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发展以父母为基础的干预措施，旨在减少拉丁裔和非裔美国人市中心人口中的青少年性风险行为。这项研究将导致R01形式的大规模临床试验。相对于现有的以父母为基础的干预措施，该干预措施采用了一种新颖的外展方法。具体而言，干预措施在初级保健诊所进行，并在家庭医生为青少年进行年度体检时，由联合保健专业人员进行协调。陪同青少年进行体检的母亲将与社会工作干预师会面约25分钟，而她的孩子正在接受医生的检查。在此期间，社会工作干预师将对母亲进行干预。在课程结束时，母亲将获得可带回家的参考材料和需要完成的任务，以促进与青少年讨论性问题。将通过电话进行三次后续助推器会议，以增加任务的完成概率。目标行为是青少年的性行为。该研究项目的总体目标是开发一种实用的、有效的、具有成本效益的父母干预方法，这种方法可以用于医疗保健机构，从而使大量的父母受益，并减少青少年的性活动。

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.