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.

项目总结/摘要 人体免疫机能丧失病毒（艾滋病毒）和性传播感染给14岁至18岁的青年造成沉重负担。 18岁在美国（US）。青少年感染艾滋病毒/性传播感染的风险增加， 部分原因是性健康教育不足（即，“性艾德”）在美国。一些青年缺乏获得准确和 关于性和艾滋病毒/性传播感染预防的相关信息，并转向色情媒体（SEM）了解如何 做爱主流的扫描电镜通常描述高风险的性行为，包括无套性行为和侵略性的性行为， 没有同意谈判。因此，2020年版的K-12国家性教育标准 建议美国学校对学生进行SEM教育。尽管如此，没有循证SEM教育 方案存在。该项目的共同PI已经测试了SEM青年教育计划，但其现有的 项目要么是专门为性少数男性青年设计的，要么是专注于SEM，但没有 艾滋病毒/性传播感染教育已纳入。目前的项目将被告知由两个先前的SEM教育的元素 计划和生产一个新的，基于理论的，在线SEM教育模块，供所有高中青年使用 作为校本性教育的一部分。新的在线模块将侧重于SEM中描绘的不切实际的性别， 艾滋病毒/性传播感染预防，并纳入关于性同意和约会暴力的教育。具体来说，我们的目标 1.形成性研究和干预措施制定过程将：（1）包括深入的形成性访谈， SEM教育的预期最终用户和管理人员，包括40名青年（14-18岁），10名学校- 健康教育工作者和10名从我们的伙伴学校系统招募的学校管理人员;（2）使用 面试结果，以指导我们以前的SEM教育计划的内容元素的选择，并定制 新的人口和设置的内容;（3）使用德尔菲优化模块内容选择和视觉效果 过程中与5个国家认可的性艾德和SEM专家。至于目的二，我们会先进行可行性试验， 在线SEM模块的可接受性，样本为14-18岁的青年（N=40），从我们的 合作学校系统。青少年将在家中自行管理SEM模块，并完成前后测试 调查。随机抽取20人，就干预内容和过程进行访谈。初级 结果与可行性和可接受性有关，包括（a）用户满意度;（B）干预措施保留; 及（c）保留研究成果。我们还将通过比较治疗前和治疗后， 行为结果测试分数（安全套使用、艾滋病毒/性传播感染测试、约会暴力）、行为意图 成果（使用避孕套的意图）和知识成果（艾滋病毒/性传播感染相关知识， 知识）。根据NIH艾滋病毒相关研究战略计划中规定的优先事项， 研究构成了一个新的和创新的艾滋病毒预防方法在性健康的健康框架 (i.e.,性艾德），这将有助于建立与社区为基础的合作伙伴（即，学校系统），以防止 青少年中新的艾滋病毒感染。