AOD/HIV PREVENTION IN MALE ADOLESCENT DETAINEES

描述(由申请人提供)：拟议的调查旨在应用和测试一种模式，在安全设施内向男性青少年被拘留者(MAD)提供与酒精和其他药物(AOD)相关的艾滋病毒风险降低干预。该模式旨在通过以媒介素养为基础的干预，整合社会认知和问题行为理论提出的行为改变原则，减少AOD、危险性行为(RSB)和AOD相关艾滋病毒风险行为(AOD/HIV)。本研究采用随机对照的纵向设计来检验干预的有效性。干预将包括设施和基于社区的部分。在五年项目执行期内，将有567名MADS参加这项研究的某些方面。MADS将在设施(干预前/干预后)和社区(离开设施后1个月、6个月和12个月)完成评估。这项研究的具体目标是：(A)测试问题行为的组成部分和基于SCT的AOD/HIV风险降低干预，旨在减少AOD、RSB和AOD/HIV，并积极修改被认为调节这些结果的知识、态度和信念；(B)确定中介因素(例如AOD/HIV知识、避免HIV风险行为的自我效能和AOD预期、控制点)是否解释或统计说明随着时间的推移干预结果的差异；以及(C)测试项目策略以留住参与者。这项研究将由一群国家公认的行为科学家领导。将使用定性(过程)和定量(ANOVA，MANOVA)技术来分析数据。该研究项目将提供有关MADS如何应对有针对性的AOD/HIV干预的新知识。研究结果将为在这一人群中推广干预措施提供重要信息。如果测试的干预措施被证明如调查人员预期的那样有效，那么预防艾滋病毒传播的公共卫生影响和潜力将得到最大限度的发挥。

DESCRIPTION (provided by applicant): The proposed investigation aims to apply and test a model for delivering an alcohol and other drug (AOD) - related HIV risk reduction intervention to male adolescent detainees (MADs) within a secured facility. This model is designed to reduce AOD, risky sexual behavior (RSB), and AOD-related HIV risk behavior (AOD/HIV) through an intervention that is grounded in media literacy and integrates principles for behavioral change set forth by social cognitive and problem behavior theories. This study proposes a randomized, controlled longitudinal design to test the efficacy of the intervention. The intervention will include both a facility and community-based component. Over the five-year project implementation period, 567 MADs will be enrolled in selected aspects of the study. MADs will complete assessments in the facility (pre/post intervention) and community (1-month, 6-month, and 12-month following their release from the facility). The specific aims for this study are: (a) to test the components of a problem behavior and SCT-based AOD/HIV risk reduction intervention for MADs designed to reduce AOD, RSB, and AOD/HIV as well as positively modify knowledge, attitudes and beliefs believed to mediate these outcomes; (b) to determine whether the mediators (e.g., AOD/HIV knowledge, self-efficacy to avoid HIV risk behavior, and AOD expectancies, locus of control) explain or statistically account for differences in intervention outcomes over time; and (c) to test a programmatic strategy for participant retention. This study will be led by a group of nationally recognized behavioral scientists. Qualitative (process) and quantitative techniques (ANOVA, MANOVA) will be used to analyze the data. This study project will provide new knowledge on how MADs respond to a targeted AOD/HIV intervention. The outcomes will provide important information for replication of interventions with this population. The public health implications and potential for preventing HIV transmission will be maximized if the tested intervention proves as effective as anticipated by the investigators.