LONGITUDINAL EVALUATION OF AIDS PREVENTION INTERVENTION

描述：（改编自申请人摘要）。在第一 资助期间，“关注儿童”，一个大学和社区的伙伴关系， 制定并实施了一项适合发展和文化需要的 基于保护动机理论的艾滋病风险降低干预， 针对非裔美国人自然形成的友谊群体 居住在城市公共住房的9至15岁青年。的 正在通过一项随机、对照 临床试验涉及76个友谊团体（383名青年）， 公共房屋发展。每年两次对青年进行跟踪， 持续1.5年，采用基于文化和发展的 风险评估工具，以监测风险认知、风险 意图和风险/保护行为。6个月的干预 评估结果显示，安全套的使用率比男性高出19%， 干预青年比对照青年;因此，研究人员 我认为继续关注这一独特的低- 收入，城市非洲裔美国人的早期青少年，以监测双方的 长期干预影响和风险的自然演变 认知和风险行为。然而，干预后12个月， 干预措施对避孕套使用的影响已经减弱。因此，必须 提供助推器，并继续探索新的方法， 干预影响。因此，在本评估期间， 调查人员还建议调查他们第一次调查中的3个发现， 供资阶段：青年认为父母监督的比例低; 监控与风险行为呈负相关;父母 他们认为自己在监督方面是无效的。重要的是 评估低收入城市地区目前监测做法的范围， 并设计干预措施，以加强父母的监督 实践虽然对养育子女的评价有限， 干预措施，在低收入城市环境中， 家庭观看视频在这方面显示出了一些希望。因此，委员会认为， 目前的提案要求提供资金，以：1）继续落实 目前的实验队列再进行3年，以评估 艾滋病自然史-风险和保护行为及观念 在这个高风险的，以社区为基础的人口和长期影响， 对选定的艾滋病相关行为进行干预， 意图和风险认知。拟支助的项目活动 包括：每半年向383名青年管理YHRBI 3年的纵向评价;以及2年的年度支助 在9个娱乐中心开展干预“助推器会议”。 (2)探索城市， 低收入环境，并制定家长监督干预措施- 这一部分增加了父母的实际和感知监督。 拟支助的项目活动包括：重点小组讨论; 桩的分类;监测尺度的试验性试验; 成果监测工具和进程工具;编制一份 文化上适当的育儿视频;一项随机对照试验 视频干预对240名父母及其子女的影响 年龄介乎12至16岁，居住于6个公共屋！[3]。

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.