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首页> 外文期刊>Addiction Science & Clinical Practice >Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness
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Study protocol for a group-based motivational interviewing brief intervention to reduce substance use and sexual risk behavior among young adults experiencing homelessness

机译：基于团体的励志访谈简要干预的研究议定书，以减少体验无家可归者的年轻成年人的物质和性风险行为

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Young people experiencing homelessness have alarmingly high rates of alcohol and other drug (AOD) use, which is associated with sexual risk behaviors such as unprotected sex, trading sex, and sex with multiple casual partners. Few risk reduction programs for this population have been developed and rigorously evaluated, particularly those that address both of these interrelated behaviors, use a collaborative and non-judgmental approach, and are feasible to deliver in settings where homeless young people seek services. This paper describes the protocol of a study evaluating a four-session Motivational Interviewing (MI)-based group risk reduction intervention for this population. The protocol has been shown to be efficacious in pilot work over 3 months with 200 homeless young adults [1]. The current study seeks to refine the intervention protocol and evaluate the program on a larger scale. In a cluster-cross-over randomized controlled trial, 18–25?year olds will receive the AWARE risk reduction program (n?=?200) or standard care (n?=?200) at one of three drop-in centers serving homeless youth in the Los Angeles area. We will evaluate intervention effects on primary outcomes of AOD use and sexual risk behavior, as well as secondary outcomes of health-related quality of life and social stability, over a 12-month period. This project has the potential to fill a significant gap in prevention services by demonstrating that a brief intervention, feasible to deliver within settings where young people experiencing homelessness typically seeks services, can significantly reduce the interrelated problems of AOD use and sexual risk behavior.
机译：经历无家可归的年轻人具有惊人的饮酒和其他药物（AOD）使用，这与性风险行为如无保护性，交易性，以及多种休闲合作伙伴的性行为相关。已经开发并严格评估了这群人口的少数风险减少计划，特别是那些解决这些相互关联行为的人，使用协作和非评判方法，并且可以在无家可归的年轻人寻求服务的环境中获得可行的。本文介绍了评估四会议励志访谈（MI）的研究方案的议定书，为这一人口进行了基础的群体风险减少干预。该议定议已被证明在3个月内有效的飞行员有效，200名无家可归的年轻人[1]。目前的研究旨在优化干预协议，并在更大的规模上评估程序。在一个聚簇交叉的随机对照试验中，18-25岁？岁月将收到有意识的风险减少计划（n？= 300）或标准护理（n？= 300），如三个坠落中心的服务洛杉矶地区的无家可归的青年。我们将评估对AOD使用和性风险行为的主要结果的干预措施，以及在12个月内，与健康有关的生活质量和社会稳定性的二次结果。该项目有可能通过证明在遇到无家可归的年轻人的环境中展示简短的干预，即在历史通常寻求服务的环境中，可以弥补预防服务的重大差距，可以显着降低AOD使用和性风险行为的相互关联问题。

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