Risk, Roles and Relationships: Project Prepared

描述(由申请人提供)：我们建议对准备好的项目进行两组随机试验，这是一项针对12-14岁青年的艾滋病毒/性传播感染预防计划。它将我们为中青年设计的三种干预措施的要素合并为一种全面的干预措施，适合青春期早期的年轻人发育。项目准备工作分为两个部分。首先是为期14节的培训计划，为期7周，涵盖了高风险行为的五个主要预测因素：发育自然因素、认知因素、性别角色、关系因素和家庭形成。随后是为期5周的实习，通过让青年与其他青少年进行关于艾滋病毒/性传播感染风险的同行教育，将复原力和青年发展纳入其中。准备的项目是有理论基础的、全面的、密集的，适合市中心有色人种青年的发展阶段、种族/民族和社会背景。它强调避免危险的性行为的技能，并提供有关性发育、性传播感染和怀孕的医学准确信息。我们将进行两组随机试验(n=400)，以测试项目编制的有效性，这些因素包括认知因素(艾滋病毒/性传播感染知识、性自我效能、使用避孕套的意图)、关系因素(不成熟的恋爱信念、关系自我效能)、性别规范(男子气概、无力的女性)和韧性。控制条件将是青少年，这是一个获奖项目，在减少心理症状方面被证明是有效的，没有HV/STD内容。 与公共卫生相关：黑人和拉丁裔青年感染艾滋病毒/性传播疾病的风险特别大，但目前针对青少年的干预措施仅显示出温和的短期效果。我们已经为12-14岁的青少年制定了一项密集、全面的艾滋病毒/性传播感染预防计划，项目已经准备好了。该项目预计将产生有关青少年早期性行为风险的重要信息，并可能导致一个新的计划，在未来有效地降低青少年的艾滋病毒/性传播感染风险。

DESCRIPTION (provided by applicant): We propose a two-group randomized trial of Project Prepared, an HIV/STI prevention program for youth aged 12-14. It folds together elements of three interventions we designed for middle adolescents into a comprehensive intervention that is developmentally appropriate for youth in early adolescence. Project Prepared has two parts. First is a 14-session training program held over 7 weeks that covers five major predictors of high risk behavior: developmental na¿vet¿, cognitive factors, gender roles, relationship factors and family formation. It is followed by a 5-week internship that incorporates resilience and youth development through making youth peer educators to other adolescents about HIV/STI risk. Project Prepared is theoretically based, comprehensive, intensive, and appropriate to the developmental stage, race/ethnicity, and social context of inner-city youth of color. It emphasizes skills in avoiding risky sexual situations, and provides medically accurate information about sexual development, sexually transmitted infections and pregnancy. We will conduct a two group randomized trial (n=400) to test the effectiveness of Project Prepared on cognitive factors (HIV/STI knowledge, sexual self-efficacy; intention to use a condom); relationship factors (immature romantic beliefs, relationship self-efficacy), gender norms (macho man, powerless female), and resilience. The control condition will be TEEN, an award winning program with proven effectiveness in reducing psychological symptoms with no HV/STD content. PUBLIC HEALTH RELEVANCE: Black and Latino youth are at particular risk for HIV/STIs, but currently available interventions for young adolescents have shown only modest, short term effects. We have developed an intensive, comprehensive HIV/STI prevention program, for youth aged 12-14, Project Prepared. The project is expected to generate important information on sexual risk behavior in early adolescents, and may lead to a new program that is effective in reducing HIV/STI risk for youth in the future.