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

描述（由申请人提供）：本K01职业发展奖旨在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事业建立严格的学术基础。从主题上讲，K01将解决艾滋病毒风险的社会背景问题，将基于理论的有效青少年艾滋病毒预防与有前途的伴侣虐待预防战略结合起来，强调促进健康的关系。它将计划生育诊所作为一个场所，为生活在经济不利环境中的非裔美国女孩提供以技能为基础、根据文化量身定制的预防艾滋病毒和伴侣虐待的教育和宣传项目。伴侣虐待大大增加了感染艾滋病毒的风险，对低收入的非裔美国少女的影响尤为严重，艾滋病毒也是如此。该项目的关键是候选人证明有能力与少数民族社区合作开展艾滋病毒/性病研究，长期参与旨在改善健康的跨学科奖学金，并有20年的初级保健提供者历史。然而，为了实现她的长期职业目标，她需要在6个关键领域得到额外的指导和指导：1)在艾滋病预防干预中开发理论驱动、文化特定、发展适当的课程的方法；2)设计和评估RCT预防方案，具体考虑降低少女中与伴侣暴力相关的艾滋病毒风险；3)统计分析的高级技能，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和亲密伴侣暴力，特别注意种族、经济和性别差异；5)负责开展研究，特别注意青少年艾滋病毒和伴侣虐待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，都以社会认知理论和性别理论为指导。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种干预措施的初步可接受性和可行性。经过5年的奖励、指导、培训、指导和应用经验，预计将大大提高候选人作为研究人员的技能和专业知识，并为启动一个独立的研究项目做出巨大贡献。

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.