Youth Alcohol Use and Risky Sexual Behavior in Bangkok

描述（由申请人提供）：证据强烈表明泰国青少年感染艾滋病毒/性传播疾病的风险很高（Crispin, 2004），并且酒精使用与危险性行为之间存在关联（Thato等人，2003；Allen等人，2003）。很少有行为驱动的干预措施，特别是以家庭为基础的干预措施，针对泰国年轻人的酒精使用和危险性行为（Allen et al., 2003; Thato et al., 2003）。因此，这项拟议的国际合作研究项目的目标是开展一项为期四年的可行性研究，以适应泰国文化的家庭事务（pmm - us），这是一项涉及父母和青少年的药物滥用普遍预防计划。这个改编的项目将被称为泰国家庭事务（TFM）项目。在泰国采用以家庭为基础的方法是合适的，原因有几个。在泰国，家庭是一个非常支持的单位。家庭单位是对恭敬行为和与性行为和酗酒/吸毒有关的文化上可接受的规范进行基本训练的主要提供者（Spielman， 1994年）。有三个具体目标：(1)评估美国衍生的风险和保护因素理论模型对泰国文化的相对重要性；(2)适应泰国12 - 14岁青少年家庭，创建TFM；(3)采用随机对照组设计对TFM进行试点测试，并进行为期6个月的随访评估。将进行过程和结果评估，以确定方案实施的可行性、方案调整的文化适宜性、目标人群对方案的接受程度，以及方案对与酒精使用和危险性行为相关的风险和保护因素的影响。该研究还将调查酒精使用和危险性行为的短期影响。泰国研究人员将在这项拟议研究的所有阶段进行合作，包括项目调整、研究结果的传播以及为评估TFM有效性的未来申请做准备。

DESCRIPTION (provided by applicant): Evidence strongly suggests that Thai adolescents are significantly at risk for HIV/STDs (Crispin, 2004), and that associations between alcohol use and risky sexual behaviors exist (Thato et al., 2003; Allen et al., 2003). There are few behavioral-driven interventions, especially family-based interventions, targeting both alcohol use and risky sexual behaviors among young Thais (Allen et al., 2003; Thato et al., 2003). Accordingly, the goal of this proposed international collaborative research project is to conduct a four year feasibility study for adaptation of Family Matters (P.M.-U.S.), a universal prevention program for substance abuse that involves parents and adolescents, to the Thai culture. This adapted program will be called the Thai Family Matters (TFM) program. Using a family-based approach in Thailand is appropriate for several reasons. The family is a very supportive unit in Thailand. The family unit is the primary provider of fundamental training for deferential behaviors and culturally acceptable norms that are relevant to sexual behavior and alcohol/drug use (Spielman, 1994). There are three specific aims: (1) to assess the relative importance of a U.S.-derived risk and protective factor theoretical model to the Thai culture; (2) to adapt the FM program to Thai families with youth 12 to 14 years old, creating the TFM; and (3) to pilot test the TFM using a randomized control group design with a six-month follow-up assessment. Both process and outcome evaluations will be conducted to determine the feasibility of program implementation, the cultural appropriateness of program adaptations, program acceptability by the target population, and its influence on risk and protective factors associated with alcohol use and risky sexual behaviors. The study also will examine the short-term effects on alcohol use and risky sexual behaviors. Thai investigators will collaborate in all phases of this proposed study, including program adaptation, dissemination of study findings, and the preparation of a future application to assess the efficacy of TFM.