REPLICATION OF FOCUS ON KIDS

描述(改编自申请者的描述)疾病控制中心 美国疾病控制与预防中心(CDC)已经确定了五个“有效的计划”。其中之一 这些项目“关注儿童”(FOK)是由一个 位于马里兰大学的跨学科团队。UMAB 调查人员与全州西部的研究人员合作 弗吉尼亚州农村健康教育伙伴关系设在西弗吉尼亚州 提出了一项三细胞试验，比较了两种方法 一项新研究中FOK的干预复制和对照干预 人口。新的目标人群因两个种族而不同(白人与 非裔美国人)和地理位置(西弗吉尼亚州农村与城市相比 巴尔的摩)。在一种复制方法中，调查人员将寻求 利用长期的民族志复制干预发展过程 使他们能够将指导理论模型转化为本地模式的阶段 文化。FOK将是这种方法的模板，但很可能 霍震霆的这种文化适应将产生一个本质上不同的 计划，CAP，内容不同(例如，不同的风险和 保护性行为和对这些行为的不同看法)，并且可以 在表现上与霍震霆不同。在第二复制方法(CM-FOK)中， 调查人员应尝试主要修改以下内容的“外表”特征 FOK，例如，名称、本地资源。最后，他们提出了一个控制条件 因为有可能这两个计划都不会在这个问题上有效 新的研究人群。 900名12-16岁的青年生活在来自6个县的36个“社区”中 青少年怀孕率最高的西弗吉尼亚州农村将被招募 在18个月内发生的三次干预浪潮中。在每一次浪潮中，青春 将从12个社区招募。毕竟，在一个特定的浪潮中，年轻人已经 完成基线风险/保护性评估措施，这将是 通过会说话的Macintosh电脑进行管理，这12个社区将 随机分配以接受以下三种干预之一：CAP、CA-FOK或 控制室。在所有三次浪潮完成后，总共有12个社区(300个 青少年)将被分配到每种干预条件。干预影响 有关艾滋病毒/性传播疾病风险以及防护行为和认知的评估将在 干预后3、6、9个月。

DESCRIPTION (Adapted from Applicant's Description) The Center for Disease Control and Prevention (CDC) has identified five "Programs that Work". One of these programs, "Focus on Kids" (FOK) was developed and evaluated by an interdisciplinary team located at the University of Maryland. The UMAB investigators, in collaboration with researchers at the statewide West Virginia Rural Health Education Partnerships housed at West Virginia University, are proposing a three-celled trial comparing two approaches to intervention replication of FOK and a control intervention in a new study population. The new target population differs by both race (white compared to African-American) and by geography (rural West Virginia compared to urban Baltimore). In one replication approach, the investigators will seek to replicate the intervention development process with a prolonged ethnographic phase enabling them to translate the guiding theoretic model into the local culture. FOK will be the template for this approach, but it is likely that this cultural adaptation of FOK will produce a substantially different program, CAP, which will differ in content (e.g., different risk and protective behaviors and different perceptions of these behaviors) and may differ in presentation from FOK. In the second replication approach (CM-FOK), the investigators shall attempt to modify primarily the "cosmetic" features of FOK, e.g., names, local resources. Finally, they propose a Control condition since it is possible that neither of these programs will be effective in this new study population. 900 youth 12-16 years of age living in 36 "communities" from six counties in rural West Virginia with the highest rates of teen pregnancy will be recruited in three intervention waves occurring over 18 months. At each wave, youth will be recruited from 12 communities. After all youth in a given wave have completed baseline risk/protective assessment measures, which will be administered via "talking" Macintosh computers, the 12 communities will be randomly assigned to receive one of the three interventions: CAP, CA-FOK, or Control. After all three waves are completed, a total of 12 communities (300 youth) will be assigned to each intervention condition. Intervention impact on HIV/STD risk and protective behaviors and perceptions will be assessed at 3, 6, and 9 months post-intervention.