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A Parent-Based Intervention to Reduce Sexual Risk Behavior in Adolescents

25 de outubro de 2022 atualizado por: New York University

Reducing Teen Sexual Behavior: A Clinic-Based Approach

The purpose of this study is to test the feasibility and efficacy of a triadic intervention designed to target both healthcare providers and parents in order to prevent adolescent sexual risk behavior in Latino and African American adolescents. The intervention will be administered in the context of mothers waiting for their children to complete a non-acute care visit.

Visão geral do estudo

Descrição detalhada

In the United States, racial and ethnic minorities suffer disproportionately from preventable diseases and conditions. Many of these problems result from health-related behaviors that are established during childhood and adolescence. Latino and African-American adolescents are at considerable risk for the negative consequences of early, risky sexual activity. This study will focus on Latino and African-American early adolescents ages 11 to 14.

The primary aim for this study will be to test and refine a triadic intervention developed for healthcare providers and parents to address the issue of sexual risk behavior among African American and Latino adolescents.

The triadic intervention will take place in a pediatric health care clinic when mothers accompany their children for a non-acute care visit. Mothers will meet with a provider extender (medical assistant, social worker, counselor) for approximately 30 minutes while their children are being examined by a healthcare provider. During this time, mothers will receive information about the problem of premature adolescent sexual activity, support in preventing or reducing their children's sexual risk behavior, instruction about how to talk with their children about sexual risk behavior, and targeted homework activities. The healthcare provider will endorse the intervention separately for mothers and adolescents. All parents will also receive one follow-up phone call to increase the probability that the homework tasks will be completed.

Participants in this study will also be assigned to one of the following three groups: an experimental group; an active control group; or a passive control group. Participants in all groups will complete three questionnaires over the course of the study to assess outcomes. Participants in the experimental and active control groups will partake in an intervention session with a provider extender. Parents in the experimental group will meet with the provider extender to discuss effective parent-adolescent communication strategies. They will also receive take-home materials to help them communicate with and parent their adolescents to reduce sexual risk behavior. Parents in the active control group will meet with the provider extender to discuss adolescent nutrition and receive informational brochures.

One booster session will take place via telephone for parents in the experimental and active control groups. The booster call will occur approximately 1 month after study entry. No such booster calls will be provided to parents in the passive control condition.

Tipo de estudo

Intervencional

Inscrição (Real)

1800

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

    • New York
      • New York, New York, Estados Unidos, 10003
        • New York University

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

11 anos a 14 anos (Filho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

  • Adolescents must be between the ages of 11 and 14 years old
  • Adolescent is able to agree to being a participant
  • Participant must be able to participate in questionnaire and intervention activities
  • Participant must be of Latino or African American descent

Exclusion Criteria:

  • Any cognitive or psychiatric disability that would prevent successful participation in questionnaire or intervention activities

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Prevenção
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Solteiro

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: Sex Education + Standard Care
Participating mothers will receive sex education information while their child is having a physical exam.
The intervention will take place in a pediatric health care clinic and will be coordinated through provider extenders when healthcare providers see youth fora non-acute care visit. A mother of the adolescent will meet with a provider extender for approximately 30 minutes while her child is being examined by a healthcare provider. During this time, the intervention will be delivered to the mother. At the conclusion of the session, the mother will be given reference materials to take home and tasks to perform to facilitate discussions about sex with her adolescent. The healthcare provider will endorse the intervention separately for mothers and adolescents. There will be one follow-up booster session administered through phone calls to increase completion probabilities of the tasks. The target behavior is sexual activity in adolescents.
Comparador Ativo: Hygiene & Nutrition Education + Standard Care
Participating mothers will receive information on hygiene and nutrition while their child is having a physical exam.
The active control group will take place in a pediatric health care clinic and will be coordinated through provider extenders when healthcare providers see youth for a non-acute care visit. The mother of the adolescent will meet with a provider extender for approximately 30 minutes while her child is being examined by a healthcare provider. During this time, the active control on hygiene and nutrition will be delivered to the mother.
Sem intervenção: No Education + Standard Care
Participating mothers who are passive controls will not receive any additional information while their child is having a physical exam.

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Prazo
Incidence of vaginal intercourse
Prazo: Measured at 12 months post-intervention
Measured at 12 months post-intervention
Incidence of condom use
Prazo: Measured at 12-months post-intervention
Measured at 12-months post-intervention

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Number of sexual partners
Prazo: Measured at 12 months post-intervention
Measured at 12 months post-intervention
Behavioral intentions
Prazo: Measured at 12 months post-intervention
Behavioral intentions to engage in sexual intercourse will be assessed based on responses to three statements, each using a five point agree-disagree scale. The items are: (a) I think I am ready to have sexual intercourse; (b) I would have sexual intercourse now if I had a boy who would do it with me; and (c) I plan on having sexual intercourse in the next six months.
Measured at 12 months post-intervention
Incidence of vaginal intercourse
Prazo: Measured at 3 months post-intervention
Measured at 3 months post-intervention
Incidence of condom use
Prazo: Measured at 3 months post-intervention
Measured at 3 months post-intervention
Number of sexual partners
Prazo: Measured at 3 months post-intervention
Measured at 3 months post-intervention
Behavioral intentions
Prazo: Measured at 3 months post-intervention
Behavioral intentions to engage in sexual intercourse will be assessed based on responses to three statements, each using a five point agree-disagree scale. The items are: (a) I think I am ready to have sexual intercourse; (b) I would have sexual intercourse now if I had a boy who would do it with me; and (c) I plan on having sexual intercourse in the next six months.
Measured at 3 months post-intervention

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Investigadores

  • Investigador principal: Vincent Guilamo-Ramos, PhD, ANP-BC, New York University

Publicações e links úteis

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Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

15 de fevereiro de 2012

Conclusão Primária (Real)

31 de maio de 2016

Conclusão do estudo (Real)

31 de maio de 2016

Datas de inscrição no estudo

Enviado pela primeira vez

28 de março de 2011

Enviado pela primeira vez que atendeu aos critérios de CQ

30 de março de 2011

Primeira postagem (Estimativa)

31 de março de 2011

Atualizações de registro de estudo

Última Atualização Postada (Real)

27 de outubro de 2022

Última atualização enviada que atendeu aos critérios de controle de qualidade

25 de outubro de 2022

Última verificação

1 de abril de 2019

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • NIH_066159
  • R01HD066159 (Concessão/Contrato do NIH dos EUA)

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