LONGITUDINAL EVALUATION OF AIDS PREVENTION INTERVENTION

描述：(改编自申请人摘要)。在第一次 资助时期为“关注儿童”，这是一项大学-社区合作伙伴关系， 制定并实施了一项为发展和文化量身定做的 基于保护动机理论的降低艾滋病风险干预， 瞄准自然产生的非裔美国人友谊团体 居住在城市公共住房的9至15岁青年。这个 干预影响正在通过随机、受控的 涉及76个友谊小组(383名青年)的临床试验 公共房屋发展项目。每两年对青年进行一次跟踪调查 持续1.5年，采用基于文化和发展的 风险评估工具，用于监测风险感知、风险 意图和风险/保护行为。为期6个月的干预 评价强烈，避孕套的使用率比 干预青年多于对照青年；因此调查人员 相信继续关注这一独特的低收入群体是很重要的 收入方面，城市非裔美国人早期青少年既监测 长期干预影响和风险的自然演变 感知和风险行为。然而，干预后的12个月 干预对避孕套使用的影响已经减弱。因此，迫切需要 提供助推器，并继续探索新的办法以维持 干预影响。因此，在本评估期间， 调查人员还提议调查他们第一次调查的3个发现 资助阶段：青少年对父母的监督率较低； 监控与危险行为呈负相关；父母 认为自己在监督方面效率低下。这很重要 评估低收入城市当前监测做法的范围 环境和设计干预措施以加强父母的监督 练习。虽然人们对育儿方式的评价有限 低收入城市环境中的干预措施，在文化上适当 家庭观看的视频显示出了这一角色的一些前景。因此， 目前的提案要求提供资金以：1)继续采取后续行动 目前的实验队列再延长3年，以评估 艾滋病的自然史--危险和防护行为和观念 在这种高危、以社区为基础的人群中产生的长期影响 对选定的艾滋病相关行为的干预情况，行为 意图和风险认知。需要支持的项目活动 包括：青年青年会每半年向383名青年进行管理 在3年的纵向评估中；每年支持2年 干预“助推器会议”将在9个娱乐中心进行。 (2)探索父母在城市中的监控实践和认知， 低收入环境和发展父母监控干预-- 组件，该组件增加了家长实际和感知的监控。 需要支持的项目活动包括：重点小组讨论； 桩基分类.监测秤的试验.研制 结果监测仪器和过程仪器.生产一种 适合文化的育儿视频；一项随机对照试验 视频干预对240名家长及其子女的影响 年龄介乎12至16岁，居住于6个公共屋苑。

DESCRIPTION: (Adapted from Applicant's Abstract). During the first funding period "Focus on Kids", a university-community partnership, developed and implemented a developmentally and culturally tailored AIDS-risk reduction intervention based on Protection Motivation Theory, targeting naturally occurring friendship groups of African-American youth 9 to 15 years of age living in urban public housing. The intervention impact is being assessed through a randomized, controlled clinical trial involving 76 friendship groups (383 youth) recruited from public housing developments. Bi-annual follow-up of the youth has been ongoing for 1.5 years employing a culturally and developmentally based risk assessment instrument to monitor changes in risk perception, risk intention and risk/protective behaviors. The 6-month intervention evaluation was strong in that condom use rates were 19% higher among intervention youth than among control youth; thus the investigators believe it is important to continue to follow this unique cohort of low- income, urban African-American early adolescents to monitor both the long-term intervention impact and the natural evolution of risk perception and risk behavior. However, 12-months post-intervention the intervention impact on condom use had waned. Thus, it is imperative to provide boosters and to continue to explore new approaches to sustain intervention impact. Therefore, during this evaluation period, the investigators also propose to investigate 3 findings from their first funding phase: youth perceive low rates of parental monitoring; monitoring is inversely correlated with risk behavior; and parents perceive themselves as ineffective in their monitoring. It is important to assess the range of current monitoring practices in low-income urban settings and to design interventions to fortify parental monitoring practices. While there has been limited evaluation of parenting interventions, in low income urban settings, culturally-appropriate home-viewed videos have shown some promise in this role. Accordingly, the current proposal requests funding to: 1) Continue follow-up of the current experimental cohort for an additional 3 years to assess the natural history of AIDS-risk and protective behaviors and perceptions in this high-risk, community-based population and the long-term impact of the intervention on selected AIDS-related behaviors, behavioral intentions, and risk perceptions. Project activities to be supported include: the semi-annual administration of the YHRBI to the 383 youth in the longitudinal evaluation for 3 years; and support for 2 annual intervention "booster sessions" to be conducted at 9 recreation centers. (2) Explore parental monitoring practices and perceptions in an urban, low-income setting and develop a parental monitoring intervention - component which increases actual and perceived monitoring by parents. Project activities to be supported include: focus group discussions; pile-sorts; pilot testing of monitoring scales; development of an outcomes monitoring instrument and process instrument; production of a culturally appropriate parenting video; a randomized, controlled trial of impact of the video intervention on 240 parents and their children aged 12 to 16 who are residents in 6 public housing developments.