Male Teen Pregnancy Prevention Project (Male TPP Project)

男性青少年预防怀孕项目（男性TPP项目）

• 批准号: 9135948
• 负责人: David Louis Bell
• 金额: $ 87.74万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-30 至 2020-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9135948
• 关键词: Male; Teen; Pregnancy; Prevention; Project

 DESCRIPTION (provided by applicant): In the U.S., teen unintended pregnancy and STIs remain at epidemic levels. Rates of teen fatherhood are especially high among non-Hispanic Black and Hispanic teens. Initiatives to prevent teen pregnancy have focused primarily on female adolescents; how to effectively counsel young men to reduce their risk of fathering a teen pregnancy is unclear. We proposed to adapt, implement and rigorously evaluate an innovative computer-assisted motivational interviewing (CAMI) intervention, originally designed and implemented with girls, for use with young men, age 15-24 years old, to reduce their risk of fathering a teen pregnancy. We will use qualitative methods to modify the CAMI for use with young men. Then we will enroll 646 young men, ages 15 to 24 years, from 2 inner city high schools, a young men's clinic and from community agencies and randomize them to either a modified CAMI aimed at Teen Pregnancy Prevention (CAMI-TPP) or a CAMI aimed at diet, physical activity and tobacco use (CAMI- Fitness). The CAMI-TPP group will receive four, 30-minute MI coaching sessions over 12 weeks and one 30 minute booster at 6-months with a MI coach; sessions will be guided by a computer- generated, feedback aimed at increasing condom use, supporting female partners' contraceptive use, and completing a reproductive health visit with STI testing. The CAMI-Fitness group will receive four, 30-minute MI coaching sessions over 12 weeks and one 30 minute booster at 6-months with a MI coach; sessions will be guided by a computer-generated, feedback aimed at diet, physical activity and tobacco use. Both interventions are identical in length and timing but vary in the target behavior (pregnancy prevention versus fitness). We will track the two groups of young men through a 12 week intervention phase and a 12-month follow-up phase to assess differences in sexual and contraceptive behaviors by group. The specific aim of the study is to evaluate the efficacy of the CAMI-TPP compared to CAMI-Fitness in reducing sexual behaviors that increase the risks of fathering an unintended teen pregnancy by increasing condom use and female partner use of moderately and highly effective reversible contraception. We hypothesize that the CAMI-TPP will increase the proportion of participants who report condom use at last intercourse as well as female partner use of contraception. We also predict that those who receive CAMI-TPP will report higher completion of a reproductive health service visit with STI and/or HIV testing over the course of study participation compared to those in the CAMI-Fitness group. If proven effective, the CAMI-TPP could be broadly implemented as a method to decrease the risk of young men fathering a teen pregnancy.

 描述（由申请人提供）：在美国，青少年意外怀孕和性传播感染仍处于流行水平。在非西班牙裔黑人和西班牙裔青少年中，青少年成为父亲的比例尤其高。预防青少年怀孕的举措主要针对青少年女性；目前尚不清楚如何有效地建议年轻男性降低青少年怀孕的风险。我们建议调整、实施和严格评估一项创新的计算机辅助动机访谈 (CAMI) 干预措施，该干预措施最初是针对女孩设计和实施的，供 15-24 岁的年轻男性使用，以降低他们青少年怀孕的风险。我们将使用定性方法来修改 CAMI 以供年轻男性使用。然后，我们将从两所内城区高中、一家青年男子诊所和社区机构招募 646 名年龄在 15 至 24 岁的年轻男性，并将他们随机分配到旨在预防青少年怀孕的改良 CAMI (CAMI-TPP) 或旨在饮食、体力活动和烟草使用的 CAMI (CAMI-健身)。 CAMI-TPP 小组将在 12 周内接受 4 次 30 分钟的 MI 辅导课程，并在 6 个月内接受 1 次 30 分钟的加强课程，由 MI 教练指导；会议将以计算机生成的反馈为指导，旨在增加安全套的使用，支持女性伴侣避孕药具的使用，并通过性传播感染检测完成生殖健康访问。 CAMI-Fitness 小组将在 12 周内接受 4 次 30 分钟的 MI 辅导课程，并在 6 个月内接受 1 次 30 分钟的强化课程，由 MI 教练指导；会议将以计算机生成的针对饮食、身体活动和烟草使用的反馈为指导。两种干预措施的长度和时间相同，但目标行为（预防怀孕与健身）不同。我们将通过 12 周的干预阶段和 12 个月的随访阶段来跟踪两组年轻男性，以评估各组在性行为和避孕行为方面的差异。该研究的具体目的是评估 CAMI-TPP 与 CAMI-Fitness 相比，通过增加安全套的使用和女性伴侣使用中效和高效可逆避孕措施，减少增加青少年意外怀孕风险的性行为的功效。我们假设 CAMI-TPP 将增加报告上次性行为使用安全套以及女性伴侣使用避孕措施的参与者比例。我们还预测，与 CAMI-Fitness 组的参与者相比，接受 CAMI-TPP 的参与者在研究参与过程中完成性传播感染和/或 HIV 检测的生殖健康服务访问的完成率更高。如果证明有效，CAMI-TPP 可以作为一种降低年轻男性青少年怀孕风险的方法得到广泛实施。