An Interactive Education Program to Reduce High Risk Behavior in Adolescents

减少青少年高风险行为的互动教育计划

• 批准号: 10923331
• 负责人: Christopher D. Houck
• 金额: $ 89.09万
• 依托单位: KLEIN BUENDEL, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-13 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10923331
• 关键词: Interactive; Education; Program; Reduce; Risk

Internet-based TRAC (i-TRAC): Interactive Emotion Regulation Skills Training to Improve Adolescent Sexual Health Adolescence is a critical developmental period during which behavioral patterns are formed that have powerful influences on current and future health. This is particularly true for sexual behavior, which is affected by the biological changes of puberty as well as normative developmental tasks around sexual exploration. Engaging in sexual behavior in early adolescence (before age 15) is associated with more partners, less condom use, and more frequent sex as teens get older, and these factors increase risk for negative health outcomes (e.g., sexually transmitted infections and unplanned pregnancy) throughout their lives. Many sexual health interven- tions teach prevention skills, such as assertiveness or condom use; the premise of the current application is that these skills are often unused by adolescents because of deficits in emotion regulation (ER), which is un- addressed in most sexual health education. Our research team has developed and tested a novel, engaging, efficacious, and developmentally tailored group intervention (Project TRAC) to teach ER skills to early adoles- cents within the context of sexual health. A study of Project TRAC showed that participants taught ER skills were less likely to start having sex over the 2.5 year follow up. While efficacious, the small group format of the program presents barriers to sustainability and dissemination; significant advantages of web-based delivery exist. To explore whether the ER concepts of TRAC could be taught in a web-based format, we completed a pilot study to translate TRAC's ER content to a web-based intervention (iTRAC), using Designing for Dissemi- nation principles that enhance the likelihood of successful dissemination upon completion. iTRAC demonstrat- ed feasibility and acceptability, and a randomized trial showed that iTRAC participants reported significantly better emotional competence compared to waitlist control participants. The proposed Fast Track project will complete the technology adaptation of the program to include its sexual health content and content linking ER to sexual health. This adaptation (iTRAC for Sexual Risk Prevention; iTRAC-SRP), using well-established the- oretical frameworks, will be approached with advisory boards of school professionals and early adolescents, leading to prototypes of the completed intervention in Phase 1. Phase 2 will include the creation of the remain- ing digital intervention, an acceptability trial, and a randomized controlled trial (RCT) of 120 early adolescents (12-14 years) comparing iTRAC-SRP to a waitlist control. This project represents innovation in adolescent sexual health; its implementation has great potential for sustainability and accessibility.

基于Internet的TRAC（I-TRAC）：互动情感调节技能培训以改善青少年 性健康 青春期是一个关键的发展时期，在此期间形成具有强大功能的行为模式 影响当前和未来的健康。性行为尤其如此，这受 青春期的生物学变化以及围绕性探索的规范性发展任务。参与 在青春期早期（15岁之前）的性行为与更多的伴侣有关，使用避孕套的使用量较少， 随着青少年年龄的增长，更频繁的性行为，这些因素会增加健康结果的风险（例如， 性传播感染和计划外怀孕的一生。许多性健康干预 - 教授预防技能，例如自信或使用避孕套；当前申请的前提是 由于情绪调节（ER）的缺陷，这些技能通常被青少年无法使用，这是不存在的 在大多数性健康教育中解决。我们的研究团队已经开发并测试了一部引人入胜的小说 有效的，开发量身定制的小组干预（项目TRAC），以教授ER技能到早期的Adoles- 在性健康背景下的美分。对TRAC项目的研究表明，参与者教授ER技能 在2。5年的随访中开始做爱的可能性较小。虽然有效，但 计划给予可持续性和传播的障碍；基于网络的交付的显着优势 存在。为了探索是否可以以基于网络的格式来教授TRAC的ER概念，我们完成了一个 试点研究将TRAC的ER内容转化为基于Web的干预措施（ITRAC），并使用针对性的设计 建立后成功传播的可能性的国家原则。 iTrac示范 - ED可行性和可接受性，一项随机试验表明，ITRAC参与者报告了显着的 与候补名单控制参与者相比，更好的情感能力。拟议的快速轨道项目将 完成该计划的技术改编，以包括其性健康内容和链接的内容 对性健康。这种适应（用于预防性风险的ITRAC； ITRAC-SRP），使用良好的 主题框架将与学校专业人士和早期青少年的咨询委员会联系， 导致第1阶段完成的干预措施的原型。第2阶段将包括创建其余的 数字干预，可接受性试验和120名早期青少年的随机对照试验（RCT） （12 - 14年）将ITRAC-SRP与候补名单控制进行比较。该项目代表青少年的创新 性健康；它的实施具有可持续性和可及性的巨大潜力。