School-Based Alcohol and HIV Prevention in South Africa

描述（由申请人提供）：拟议的项目将开发，实施和评估酒精和艾滋病毒预防课程和以学校为基础的小媒体运动，在南非公立学校的青少年。 该课程将部分基于“惊人的替代品”酒精预防课程，该课程是作为北国项目的一部分设计的，并被评估为在美国和包括斯威士兰在内的几个发展中国家成功地推迟了酒精使用的开始。该课程还将部分基于“修改后的降低风险”课程，这是一个以技能为基础的艾滋病毒和怀孕预防课程，经过调整，与高感觉寻求者和冲动决策者更具互动性和成功性，并评估为在多个美国样本中成功延迟性活动的开始。小型媒体宣传活动将集中在学生的学校，并将继续在课程中制定的主题，利用海报、游戏和竞赛、漫画书和报纸、录像和其他被认为最有可能在南非环境中取得成功的媒体。拟议的项目借鉴并扩展了我们目前在彼得马里茨堡地区夸祖鲁-纳塔尔省的几所乡镇中学进行的探索性艾滋病毒和药物滥用预防研究。 在年2-5我们将招募8日或9年级的学生谁将被跟踪两个学年每个两个队列。 八所学校将被随机分配到干预或比较课程条件;每所学校将被随机分配到第一或第二队列接受小型媒体干预。 对于每一组，在第一学年（2年级和4年级），将在干预课程学校实施酒精和艾滋病毒预防课程;在第二学年（3年级和5年级），将在小型媒体学校实施小型媒体运动。 通过这种实验设计，我们将评估一个新的酒精和艾滋病毒预防课程和一个以学校为基础的南非学生的小型媒体活动的有效性（包括简单和联合效果）。我们也将进一步探讨社会心理中介变量、个体差异变量与酒精和性冒险行为之间的关系。

DESCRIPTION (provided by applicant): The proposed project will develop, implement, and evaluate an alcohol and HIV prevention curriculum and school-based small media campaign for teens in public schools in South Africa. The curriculum will be based in part on the "Amazing Alternatives" alcohol prevention curriculum, designed as part of Project Northland and evaluated to be successful at delaying the initiation of alcohol use of both in U.S. and in several developing countries, including Swaziland. The curriculum will also be based in part on the "Modified Reducing the Risk" curriculum, a skills-based HIV and pregnancy prevention curriculum, adapted to be more interactive and successful with high sensation seekers and impulsive decision-makers, and evaluated to be successful at delaying the initiation of sexual activity in multiple U.S. samples of students. The small media campaign will be focused in the students' schools and will continue themes developed in the curriculum, using posters, games and contests, comic books and newspapers, videos, and other media determined to be most likely to succeed in the South African setting. The proposed project draws from and extends our current, exploratory HIV and substance abuse prevention study, now underway in several township secondary schools in KwaZulu-Natal Province, Pietermaritzburg area. During Years 2-5 we will recruit two cohorts of 8th or 9th grade students who will be followed for two school years each. Eight schools will be randomized to the intervention or comparison curriculum conditions; each school will be randomized to receive the small media intervention during the first or second cohort. For each cohort, during the first school year (Years 2 & 4), the alcohol and HIV prevention curriculum will be implemented in intervention curriculum schools; during the second school year (Years 3 & 5), the small media campaign will be implemented in small media schools. With this experimental design, we will assess the effectiveness (including simple and joint effects) of both a new alcohol and HIV prevention curriculum and a school-based small media campaign for South African students. We will also further investigate the relationships among social psychological mediating variables, individual difference variables, and alcohol and sexual risk-taking behaviors.