会背景的内城青年的颜色。它强调避免危险性行为的技能，并提供关于性发育、性传播感染和怀孕的准确医学信息。我们将进行一项两组随机试验（n=400），以测试项目准备的有效性认知因素（艾滋病毒/性病知识，性自我效能;使用安全套的意图）;关系因素（不成熟的浪漫信念，关系自我效能），性别规范（大男子主义者，无能为力的女性），和弹性。控制条件将是TEEN，这是一个获奖的计划，在减少心理症状方面证明有效，没有HV/STD内容。 公共卫生相关性：黑人和拉丁美洲青年特别容易感染艾滋病毒/性传播感染，但目前针对青少年的干预措施只显示出有限的短期效果。我们为12-14岁的青少年制定了一个密集、全面的艾滋病毒/性传播感染预防方案，项目准备。该项目预计将产生关于青少年早期性风险行为的重要信息，并可能导致一个新的方案，在未来有效地减少青少年的艾滋病毒/性传播感染风险。

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.