Online education for high school students to reduce HIV and related sexual behavior risk

为高中生提供在线教育，以降低艾滋病毒和相关性行为风险

• 批准号: 10252292
• 负责人: Kimberly M Nelson
• 金额: $ 22.09万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-17 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10252292
• 关键词: 18 year old; AIDS prevention; AIDS/HIV problem; Administrator; Adolescent; Adolescent Medicine Trials Network; Adult; Age; Aggressive behavior; Anal Sex; Anxiety; Behavioral; Communication; Communities; Complement; Consent; Critical Thinking; Development; E-learning; Education; Educational Curriculum; Elements; Feedback; General Population; Goals; HIV; HIV Infections; HIV risk; Health; Health Educators; Health education; Heterosexuals; High School Student; Home; Intention; Intervention; Intervention Trial; Interview; Knowledge; Learning; Learning Module; Longitudinal Studies; Mainstreaming; Mediation; Mental Depression; Outcome; Persons; Pilot Projects; Population; Pornography; Pre-Post Tests; Prevention approach; Process; Public Health; Randomized Controlled Trials; Research; Risk; Risk Behaviors; STI prevention; Sampling; Schools; Self Administration; Self-Direction; Sex Education; Sexual Health; Sexual and Gender Minorities; Sexually Transmitted Diseases; Strategic Planning; Students; Surveys; System; Testing; United States; United States National Institutes of Health; Universities; Unsafe Sex; Visual; Youth; acceptability and feasibility; adolescent sexual behavior; base; behavior influence; behavioral outcome; comparative efficacy; condoms; data format; dating violence; design; ethnic minority population; evidence base; feasibility testing; high school; infection risk; innovation; intervention effect; male; online delivery; online intervention; prevent; primary outcome; programs; racial and ethnic; recruit; research and development; satisfaction; sex; sexual HIV transmission; sexual minority; sexual risk behavior; sexual violence; skills; teacher; theories; therapy development; transmission process; web site

PROJECT SUMMARY/ABSTRACT Human immunodeficiency virus (HIV) and sexually transmitted infections (STIs) substantially burden youth 14– 18 years of age in the United States (US). Heightened risk for HIV/STI acquisition among adolescents is due in part to inadequate sexual health education (i.e., “sex ed”) in the US. Some youth lack access to accurate and relevant information about sex and HIV/STI prevention and turn to sexually explicit media (SEM) to learn how to have sex. Mainstream SEM often depicts high-risk sex including condomless sex and aggressive sex with no consent negotiation. Consequently, the 2020 version of the National Sex Education Standards for K-12 recommends that US schools educate students about SEM. Despite this, no evidence-based SEM education programs exist. The Co-PIs of this project have tested SEM education programs for youth, but their existing programs were either designed exclusively for sexual minority male youth, or focused on SEM but without HIV/STI education built in. The present project will be informed by elements of both prior SEM education programs and produce a new, theory-based, online SEM education module for all high school youth to be used as part of school-based sex ed. The new online module will focus on the unrealistic sex depicted in SEM and HIV/STI prevention and incorporate education about sexual consent and dating violence. Specifically, our Aim 1 formative research and intervention development process will: (1) Include in-depth formative interviews with the intended end-users and administrators of the SEM education, including 40 youth (ages 14-18), 10 school- based health educators, and 10 school administrators recruited from our partner school systems; (2) Use interview results to guide selection of content elements from our prior SEM education programs and tailor the content for the new population and setting; and (3) Refine module content choices and visuals using a Delphi process with 5 nationally-recognized sex ed and SEM experts. For Aim 2, we will pilot test the feasibility and acceptability of the online SEM module with a sample of 14-18 year old youth (N=40) recruited from our partner school systems. Youth will self-administer the SEM module at home and complete pre- and post-test surveys. A random subset of 20 will also be interviewed about intervention content and process. Primary outcomes are related to feasibility and acceptability including (a) user satisfaction; (b) intervention retention; and (c) research retention. We will also generate preliminary estimates of efficacy by comparing pre- and post- test scores on behavioral outcomes (condom use, HIV/STI testing, dating violence), behavioral intention outcomes (intentions to use condoms), and knowledge outcomes (HIV/STI-related knowledge, SEM-related knowledge). Consistent with stated priorities in the NIH Strategic Plan for HIV-Related Research, the proposed research constitutes a new and innovative HIV prevention approach within a sexual health wellness framework (i.e., sex ed) that will help to build connections with community-based partners (i.e., school systems) to prevent new HIV infections among adolescents.

项目摘要/摘要 人类免疫缺陷病毒（HIV）和性传播感染（STIS）实质上烧伤了青年14 – 美国18岁（美国）。青少年艾滋病毒/性传播感染的风险增加 在美国的性健康教育不足的一部分（即“性爱”）。一些青年无法获得准确的机会 有关性和艾滋病毒/STI预防的相关信息，并转向性明确的媒体（SEM）以了解如何 做爱。主流SEM经常强调高风险的性别，包括无避孕套性行为和侵略性 没有同意谈判。因此，K-12的2020年版本的国家性教育标准 建议美国学校教育学生关于SEM。尽管如此，没有循证的SEM教育 程序存在。该项目的共同点已经测试了针对青年的SEM教育计划，但他们的现有 计划要么专门针对性少数男性青年设计，要么专注于SEM，但没有 内置的HIV/STI教育。本项目将由先前的SEM教育的元素告知 计划并生产一个新的，基于理论的在线SEM教育模块，以供所有高中青年使用 作为学校的性爱的一部分。新的在线模块将重点介绍SEM和SEM中描述的不切实际的性别 HIV/STI预防和有关性同意和约会暴力的教育。具体来说，我们的目标 1形成性研究和干预开发过程将：（1）与 SEM教育的预期最终用户和管理员，包括40名青年（14-18岁），10名学校 从我们的合作伙伴学校系统招募的基于的健康教育者和10名学校管理员； （2）使用 访谈结果指导我们先前的SEM教育计划中的内容元素的选择，并量身定制 新人群和环境的内容； （3）使用delphi提炼模块内容选择和视觉效果 与5个全国认可的性爱和SEM专家一起处理。对于AIM 2，我们将试行测试可行性和 在线SEM模块的可接受性，并从我们的 合作伙伴学校系统。年轻人将在家中自行自助SEM模块，并完成测试前后 调查。关于干预内容和流程的随机子集的随机子集也将接受采访。基本的 结果与可行性和可接受性有关，包括（a）用户满意度； （b）保留干预； （c）研究保留。我们还将通过比较前后，从而产生效率的初步估计。 行为结果的测试分数（使用安全套，HIV/STI测试，约会暴力），行为意图 结果（使用避孕套的意图）和知识结果（与HIV/STI相关的知识，与SEM相关的知识 知识）。与艾滋病毒相关研究的NIH战略计划中既定的优先事项一致 研究构成了性健康健康框架内的一种新的创新艾滋病毒预防方法 （即，性培训）将有助于与基于社区的合作伙伴（即学校系统）建立联系 青少年的新艾滋病毒感染。