HIV RISK REDUCTION FOR SUBSTANCE-DEPENDENT ADOLESCENTS

这个应用程序请求资金来评估两种行为HIV风险 物质依赖青少年的减量干预模式 将他们的结果与全面的健康教育对照进行比较 条件。150名依赖药物的青少年进入一家寄宿机构 治疗方案将招募参加。50人参加 (5个队列波中每波10个)将随机分配到12个疗程 基于行为技能培训(BST)的小组干预；50 (10个/组，5个组)将被随机分配到12个疗程的计划中 基于相同的行为技能培训模式加上艾滋病毒风险 致敏成分(BST+RS)；50名参与者(10人/组，5组) 将随机分配到综合健康教育控制组 处于相同持续时间的状态。在干预前后和在 6个月和12个月的随访评估，所有受试者都将完成测量 艾滋病风险知识、健康控制点、对艾滋病毒的态度 预防、对避孕套的态度、社会支持、自我报告 性行为和物质使用的频率，自我和反应- 疗效、艾滋病风险、冲动和感觉的个性化 寻求以及录音带评估解决问题的能力 以及角色扮演模拟高风险情况的行为技能。AS 将收集佐证措施、性传播疾病和怀孕信息 从治疗项目中脱身。所有青少年将在入职时被招募。 药物治疗和将参与的干预措施之一并行 对他们的物质依赖进行治疗，然后对一个人进行跟踪 出院后一年。多变量数据分析将对两者进行比较 对照教育控制条件对实验方案进行评估 干预措施对降低危险行为的影响。这是假设的 所有这三种干预措施都将增加对艾滋病毒/艾滋病的了解，但 只有结合了行为技能训练的两种干预措施才能 产生更多的内部控制点，对 降低风险和使用避孕套，在角色扮演中提高行为技能 制定法律，增加社会支持和个人价值观，符合 预防行为，降低性传播疾病和妊娠率 干预。接受风险敏感部分的受试者 (BST+RS)预计将在个性化方面发生更大变化 风险、自我和反应效能感以及性行为 单独接受技能培训(BST)。研究结果将有助于 与高风险物质依赖青少年一起工作的环境。

This application requests funding to evaluate two behavioral HIV risk reduction intervention models with substance dependent adolescents and to compare their outcome against a comprehensive health education control condition. 150 substance dependent adolescents entering a residential treatment program will be recruited for participation. 50 participants (10 in each of 5 cohort waves) will be randomly assigned to a 12 session small group intervention based on behavior skills training (BST); 50 (10/group, 5 groups) will be randomly assigned into a 12 session program based on the same behavior skills training model plus an HIV risk sensitization component (BST+RS); and 50 participants (10/group, 5 groups) will be randomly assigned to a comprehensive health education control condition of the same duration. Before and after the intervention and at 6- and 12-month follow up assessments, all subjects will complete measures of AIDS risk knowledge, health locus of control, attitudes toward HIV prevention, attitudes toward condoms, social support, self-reported frequencies of sexual behavior and substance use, self- and response- efficacy, personalization of AIDS risk, impulsivity, and sensation seeking, as well as audiotaped assessments of problem solving competency and behavioral skill in role play simulations of high risk situations. As corroborative measures, STD and pregnancy information will be collected from the treatment program. All youths will be recruited upon entry into drug treatment and will participate in one of the interventions concurrent with treatment for their substance dependency and then be followed for one year post discharge. Multivariate data analyses will compare the two experimental programs against the education control condition to evaluate the interventions' impact in lowering risk behavior. It is hypothesized that all three interventions will increase knowledge about HIV/AIDS, but that only the two intervention incorporating behavior skills training will produce a more internal locus of control, more favorable attitudes toward risk reduction and condom use, greater behavioral skill in role play enactments, increase social support and personal values consistent with precautionary behavior, and lower STD and pregnancy rates following the intervention. Subjects who receive the risk sensitization component (BST+RS) are predicted to demonstrate greater change in personalization of risk, self- and response-efficacy, and sexual behavior than those who received skills training alone (BST). The results will be useful to settings that work with high risk substance dependent adolescents.