An Interactive Education Program to Reduce High Risk Behavior in Adolescents

基于互联网的TRAC（i-TRAC）：互动式情绪调节技能培训，以改善青少年 性健康 青春期是一个关键的发展时期，在此期间，行为模式的形成，具有强大的 对当前和未来健康的影响。这对于性行为尤其如此，性行为受到 青春期的生物学变化以及围绕性探索的规范性发育任务。接合 青春期早期（15岁之前）的性行为与更多的伴侣，更少的避孕套使用， 随着青少年年龄的增长，性生活越来越频繁，这些因素增加了负面健康结果的风险（例如， 性传播感染和意外怀孕）。许多性健康干预- 教育预防技能，如自信或使用避孕套;目前应用的前提是 这些技能往往是未使用的青少年，因为赤字的情绪调节（ER），这是联合国， 在大多数性健康教育中得到了解决。我们的研究团队已经开发并测试了一种新颖，引人入胜， 有效的，和发展定制的团体干预（项目TRAC），教早期的青少年ER技能- 在性健康方面。TRAC项目的一项研究表明，参与者教授ER技能， 在2.5年的随访中，开始性生活的可能性更小。虽然有效，小组形式的 方案对可持续性和传播构成障碍;基于网络的交付具有显著优势 存在.为了探索TRAC的ER概念是否可以以基于网络的形式教授，我们完成了一个 试点研究，将TRAC的ER内容转化为基于网络的干预（iTRAC），使用为Dissemi设计， 国家原则，提高完成后成功传播的可能性。iTRAC演示- 艾德的可行性和可接受性，一项随机试验表明，iTRAC参与者报告， 更好的情绪能力相比，候补名单控制参与者。拟议的快速通道项目将 完成该计划的技术调整，以包括其性健康内容和内容链接ER 性健康。这种适应（iTRAC性风险预防; iTRAC-SRP），使用完善的- 理论框架，将与学校专业人员和青少年咨询委员会接触， 从而形成第一阶段完成的干预措施的原型。第二阶段将包括创建剩余- 数字干预，可接受性试验和120名早期青少年的随机对照试验（RCT） （12-14岁）比较iTRAC-SRP与等待列表对照。该项目代表了青少年的创新 性健康;其实施在可持续性和可获得性方面具有很大潜力。

Internet-based TRAC (i-TRAC): Interactive Emotion Regulation Skills Training to Improve Adolescent Sexual Health Adolescence is a critical developmental period during which behavioral patterns are formed that have powerful influences on current and future health. This is particularly true for sexual behavior, which is affected by the biological changes of puberty as well as normative developmental tasks around sexual exploration. Engaging in sexual behavior in early adolescence (before age 15) is associated with more partners, less condom use, and more frequent sex as teens get older, and these factors increase risk for negative health outcomes (e.g., sexually transmitted infections and unplanned pregnancy) throughout their lives. Many sexual health interven- tions teach prevention skills, such as assertiveness or condom use; the premise of the current application is that these skills are often unused by adolescents because of deficits in emotion regulation (ER), which is un- addressed in most sexual health education. Our research team has developed and tested a novel, engaging, efficacious, and developmentally tailored group intervention (Project TRAC) to teach ER skills to early adoles- cents within the context of sexual health. A study of Project TRAC showed that participants taught ER skills were less likely to start having sex over the 2.5 year follow up. While efficacious, the small group format of the program presents barriers to sustainability and dissemination; significant advantages of web-based delivery exist. To explore whether the ER concepts of TRAC could be taught in a web-based format, we completed a pilot study to translate TRAC's ER content to a web-based intervention (iTRAC), using Designing for Dissemi- nation principles that enhance the likelihood of successful dissemination upon completion. iTRAC demonstrat- ed feasibility and acceptability, and a randomized trial showed that iTRAC participants reported significantly better emotional competence compared to waitlist control participants. The proposed Fast Track project will complete the technology adaptation of the program to include its sexual health content and content linking ER to sexual health. This adaptation (iTRAC for Sexual Risk Prevention; iTRAC-SRP), using well-established the- oretical frameworks, will be approached with advisory boards of school professionals and early adolescents, leading to prototypes of the completed intervention in Phase 1. Phase 2 will include the creation of the remain- ing digital intervention, an acceptability trial, and a randomized controlled trial (RCT) of 120 early adolescents (12-14 years) comparing iTRAC-SRP to a waitlist control. This project represents innovation in adolescent sexual health; its implementation has great potential for sustainability and accessibility.