WSTDtv: Adolescent Multimedia STD Prevention Curriculum

描述(由申请人提供)：性活跃的青少年在所有年龄段中性传播疾病的比率最高。WSTDTV项目解决了学校对艾滋病毒/性传播疾病认识和预防课程的需求，该课程易于获得、适合发展、引人入胜和有效。通过将多媒体活动、基于网络的资源以及电子和印刷教师支持工具和战略结合起来，WSTDTV将提供一系列活动，使青少年能够了解艾滋病毒/性传播疾病的事实和科学，如何应对日常生活中与性活动有关的压力和影响，以及降低其风险水平所需的技能。第一阶段开发了一个重要的原型光盘、网站和教师指南。初步的光盘是商业质量的，正如它获得的多个行业奖项所展示的那样，甚至是原型形式。在试点前评估(n=41)中，发现互动活动显著增加了青少年的知识，影响了预期方向的目标态度，并显著超过了目标可用性、兴趣和有用性基准。在中学教师(n=17)对教师指南、网站和光盘的评估中，教师们对该产品持压倒性的积极态度。这些结果是值得注意的，尤其是考虑到它们是通过第一阶段原型获得的，该阶段虽然广泛，但在活动的数量和范围、内容范围以及直接培训和练习减少风险和人际交往技能的机会方面有限。在第二阶段，将对现有模块进行细化和扩展。将制作有关性病事实、风险因素和预防技能建设的新模块。该网站将得到改进，包括搜索机制和与个别模块直接链接的其他内容。将创建教师友好的在线“助推器”模块和班级间协作机制，包括登录架构、网络会议、在线投票和其他功能。将扩展教师指南，并设计更多的教师支持工具。第二阶段将通过六个阶段的重点小组、国家认可的咨询小组的深入审查和随机对照产品评估进行评估。同样在第二阶段，营销和分销计划和协议将最终敲定。2005年全国青少年危险行为调查发现，46.8%的高中生一生中有过性行为，其中33.9%的高中生在调查前三个月内与一人或多人发生过性行为。疾病控制中心(CDC)估计，美国每年新增1900万例性传播疾病(STD)病例，其中近一半发生在15至24岁的年轻人(2004年)。毫无疑问，青少年性行为活跃，他们中的许多人正在进行不安全的性行为。学校是健康促进和疾病预防计划的理想场所，大多数青少年至少接受了最低限度的性教育或艾滋病毒教育；然而，总的来说，人们认为性病/艾滋病毒课程并不像其应有的那样有效(Kirby，2002)。互动媒体提供了传播性传播疾病/艾滋病毒预防内容的新方法--对教师和学生都有吸引力的方法。一套易于获得、基于研究和理论驱动的创新和引人入胜的互动活动、工具和资源应该非常受学生、教师、学校和当地教育当局的欢迎，并将填补公共卫生教育的一个重要空白。为了解决这一差距，这里提出的努力描述了WSTDtv的开发--一种供中学和早期中学课堂教师使用的STD/HIV课程。

DESCRIPTION (provided by applicant): Sexually active adolescents have the highest rates of STD of any age group. The WSTDtv project addresses the need for a readily available, developmentally appropriate, engaging, and effective HIV/STD awareness and prevention curriculum for schools. By combining multimedia activities, web-based resources, and electronic and print teacher support tools and strategies, WSTDtv will deliver a set of activities from which adolescents are able to learn facts and science about HIV/STD, ways to deal with pressures and influences related to sexual activity in their daily lives, and the skills necessary to reduce their level of risk. Phase 1 developed a significant prototype CD-ROM, web site, and teacher's guide. The preliminary CD-ROM is of commercial quality, as exhibited by the multiple industry awards it received, even in its prototype form. In a pre-post pilot evaluation (n=41), the interactive activities were found to significantly increase adolescent knowledge, to affect targeted attitudes in the desired direction, and to significantly exceed target usability, interest, and usefulness benchmarks. In an evaluation of the teacher's guide, web site, and CD-ROM by middle school teachers (n=17), the teachers were overwhelmingly positive about the product. These results are noteable, even more so considering they were obtained with a Phase 1 prototype which, while extensive, was limited in the number and range of activities, the scope of content, and the opportunities for direct training in and practice with risk-reducing and interpersonal skills. In Phase 2, existing modules will be refined and expanded. New modules on STD facts, risk factors, and prevention skills building will be produced. The web site will be enhanced to include search mechanisms and additional content directly linked to individual modules. Mechanisms for teacher-friendly online "booster" modules and inter-class collaboration will be created, including login architecture, web conferencing, online voting, and other features. The teachers guide will be extended and additional teacher support tools designed. Phase 2 will be evaluated through six stages of focus groups, through in-depth review by a nationally recognized advisory panel, and through a randomized controlled product evaluation. Also during Phase 2, marketing and distribution plans and agreements will be finalized. The 2005 National Youth Risk Behavior Survey found that 46.8% of high school students had had sexual intercourse during their life and that 33.9% of them had engaged in sexual intercourse with one or more persons during the three months preceding the survey. The Center for Disease Control (CDC) estimates there are 19 million new cases of sexually transmitted diseases (STD) in the United States each year and that almost half of them occur in 15 to 24 year olds (2004). There is little doubt that teens are sexually active and that many of them are engaging in unsafe sexual practices. Schools are an ideal venue for health promotion and disease prevention programs, and most adolescents receive at least a minimum amount of sexuality or HIV education; however, in general it is believed that STD/HIV curricula are not as effective as they could be (Kirby,2002). Interactive media offers new ways for delivering STD/HIV prevention content-ways that can be attractive to both teachers and students. A readily available, research-based, and theory driven set of innovative and engaging interactive activities, tools, and resources should be very well-received by students, teachers, schools, and local educational authorities and will fill an important gap in public health education. Intended to address this gap, the effort proposed herein describes the development of WSTDtv - an STD/HIV curriculum for use by teachers in middle school and early secondary school classrooms.