Training Community Members to Deliver HIV Prevention Programs to Urban Youth
Community Partnerships to Prevent Urban Youth Health Risks (CHAMPions)
Studieoversikt
Status
Forhold
Detaljert beskrivelse
HIV is a sexually transmitted virus that damages or destroys a body's immune system. When the infection progresses to its later stages, AIDS can develop. Several programs have been developed for educating adolescents about how to prevent HIV transmission. Preventing infection is particularly important because there is not yet a way to cure HIV. This study will examine the processes needed to train community members to deliver HIV prevention programs to urban youth.
This study has three steps. In Step 1, an existing group of urban community members who have already delivered the Be Proud! Be Responsible! HIV prevention program will be invited to serve as mentors for new HIV educators in the community. Participants in this step will complete self-administered assessments of their willingness to collaborate with university-based researchers, their confidence in skills necessary for collaborative projects, and any foreseeable obstacles to participation. The goal of this step is to examine the response over time to ongoing HIV leadership.
In Step 2, parents from the targeted community will be recruited and trained in HIV prevention programs. They will be randomly assigned to one of three programs: Becoming a Responsible Teen, Be Proud! Be Responsible!, and Reducing the Risk. All three of these programs involve group meetings with adolescents to discuss puberty, sexuality, communication, self-esteem, HIV/AIDS, and setting and achieving goals and dreams. Participants in this phase will undergo the same assessments as those in Step 1.
In Step 3, the parents trained in Step 2 will be randomly assigned to a middle school or high school where they will deliver the program in which they were trained. Randomly selected adolescent participants from these schools will be assigned to whichever program is being offered at their school. All three prevention programs will include four to six sessions over 4 to 6 weeks. Adolescent participants will be required to complete interviews and questionnaires when they enter the study, after 3 months, and after 15 months. These interviews and questionnaires will measure HIV/AIDS knowledge, self-esteem, intention to protect health, and engagement in risk-taking behaviors. Parent participants in Step 3 will repeat the assessments from Steps 1 and 2 before and after delivering their prevention curriculums.
Studietype
Registrering (Faktiske)
Fase
- Fase 3
Kontakter og plasseringer
Studiesteder
-
-
New York
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New York, New York, Forente stater, 10029
- Mount Sinai School of Medicine
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria
- Adult community HIV educators who are parents of a middle or high school aged child
- Adult participants must be between 25 and 60 years of age
- Youth participants must be between 12 and 15 years of age
- Residents of target communities in Bronx, NY
Exclusion Criteria:
- Parent or guardian is excluded if youth participant cannot provide informed consent because of mental health or substance abuse diagnosis
- Significant cognitive impairment that might interfere with understanding of program content or informed consent process
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Dobbelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: BART
Participants will complete the Becoming a Responsible Teen (BART) program.
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This program consists of highly structured modules administered using intervention manuals in community-based settings.
Each intervention session involves group discussion, videos, games, presentations, demonstrations, role plays, and practice.
Youth learn problem solving, decision-making, communication, condom negotiation and use skills, and behavioral self-management.
Youth also meet with HIV infected peers to promote risk recognition and improve their perception of vulnerability.
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Eksperimentell: Reducing the Risk
Participants will complete the Reducing the Risk program.
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This program consists of instruction on developing social skills to reduce sexual risk-taking behavior and role plays to practice and model skills.
Additional activities-such as teaching decision making and assertive communication skills, offering encouragement to obtain relevant health information from stores and clinics, and asking parents about their views on abstinence and birth control-support the premise that students should avoid unprotected intercourse, either by remaining abstinent or using contraceptives.
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Aktiv komparator: Be Proud Be Responsible
Participants will complete the Be Proud!
Be Responsible!
program.
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This intervention consists of highly structured modules that involve group discussions, videos, games, brainstorming, experiential exercises, and skill building activities.
The program encourages participants to be proud of themselves and their community, to behave responsibly for themselves and their community, and to consider their goals for the future and how risk behaviors may interfere with the attainment of their goals.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Youth sexual risk behaviors
Tidsramme: Measured at baseline
|
Measured at baseline, after 3 to 4 months, and after 15 months
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Measured at baseline
|
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Youth sexual risk behaviors
Tidsramme: Measured after 3 to 4 months
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured after 3 to 4 months
|
|
Youth sexual risk behaviors
Tidsramme: Measured after 15 months
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured after 15 months
|
|
HIV educators' intentions to collaborate
Tidsramme: Measured at baseline
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at baseline
|
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HIV educators' intentions to collaborate
Tidsramme: Measured at post-intervention
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at post-intervention
|
|
HIV educators' intentions to collaborate
Tidsramme: Measured at 3-month follow-up
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at 3-month follow-up
|
|
HIV educators' intentions to collaborate
Tidsramme: Measured at 15-month follow-up
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at 15-month follow-up
|
|
Collaboration by HIV educators
Tidsramme: Measured at baseline
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at baseline
|
|
Collaboration by HIV educators
Tidsramme: Measured at post-intervention
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at post-intervention
|
|
Collaboration by HIV educators
Tidsramme: Measured at 3-month follow-up
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at 3-month follow-up
|
|
Collaboration by HIV educators
Tidsramme: Measured at 15-month follow-up
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at 15-month follow-up
|
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Youth sexual behavior
Tidsramme: Measured at baseline
|
Measured at baseline, after 3 to 4 months, and after 15 months
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Measured at baseline
|
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Youth sexual behavior
Tidsramme: Measured after 3 to 4 months
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured after 3 to 4 months
|
|
Youth sexual behavior
Tidsramme: Measured after 15 months
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured after 15 months
|
|
Youth negotiation of sexual risk situations
Tidsramme: Measured at baseline
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured at baseline
|
|
Youth negotiation of sexual risk situations
Tidsramme: Measured after 3 to 4 months
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured after 3 to 4 months
|
|
Youth negotiation of sexual risk situations
Tidsramme: Measured after 15 months
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured after 15 months
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Leadership skills of HIV educators
Tidsramme: Measured at baseline
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
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Measured at baseline
|
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Leadership skills of HIV educators
Tidsramme: Measured at post-intervention
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
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Measured at post-intervention
|
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Leadership skills of HIV educators
Tidsramme: Measured at 3-month follow-up
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
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Measured at 3-month follow-up
|
|
Leadership skills of HIV educators
Tidsramme: Measured at 15-month follow-up
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at 15-month follow-up
|
|
HIV/AIDS knowledge and attitudes of educators and youth
Tidsramme: Measured at baseline
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured at baseline
|
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HIV/AIDS knowledge and attitudes of educators and youth
Tidsramme: Measured after 3 to 4 months
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured after 3 to 4 months
|
|
HIV/AIDS knowledge and attitudes of educators and youth
Tidsramme: Measured after 15 months
|
Measured at baseline, after 3 to 4 months, and after 15 months
|
Measured after 15 months
|
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Self-esteem and self-efficacy of HIV educators
Tidsramme: Measured at baseline
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at baseline
|
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Self-esteem and self-efficacy of HIV educators
Tidsramme: Measured at post-intervention
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at post-intervention
|
|
Self-esteem and self-efficacy of HIV educators
Tidsramme: Measured at 3-month follow-up
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at 3-month follow-up
|
|
Self-esteem and self-efficacy of HIV educators
Tidsramme: Measured at 15-month follow-up
|
Measured at baseline, post-intervention, and at 3- and 15-month follow-ups
|
Measured at 15-month follow-up
|
Samarbeidspartnere og etterforskere
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Mary M. McKay, PhD, Icahn School of Medicine at Mount Sinai
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- GCO 03-0888
- DAHBR 9A-ASPA (National Institute of Mental Health)
- R01MH069934 (U.S. NIH-stipend/kontrakt)
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