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/性病的风险很大（Crispin，2004），并且饮酒和危险性行为之间存在关联（Thato等人，2003;艾伦等人，2003年）。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，针对年轻泰国人的酒精使用和危险性行为（艾伦等人，2003; Thato等人，2003年）。因此，这个拟议的国际合作研究项目的目标是进行一个为期四年的可行性研究，以适应家庭问题（下午-美国），这是一个涉及父母和青少年的药物滥用普遍预防计划，以适应泰国文化。这一调整后的方案将被称为泰国家庭事务方案。在泰国采用以家庭为基础的办法是适当的，原因有几个。家庭在泰国是一个非常支持的单位。家庭单位是基本训练的主要提供者，这些基本训练包括与性行为和酒精/药物使用有关的恭敬行为和文化上可接受的规范（Spielman，1994年）。有三个具体目标：（1）评估美国的相对重要性-（2）使FM方案适用于有12至14岁青年的泰国家庭，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，方案适应的文化适当性，目标人群的方案可接受性，以及其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。该研究还将研究对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、传播研究结果以及准备未来的应用程序以评估TFM的疗效。

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.