Reducing Teen Risky Behavior: A Clinic-Based Approach

描述（由申请人提供）：本R34的主要目的是进一步开发以父母为基础的干预措施，旨在减少拉丁美洲和非洲裔美国人内城人群的青少年性风险行为。这项研究将以R01的形式进行大规模的临床试验。干预使用一种新的外展方法相对于现存的父母为基础的干预。具体而言，干预措施在初级保健诊所进行，并将在家庭医生为青少年进行年度体检时通过专职保健专业人员进行协调。一位陪同青少年去体检的母亲将在她的孩子接受医生检查时与一位社会工作干预者会面大约25分钟。在此期间，将由社会工作干预人员对母亲进行干预。在课程结束时，母亲将得到带回家的参考材料和要完成的任务，以促进与青少年讨论性问题。将有三个后续的助推器会议通过电话管理，以增加任务的完成概率。目标行为是青少年的性活动。该研究计划的总体目标是开发一种实用，有效和具有成本效益的父母干预措施，可用于医疗保健环境，将达到大量的父母和减少青少年性活动。

DESCRIPTION (provided by applicant): The primary aim of this R34 is to further develop a parent-based intervention designed to reduce adolescent sexual risk behavior in Latino and African American inner city populations. This research will lead to a large- scale clinical trial in the form of an R01. The intervention uses a novel outreach approach relative to extant parent-based interventions. Specifically, the intervention takes place in a primary healthcare clinic and will be coordinated through allied health professionals when family physicians see adolescents for their annual physical examinations. A mother who accompanies her adolescent to the physical will meet with a social work interventionist for approximately 25 minutes while her child is being examined by the physician. During this time, the intervention will be administered by the social work interventionist to the mother. At the conclusion of the session, the mother will be given reference materials to take home and tasks to perform to facilitate discussions about sex with her adolescent. There will be three follow-up booster sessions administered through phone calls to increase completion probabilities of the tasks. The target behavior is sexual activity in adolescents. The overall goal of the research program is to develop a practical, effective, and cost-efficient parent intervention that can be used in health care settings that will reach large numbers of parents and reduce adolescent sexual activity.