WEB-BASED MIDDLE SCHOOL HIV PREVENTION CURRICULA: ASPIRING FOR REACH AND IMPACT
Shegog Ross
University Of Texas Hlth Sci Ctr Houstoncity: Houston country: United States (us)
Grant 5R01MH085594-03 from National Institute Of Mental Health
Abstract: Web-Based Middle School HIV Prevention Curricula Aspiring for Reach & Impact Early adolescent sexual behavior is a significant public health problem in the U.S. Few programs, however, have proven effective in delaying sexual behavior among middle school students, and many have limited potential for wide-scale dissemination. This investigative team has developed and evaluated a new HIV, STI and pregnancy prevention classroom and computer-based program, entitled It´s Your Game...Keep it Real (IYG). We found IYG to be effective in delaying sexual initiation among youth after long term follow-up. This evaluation was based on student´s participation in both the classroom and computer-based components. To increase its dissemination potential, determining the relative long-term effectiveness of the computer-based component as a standalone curriculum has become an important next step in the field, as this examines additional avenues for prevention. We recently converted all of the IYG computer activities to an Internet-based platform. An Internet version of the IYG computer-based component incorporates technological advances and the appeal of the Internet for youth, which may have the potential to bolster effects, improve lesson fidelity, and facilitate dissemination in a cost-effective manner. In a small pilot study of this Internet program, students exposed to the program were more likely to report positive effects on psychosocial factors related to risky sexual behavior. These findings need to be replicated in a larger trial; thus, this 3-year study proposes to evaluate this Internet-based HIV, sexually transmitted infection (STI), and pregnancy prevention curriculum as a standalone intervention for middle school students in a large urban school district. A randomized two-arm nested design will be conducted with 1,600 middle school students where schools receiving the Internet-based curriculum (n=7 schools) will be compared with comparison schools receiving usual care (n=7). This study builds on extensive prior research in this domain and will contribute to our understanding of using the Internet to deliver an HIV, STI, and pregnancy prevention program to middle school students. Narrative The use of computers, games, and the Internet to address adolescent sex education is a burgeoning research area. An Internet-based HIV, STI, and pregnancy prevention program for middle school students has the potential for low-cost, high fidelity dissemination, if it is proven to be effective at delaying sexual initiation
Keywords: 3-Dimensional; Address; Adolescent; Adolescent Risk Behavior; Affect; African American; Age; age group; Anal Sex; Anus; Area; arm; Attitude; base; Baseline Surveys; Behavior; Behavioral; Beryllium; Coitus; Communication; Communities; computerized; Computers; condoms; Contraceptive Usage; Contracts; Control Groups; cost; cost effective; cost effectiveness; Data; delay sex; design; Educational Curriculum; Effectiveness; Elements; Evaluation; experience; Exposure to; follow-up; Gender; Goals; high risk sexual behavior; Hispanics; HIV; improved; Individual; Infection; innovation; Internet; Intervention; intervention effect; Knowledge; Local Area Networks; middle school; Minority; Online Systems; Oral; Outcome; Pilot Projects; Population; pregnancy prevention; Prevention; Prevention program; programs; psychosocial; Psychosocial Factor; public health medicine (field); public health relevance; Randomized; Randomized Controlled Trials; Relative (related person); Reporting; Research; Risk; Risk Behaviors; Risk-Taking; school health; Schools; Self Efficacy; sex; Sex Behavior; Sex Education; Sexual Partners; sexually active; Sexually Transmitted Diseases; skills; standard care; Students; Surveys; technological innovation; Technology; Testing; Texas; Time; treatment as usual; Unsafe Sex; Vagina; virtual; Virus Diseases; Work; Youth
Relevance: Narrative The use of computers, games, and the Internet to address adolescent sex education is a burgeoning research area. An Internet-based HIV, STI, and pregnancy prevention program for middle school students has the potential for low-cost, high fidelity dissemination, if it is proven to be effective at delaying sexual initiation
Project start date: 2009-12-01
Project end date: 2012-11-30
Budget start date: 1-DEC-2011
Budget end date: 30-NOV-2012
5R01MH085594-03 (2012): $527415
Sponsored Links Excellgen http://Excellgen.com
WEB-BASED MIDDLE SCHOOL HIV PREVENTION CURRICULA: ASPIRING FOR REACH AND IMPACT
Shegog Ross, Assistant Professor
University Of Texas Hlth Sci Ctr Houstoncity: Houston country: United States (us)
Grant 5R01MH085594-02 from National Institute Of Mental Health
Abstract: Web-Based Middle School HIV Prevention Curricula Aspiring for Reach & Impact Early adolescent sexual behavior is a significant public health problem in the U.S. Few programs, however, have proven effective in delaying sexual behavior among middle school students, and many have limited potential for wide-scale dissemination. This investigative team has developed and evaluated a new HIV, STI and pregnancy prevention classroom and computer-based program, entitled It´s Your Game...Keep it Real (IYG). We found IYG to be effective in delaying sexual initiation among youth after long term follow-up. This evaluation was based on student´s participation in both the classroom and computer-based components. To increase its dissemination potential, determining the relative long-term effectiveness of the computer-based component as a standalone curriculum has become an important next step in the field, as this examines additional avenues for prevention. We recently converted all of the IYG computer activities to an Internet-based platform. An Internet version of the IYG computer-based component incorporates technological advances and the appeal of the Internet for youth, which may have the potential to bolster effects, improve lesson fidelity, and facilitate dissemination in a cost-effective manner. In a small pilot study of this Internet program, students exposed to the program were more likely to report positive effects on psychosocial factors related to risky sexual behavior. These findings need to be replicated in a larger trial; thus, this 3-year study proposes to evaluate this Internet-based HIV, sexually transmitted infection (STI), and pregnancy prevention curriculum as a standalone intervention for middle school students in a large urban school district. A randomized two-arm nested design will be conducted with 1,600 middle school students where schools receiving the Internet-based curriculum (n=7 schools) will be compared with comparison schools receiving usual care (n=7). This study builds on extensive prior research in this domain and will contribute to our understanding of using the Internet to deliver an HIV, STI, and pregnancy prevention program to middle school students. Narrative The use of computers, games, and the Internet to address adolescent sex education is a burgeoning research area. An Internet-based HIV, STI, and pregnancy prevention program for middle school students has the potential for low-cost, high fidelity dissemination, if it is proven to be effective at delaying sexual initiation
Keywords: 3-D; 3-Dimensional; Acquired Immune Deficiency Syndrome Virus; Acquired Immunodeficiency Syndrome Virus; Active Follow-up; Address; Adolescent; Adolescent Risk Behavior; Adolescent Youth; Affect; African American; Afro American; Afroamerican; Age; age group; Age Group Unspecified; AIDS Virus; Anal; Anal Sex; Anus; Area; arm; at risk behavior; Attitude; base; Baseline Surveys; Be element; Be++ element; Behavior; Behavioral; Beryllium; black American; Black or African American; Black Populations; Coitus; Communication; Communities; computerized; Computers; Condom; condoms; Condoms, Unspecified; Contraceptive Usage; contraceptive use; Contracting Opportunities; Contracts; Control Groups; cost; cost effective; cost effectiveness; Curriculum; Data; delay of sexual activity; delay sex; delay sexual involvement; design; designing; Educational Curriculum; Effectiveness; Elements; Evaluation; experience; Exposure to; follow-up; Gender; Genital System, Female, Vagina; Goals; high risk sex activity; high risk sex behavior; high risk sexual activity; high risk sexual behavior; High-Risk Sex; hispanic community; Hispanic Populations; Hispanics; Hispanics or Latinos; HIV; HTLV-III; Human Immunodeficiency Viruses; Human Sexual Intercourse; Human T-Cell Leukemia Virus Type III; Human T-Cell Lymphotropic Virus Type III; Human T-Lymphotropic Virus Type III; improved; Individual; Infection; innovate; innovation; innovative; Internet; Intervention; intervention effect; Intervention Strategies; interventional strategy; juvenile; juvenile human; Knowledge; Latino Population; LAV-HTLV-III; Local Area Networks; Lymphadenopathy-Associated Virus; middle school; Minority; On-Line Systems; online computer; Online Systems; Oral; Outcome; Pilot Projects; pilot study; Population; pregnancy prevention; Prevention; Prevention program; programs; Programs (PT); Programs [Publication Type]; psychosocial; Psychosocial Factor; psychosocial variables; Public Health; public health medicine (field); public health relevance; randomisation; randomization; Randomized; randomized controlled study; Randomized Controlled Trials; randomly assigned; Relative; Relative (related person); Reporting; Research; Risk; Risk Behaviors; Risk-Taking; Risky Behavior; risky sexual behavior; school health; Schools; Self Efficacy; sex; sex activity; Sex Behavior; Sex Education; sex partner; Sexual Activity; Sexual Behavior; Sexual Intercourse; Sexual Partners; sexually active; Sexually Transmitted Diseases; Sexually Transmitted Disorder; Sexually Transmitted Infection; skills; Spanish Origin; standard care; STD; Students; Survey Instrument; Surveys; technological innovation; Technology; Testing; Texas; Time; treatment as usual; Unprotected Sex; Unsafe Sex; Vagina; Vaginal; Venereal Diseases; Venereal Disorders; Venereal Infections; Viral Diseases; viral infection; virtual; Virus Diseases; virus infection; Virus-HIV; web; web based; Work; world wide web; WWW; Youth; Youth 10-21; Youth Risk Behavior
Relevance: Narrative The use of computers, games, and the Internet to address adolescent sex education is a burgeoning research area. An Internet-based HIV, STI, and pregnancy prevention program for middle school students has the potential for low-cost, high fidelity dissemination, if it is proven to be effective at delaying sexual initiation
Project start date: 2009-12-01
Project end date: 2012-11-30
Budget start date: 1-DEC-2010
Budget end date: 30-NOV-2011
PFA/PA: PA-07-295
5R01MH085594-02 (2011): $541884