BRIEF ADOLESCENT ALCOHOL/HIV PREVENTION INTERVENTIONS

申请人摘要：需要简短的干预来解决 过早性行为和酗酒的复杂问题， 青少年的无监督社交活动。 简要 干预措施，可以达到大量的青少年与突出 信息和/或增加护理人员的指导，例如健康 提供者，可能会降低无监督的社会饮酒率， 青少年。 我们的目标是：1）修改我们的音频自我评估和教育 该计划增加了避孕套提供者对避孕套的讨论， 增加避孕套的使用，减少性传播疾病的迹象， 因此，它专门针对酒精/艾滋病毒风险的社会背景，2） 进行随机试验，以确定a）音频干预是否 单独或B）音频+医生干预减少青少年饮酒 和性行为。 华盛顿，华盛顿特区卫生领域的六项初级保健实践 维护组织（约20名医生）将参加 本研究 研究人员将分别招聘约18名 医生的病人年龄在12到15岁之间。 青少年将 随机分为三个研究组：I-口腔护理组、II-仅音频组、III-音频组 + 医生。 医患讨论避免饮酒， 性别将通过一般健康检查的轻拍记录进行评估， 青少年离职面谈 青少年的饮酒行为将被测量 在索引医生访视后4个月、8个月和12个月通过电话访谈。 这项研究将证明是否音频自我评估单独或在 结合提供者的建议可以减少青少年饮酒， 无保护的性交 虽然这项研究的目标是青少年， 初级保健，简短的干预措施可以更广泛地管理， 显示有效。

APPLICANT'S ABSTRACT: Brief interventions are needed to address the compounded problem of early sexual activity and alcohol use which results from the unsupervised social activities of young adolescents. Brief interventions which can reach a large number of adolescents with salient messages and/or increase the guidance by care givers, such as health providers, may decrease rates of unsupervised social drinking among adolescents. We aim to: 1) Revise our audio self-assessment and education program, which increased adolescent-provider discussion about condoms, increased condom use, and decreased signs of sexually transmitted diseases, so that it specifically addresses the social context of alcohol/HIV risk, 2) Conduct a randomized trial to determine whether a) an audio intervention alone or b) an audio + physician intervention reduces adolescent alcohol use and sexual behavior. Six primary care practices in Washington, D.C. health maintenance organizations (approximately 20 physicians) will participate in this study. Research staff will recruit approximately 18 of each physician's patients age 12 through 15 years. Adolescents will be randomized into three study groups: I-Usual Care, II-Audio Only, III-Audio + Physician. Physician-patient discussion about avoiding alcohol use and sex will be assessed by tap recordings of the general health examination and adolescent exit interviews. Adolescents' alcohol behaviors will be measured by telephone interview 4-, 8- and 12-months after the index physician visit. This study will demonstrate whether audio self-assessment alone or in conjunction with provider advice can decrease adolescent alcohol use and unprotected sexual intercourse. Although the study targets adolescents in primary care, the brief interventions could be more broadly administered if shown effective.