WSTDtv: Adolescent Multimedia STD Prevention Curriculum

描述（由申请人提供）：在所有年龄组中，性活跃的青少年的性病发病率最高。WSTDtv计划解决了为学校提供现成的、适合发展的、吸引人的和有效的艾滋病毒/性病认识和预防课程的需要。通过结合多媒体活动、网络资源以及电子和印刷教师支持工具和战略，WSTDtv将提供一系列活动，使青少年能够了解有关艾滋病毒/性病的事实和科学知识，在日常生活中处理与性活动有关的压力和影响的方法，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CD-ROM、网站和教师指南。初步的CD-ROM具有商业质量，正如它获得的多个行业奖项所显示的那样，甚至在它的原型形式中。在一项前-后试点评估（n=41）中，发现互动活动显著增加了青少年的知识，在期望的方向上影响目标态度，并显著超过目标可用性、兴趣和有用性基准。在一项由中学教师（n=17）对教师指南、网站和光盘的评价中，绝大多数教师对该产品持肯定态度。这些结果是值得注意的，考虑到它们是通过第一阶段的原型获得的，尽管范围广泛，但在活动的数量和范围、内容的范围以及在减少风险和人际交往技能方面进行直接培训和实践的机会方面受到限制。在第二阶段，将对现有模块进行细化和扩展。将编制关于性病事实、风险因素和预防技能建设的新模块。该网站将得到加强，包括搜索机制和直接链接到各个模块的附加内容。将建立对教师友好的在线“助推”模块和班级间协作机制，包括登录架构、网络会议、在线投票等功能。将扩展教师指南，并设计额外的教师支持工具。第二阶段将通过六个阶段的焦点小组进行评估，由国家认可的咨询小组进行深入审查，并通过随机对照产品评估。同样在第二阶段，营销和分销计划和协议将最终确定。2005年全国青少年危险行为调查发现，46.8%的高中生在其一生中有过性行为，其中33.9%的人在调查前三个月内与一人或多人发生过性行为。美国疾病控制中心（CDC）估计，美国每年有1900万性传播疾病（STD）新病例，其中几乎一半发生在15至24岁之间（2004年）。毫无疑问，青少年是性活跃的，他们中的许多人从事不安全的性行为。学校是开展健康促进和疾病预防方案的理想场所，大多数青少年至少接受过最低限度的性教育或艾滋病毒教育；然而，一般认为性传播疾病/艾滋病毒课程并没有达到应有的效果（Kirby,2002）。互动媒体提供了传播性病/艾滋病预防内容的新途径，这些途径对教师和学生都具有吸引力。一套现成的、以研究为基础、以理论为导向的创新和引人入胜的互动活动、工具和资源应该会受到学生、教师、学校和地方教育当局的欢迎，并将填补公共卫生教育中的一个重要空白。为了解决这一差距，本文提出的工作描述了WSTDtv的开发-一种供中学和早期中学教室教师使用的性病/艾滋病课程。

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.