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Competence-Enhancement Prevention Program Effects on Later Risky Sexual Behavior

能力增强预防计划对以后危险性行为的影响

基本信息

批准号：
7674808
负责人：
KENNETH W GRIFFIN
金额：
$ 48.45万
依托单位：
WEILL MEDICAL COLL OF CORNELL UNIV
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-15 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7674808
关键词：
21 year old Accounting Acquired Immunodeficiency Syndrome Address Adolescence Age Alcohol or Other Drugs use Alcohols Attitude Behavior Behavioral Cognition Cognitive Competence Data Data Collection Development Doctor of Philosophy Drug abuse Drug usage Economically Deprived Population Educational Intervention Educational process of instructing Effectiveness Epidemic Etiology Event Follow-Up Studies Funding Future Gender Growth HIV Health behavior Illicit Drugs Individual Intervention Interview Intoxication Life Long-Term Effects Marijuana Measures Mediating Minority Modeling Monitor Motivation New York City Outcome Participant Peer Review Pharmaceutical Preparations Population Prevention Prevention Research Prevention approach Prevention program Procedures Publications Publishing Randomized Controlled Clinical Trials Reproductive Health Research Research Methodology Research Personnel Risk Risk Behaviors Risk Factors Risk-Taking Role Rural Sampling Schools Sex Behavior Sex Characteristics Students Surveys Target Populations Telephone Interviews Testing Tobacco Urban Population Work Youth adolescent alcohol adolescent drug abuse anti social base cohort condoms design drug abuse prevention early adolescence emerging adult emerging adulthood evidence base follow-up high risk high risk behavior high risk sexual behavior high school inner city intervention effect middle school pressure programs psychologic psychosocial resilience sex sex risk skills skills training social socioeconomics suburb universal prevention young adult

项目摘要

DESCRIPTION (provided by applicant): This proposal is designed to examine the long-term effects of an evidence-based competence-enhancement universal school-based prevention program that was delivered to urban minority youth attending middle schools in New York City. The long-term effects of the intervention on alcohol, tobacco, and illicit drug use will be tested, as well as whether the effects generalize to a variety of sexual risk behaviors among participants as young adults. Previous research has shown that the model prevention program, Life Skills Training (LST), produces positive behavioral effects on substance use and other outcomes with effects lasting until the end of high school in suburban White samples. The intervention teaches young people important social and cognitive skills that can help them master various developmental tasks. This may in turn increase resilience to the social, environmental, and psychological forces that promote and maintain a variety of negative health behaviors that share similar risk and protective factors. Several alternate hypothesized mechanisms that are closely tied to the LST intervention content will be tested to investigate how participation in the intervention may reduce later risky substance use and sexual risk behaviors. Recently published data from a separate sample of suburban White young adults are presented showing that LST slowed growth in alcohol and marijuana intoxication rates during adolescence, which in turn predicted a later reduction in HIV risk behaviors, as defined as having sex while intoxicated. In the proposed study, follow-up telephone interviews will be administered to the cohort of young adults that participated in a randomized trial of LST during adolescence. The sample represents an understudied group of predominantly minority, economically disadvantaged youth in New York City. Participants will be approximately 3500 young adults ages 21-23 who will be interviewed 5 years following their most recent data collection. Individuals in 20 treatment schools received the 30 session prevention program; students in 21 control schools did not. Participants were surveyed annually through the 12th grade with measures of risk behavior and psychosocial risk factors. The proposed study extends work on the long-term effectiveness of LST and offers the potential of identifying an intervention that produces long-term effects for multiple outcomes. The proposed study also provides critical information on the etiology of risk behaviors during the transition to young adulthood in an understudied population of urban minority young adults who have been followed since early adolescence.

描述(由申请人提供)：这项提案旨在审查一项以证据为基础的能力增强普遍的以学校为基础的预防计划的长期效果，该计划被交付给在纽约就读中学的城市少数族裔青年。将测试干预措施对酒精、烟草和非法药物使用的长期影响，以及这些影响是否推广到参与者年轻时的各种性危险行为。先前的研究表明，生活技能培训(LST)模式预防计划对物质使用和其他结果产生积极的行为影响，影响持续到郊区白色样本的高中结束。这项干预措施向年轻人传授重要的社交和认知技能，帮助他们掌握各种发展任务。这反过来可能会增加对社会、环境和心理力量的适应能力，这些力量促进和维持各种具有相似风险和保护因素的负面健康行为。将测试与LST干预内容密切相关的几种替代假设机制，以调查参与干预如何减少以后的危险物质使用和性危险行为。最近公布的另一个郊区白人年轻人样本的数据显示，LST减缓了青春期酒精和大麻中毒率的增长，这反过来又预示着后来艾滋病毒危险行为的减少，即醉酒时发生性行为。在这项拟议的研究中，后续电话采访将对参与青春期LST随机试验的年轻人进行队列调查。该样本代表了纽约市一群研究不足的年轻人，他们主要是少数族裔，经济上处于不利地位。参与者将是大约3500名21-23岁的年轻人，他们将在最近一次数据收集后5年接受采访。20所治疗学校的学生接受了30次预防计划；21所对照学校的学生没有接受。参与者在12年级之前每年都会接受风险行为和心理社会风险因素的调查。拟议的研究扩展了关于LST长期有效性的工作，并提供了确定对多种结果产生长期影响的干预措施的可能性。这项拟议的研究还提供了关于从青春期开始跟踪的未被充分研究的城市少数民族青年人群在过渡到青年时期期间危险行为的病因学的关键信息。