HIV Prevention and Partner Abuse: Developing an Intervention for Adolescent Girls

描述(由申请者提供)：K01职业发展奖建议为致力于开发和测试降低青少年艾滋病毒风险的新干预措施的研究生涯奠定严格的学术基础。在主题上，K01将通过将有效的以理论为基础的青少年艾滋病毒预防与有前途的伴侣虐待预防战略相结合，强调促进健康的关系，来解决艾滋病毒风险的社会背景。它利用计划生育诊所作为场所，为生活在经济困难环境中的非裔美国女孩提供以技能为基础、根据文化定制的艾滋病毒和伴侣虐待预防教育和倡导方案。虐待伴侣极大地增加了感染艾滋病毒的风险，对低收入的非洲裔美国少女的影响不成比例，艾滋病毒也是如此。这个项目的关键是候选人证明有能力与少数族裔社区合作开展艾滋病毒/性传播疾病研究，长期参与旨在改善健康的跨学科学术研究，以及作为初级保健提供者有20年的历史。然而，为了实现她的长期职业目标，她需要在6个关键领域提供额外的指导和指导：1)制定以理论为导向、针对文化、针对发展性的艾滋病毒预防干预课程的方法；2)设计和评估随机对照试验预防方案，特别考虑降低与青春期女孩中的伴侣暴力有关的艾滋病毒风险；3)掌握统计分析方面的高级技能，特别是与干预研究相关的技术；4)研究青少年中的艾滋病毒与亲密伴侣暴力问题，并特别关注种族、经济和性别差异；5)负责任地开展研究，特别关注青少年艾滋病毒和虐待伴侣问题的法律和伦理考虑；6)稿件准备技能。研究计划分为两个阶段，均以社会认知和性别理论为指导。在第一阶段，我们将进行焦点小组和个人访谈，以便为青春期女孩制定和定制艾滋病毒/伴侣虐待干预措施，在第二阶段，我们将在有限的随机对照试验中评估这一干预措施的初步可接受性和可行性。在该奖项的5年中，指导、培训、指导和应用经验将显著提高候选人作为研究人员的技能和专业知识，并为启动独立研究计划做出巨大贡献。

DESCRIPTION (provided by applicant): This K01 Career Development Award proposes to establish a rigorous academic foundation for a research career devoted to developing and testing novel interventions for reducing HIV risk for adolescents. Thematically, the K01 will address the social context of HIV risk by integrating effective theory-based adolescent HIV prevention with promising partner abuse prevention strategies, emphasizing promotion of healthy relationships. It uses family planning clinics as a venue for providing a skill-based, culturally-tailored HIV and partner abuse prevention educational and advocacy program for African American girls living is economically disadvantaged circumstances. Partner abuse, which significantly increases risk for HIV, disproportionately affects low income African-American adolescent girls, as does HIV. Critical to this project is the candidate's demonstrated ability to conduct HIV/STD research in partnership with minority communities, a long term engagement in interdisciplinary scholarship aimed at improving health and a 20- year history as a primary care provider. However, to meet her long term career objective she requires additional instruction and mentorship in 6 key areas: 1) Methods for developing theory-driven, culture- specific, developmental^ appropriate curricula in HIV prevention intervention; 2) Design and evaluation of RCT prevention programs with specific considerations for reducing HIV risk associated with partner violence among adolescent girls; 3) Advanced skills in statistical analysis, particularly techniques relevant to intervention research; 4) Study in HIV and intimate partner violence among adolescents, with special attention to racial, economic and gender disparities; 5) Responsible conduct of research with particular attention to legal and ethical considerations for adolescent HIV and partner abuse issues; 6) Manuscript preparation skills. The research plan is divided into two phases, both guided by social cognitive and gender theory. In phase 1 we will conduct focus groups and individual interviews in order to develop and tailor the HIV/partner abuse intervention for adolescent girls and in phase 2 we will evaluate the initial acceptability and feasibility of this intervention in a limited RCT. Over the 5 years of the award, instruction, training, mentorship, and applied experiences are expected to significantly enhance the candidate's skills and expertise as a researcher and also contribute greatly to launching an independent research program.