School-Based Alcohol and HIV Prevention in South Africa

描述（由申请人提供）：拟议的项目将为南非公立学校的青少年制定、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型媒体运动。该课程将部分以“惊人的替代方案”酒精预防课程为基础，该课程是作为Northland项目的一部分设计的，经评估，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开始使用酒精。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，使其更具互动性，并在高感觉寻求者和冲动决策者中取得了成功，并在多个美国学生样本中被评估为成功地推迟了性行为的开始。小型媒体运动将以学生的学校为重点，并将继续课程中发展的主题，使用海报、游戏和竞赛、漫画书和报纸、录象和其他被认为最有可能在南非取得成功的媒体。拟议的项目借鉴并扩展了我们目前正在夸祖鲁-纳塔尔省彼得马里茨堡地区的几所乡镇中学进行的艾滋病毒和药物滥用预防探索性研究。

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.