During its first two funding periods, our interdisciplinary research team from the University of Maryland and University of Pennsylvania has developed and is completing evaluation of a face-to-face (FTF) HIV/STD risk reduction intervention targeting African-American adolescents, """"""""Focus on Kids"""""""" (FOK), and parental monitoring intervention (imPACT). The adolescent intervention consists of a primary series of weekly 1.5 hour sessions (FOK-Basic). In an evaluation of FOK-Basic, unprotected sex was decreased six months post intervention among intervention youth compared to control youth, but these differences were no longer significant at 12 months. Following a booster at 15 months (FOK+), differences were again significant at 18 months. IMPACT is a one session intervention with a parent and his/her adolescent. Two months post- intervention there is evidence of enhanced parental monitoring by parents who received the intervention. These findings merge with a growing consensus that: 1) FTF interventions can reduce adolescent risk behavior; and 2) there is an urgent need to identify these approaches which sustain intervention impact over prolonged periods of time. In addition to having developed and evaluated the interventions, our research team has developed appropriate assessment tools and thus is well positioned to address these issues. Accordingly, for this competitive renewal, the current proposal requests funding to conduct a randomized, longitudinal effectiveness evaluation among 840 youth residing in Baltimore to determine: 1) whether one or more of the """"""""embellished"""""""" FOK risk reduction intervention approaches (FOK-Basic/ImPACT or FOK+ImPACT) compared to a standard-of-care FTF intervention (FOK-Basic) results in significantly lower rates of unprotected sexual intercourse over two years among African-American adolescents ages 13-16 years at baseline?; and, 2) whether we can identify the mechanism(s) through which the """"""""embellished"""""""" interventions exert their enhanced intervention effect. Subjects will be recruited from 24 public housing developments in Baltimore. Following completion of baseline measures, subjects will be randomly assigned (at the level of the housing developments) to one of these four study conditions. Subjects will be followed for two years (2, 6, 12, 18, and 24 months) to post-intervention.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Project (R01)
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Study Section
Special Emphasis Panel (ZRG1-AARR-7 (01))
Program Officer
Weise, Richard E
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University of Maryland Baltimore
Schools of Medicine
United States
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Deveaux, Lynette; Lunn, Sonja; Bain, Rosa Mae et al. (2011) Focus on youth in the Caribbean: beyond the numbers. J Int Assoc Physicians AIDS Care (Chic) 10:316-25
Li, Xiaoming; Stanton, Bonita; Yu, Shuli (2007) Factorial structure of problem behaviors among urban and rural American adolescents. J Natl Med Assoc 99:1262-70
Yang, Hongmei; Stanton, Bonita; Li, Xiaoming et al. (2007) Dynamic association between parental monitoring and communication and adolescent risk involvement among African-American adolescents. J Natl Med Assoc 99:517-24
Yang, Hongmei; Stanton, Bonita; Cottrel, Lesley et al. (2006) Parental awareness of adolescent risk involvement: implications of overestimates and underestimates. J Adolesc Health 39:353-61
Wu, Ying; Burns, James J; Stanton, Bonita F et al. (2005) Influence of prior sexual risk experience on response to intervention targeting multiple risk behaviors among adolescents. J Adolesc Health 36:56-63
Wu, Ying; Stanton, Bonita F; Li, Xiaoming et al. (2005) Protection motivation theory and adolescent drug trafficking: relationship between health motivation and longitudinal risk involvement. J Pediatr Psychol 30:127-37
Stanton, Bonita; Cole, Matthew; Galbraith, Jennifer et al. (2004) Randomized trial of a parent intervention: parents can make a difference in long-term adolescent risk behaviors, perceptions, and knowledge. Arch Pediatr Adolesc Med 158:947-55
Wu, Ying; Stanton, Bonita F; Galbraith, Jennifer et al. (2003) Sustaining and broadening intervention impact: a longitudinal randomized trial of 3 adolescent risk reduction approaches. Pediatrics 111:e32-8
Rai, Alia A; Stanton, Bonita; Wu, Ying et al. (2003) Relative influences of perceived parental monitoring and perceived peer involvement on adolescent risk behaviors: an analysis of six cross-sectional data sets. J Adolesc Health 33:108-18
Romer, Daniel; Stanton, Bonita F (2003) Feelings about risk and the epidemic diffusion of adolescent sexual behavior. Prev Sci 4:39-53

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