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型，用于向安全设施内的男性青少年被拘留者（MAD）提供酒精和其他药物（AOD）相关的艾滋病毒风险降低干预。该模型旨在通过基于媒体素养的干预措施减少AOD，危险性行为（RSB）和AOD相关的艾滋病毒风险行为（AOD/HIV），并整合了社会认知和问题行为理论提出的行为改变原则。本研究提出了一种随机、对照的纵向设计来测试干预措施的有效性。干预措施将包括设施和社区两个组成部分。在为期五年的项目实施期间，将有567名MAD参与研究的选定方面。MAD将在机构（干预前/后）和社区（从机构释放后1个月、6个月和12个月）完成评估。本研究的具体目的是：（a）测试问题行为和基于SCT的AOD/HIV风险降低干预措施的组成部分，这些干预措施旨在减少AOD、RSB和AOD/HIV，并积极改变被认为介导这些结果的知识、态度和信念;（B）确定介导者（例如，AOD/HIV知识，自我效能，以避免艾滋病毒的危险行为，和AOD的期望，控制点）解释或统计解释的差异，随着时间的推移干预结果;（c）测试的参与者保留的方案战略。这项研究将由一组国家认可的行为科学家领导。将使用定性（过程）和定量技术（ANOVA、MANOVA）分析数据。本研究项目将提供有关MAD如何应对有针对性的AOD/HIV干预的新知识。这些结果将为在这一人群中推广干预措施提供重要信息。如果经试验的干预措施证明与研究人员预期的一样有效，将最大限度地发挥公共卫生影响和预防艾滋病毒传播的潜力。

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.