Prime Time: Health Promotion for Multiple Risk Behaviors

黄金时间：多种风险行为的健康促进是一项为期五年的干预研究（2005- 2009年），总体目标是设计、实施和评价一项多组成部分的干预措施， 少女早孕风险高，减少少女怀孕的多种前兆，包括 性冒险，暴力参与，和学校脱节。黄金时段针对13-17岁的女孩 （n=250）在明尼阿波利斯/圣保罗的学校和社区诊所就诊，符合规定的风险标准。 使用实验设计，一半的研究参与者被随机分配到干预条件; 一半分配给控制条件。干预参与者将参与黄金时间 干预期为18个月，而对照组受试者将继续接受常规诊所服务。 将在研究基线和6， 研究入组后12、18、24和30个月。解决与下列问题有关的核心风险和保护因素： 性风险行为，暴力参与和学校断开，黄金时段干预采用 一个创新的组合，以前测试的方法，包括一对一的情况下管理，同行 教育（Just In Time）和服务学习（It's Our Time）。这种多成分干预 在黄金时段试点研究中开发和现场测试。使用多波数据，我们评估 干预对参与者的性风险和避孕行为的影响;学校联系， 学校不良行为和学校表现;暴力参与和同伴相关的攻击。我们也 测试干预对结果行为的影响在多大程度上是由假设的风险介导的， 黄金时段干预针对的保护因素。如果干预表明 成功预防风险行为，我们将积极参与传播工作，以影响最佳做法 在为少女服务的初级保健诊所。

Prime Time: Health Promotion for Multiple Risk Behaviors is a five-year intervention research study (2005- 2009) with an overall goal to design, implement and evaluate a multi-component intervention among adolescent girls at high risk for early pregnancy that reduces multiple precursors of teen pregnancy including sexual risk taking, violence involvement, and school disconnection. Prime Time targets 13-17 year old girls (n=250) attending school and community clinics in Minneapolis/St Paul who meet specified risk criteria. Using an experimental design, half of study participants are randomly assigned to the intervention condition; half are assigned to the control condition. Intervention participants will be involved with the Prime Time intervention for an 18-month period, while control participants will continue to receive usual clinic services. Self-report data will be collected (via A-CASI surveys) from all study participants at study baseline and at 6, 12, 18, 24, and 30 months following study enrollment. To address core risk and protective factors related to sexual risk behaviors, violence involvement, and school disconnection, the Prime Time intervention employs an innovative combination of previously-tested approaches including one-on-one case management, peer education (Just In Time) and service learning (It's Our Time) experiences. This multi-component intervention was developed and field-tested in the Prime Time pilot study. Using multi-wave data, we evaluate intervention impacts on participants' sexual risk taking and contraceptive behaviors; school connectedness, school misbehavior and school performance; violence involvement and peer-related aggression. We also test the extent to which intervention effects on outcome behaviors are mediated by hypothesized risk and protective factors targeted for change by the Prime Time intervention. If the intervention demonstrates success in preventing risk behaviors, we will actively engage in dissemination efforts to affect best practices in primary care clinics serving adolescent girls.