for Todays's Young Adults. These materials and curricula will be designed: (a) to focus on those specific populations and behaviors that most influence the transmission of AIDS (as suggested by the first paragraph of this proposal); (b) to incorporate our understandings about educational techniques that have proven most successful in modifying such behaviors (e.g., increasing decision-making skills and resistance to persuasion); and, (c) to ensure that the materials and curricula are acceptable and feasible for schools to adopt and maintain. Equally if not more important, model teacher training procedures that school districts can use to help school faculty understand and teach about AIDS will be developed (incorporating the brief educational materials as well as the more extensive curricula described above). Further, means to disseminate the teacher training procedures and educational materials will be systematically developed. In addition, techniques will be developed to enable school faculty and other youth workers (e.g., Job Corps and recreation staff) to target and provide education about AIDS to school-age youth who are not attending school. Relatedly, the OSHP will work with vatious national television and radio broadcasters' associations to design and at messages that will encourage young people to seek and comply with informed recommedations to avoid HTLVIXI/LAV infection.

Finally, instruments that already are being used to provide data about important student health knowledge, attitudes, and risks will be expanded to address AIDS. New instruments also will be devised to enable schools and colleges to specifically assess the AIDS knowledge and risks of their respective student populations. These instruments can be used by schools to focus their educational programs on priority AIDS knowledge and risks; they can be used to evaluate the outcomes of such programs; and they can be used to assess State and national improvements in studert AIDS knowledge and risks over time.

To rapidly develop and disseminate brief education materials, to revise Growing Healthy, to develop a new Teenage Health Teaching Module on AIDS, to expand STD: A Guide for Today's Young Adults, and to revise and develop instruments to measure student knowledge and risks related to AIDS = $1.45 million+ 20% indirect = $1.74 million.

3. Increase the Capacity of States to Provide Education About AIDS

A cooperative agreement will be awarded to each State department of education to work with its respective State department of health to increase their collaborative capacity to encourage and enable all schools in the State to provide effective education about AIDS. The OSHP will use its close working relationships with (1) the Society of State Directors of Health, Physical Education, and Recreation (in State departments of education), and (2) the Association of State and Territorial Directors of Health Promotion (in State departments of health) to plan, coordinate, and implement these activities. As part of its cooperative agreement, each State will be asked to systematically delineate the extent to which students in that State were provided education about AIDS from year to year.

54 States and territories @ $60,000 each = $3.24 million + 20% indirect =

Page 4 AIDS Education

4. Increase the Capacity of Colleges and Trade Schools to Provide Education about AIDS for School Teachers, School Administrators, Community Youth Personnel, and College and Trade School Students

A cooperative agreement will be awarded to organizations that represent and influence colleges and trade schools (e.g., American Association of Colleges for Teacher Education, American College Health Association, Association for Supervision and Curriculum Development, Phi Delta Kappa) to help colleges and trade schools immediately provide inservice (i.e., continuing education) training about AIDS for current school faculty and community youth workers; and to provide preservice training about AIDS for future school faculty and community youth workers. These organizations also collaboratively will design and encourage colleges and trade schools to provide education about AIDS for their students.

5 organizations @ $100,000 each =

$500,000+ 20% indirect = $600,000

5. Accelerated Response for the Primary Prevention of AIDS in Ten High Risk Cities

Incorporating each of the four activities outlined above, immediate and intensive programs to prevent the spread of HTLVIII/LAV among school-age and college-age populations will be planned and implemented in each of ten high risk cities (as determined by the size of the infected reservoir, the size of the school-age population, the prevalence of intravenous drug use, etc.). OSHP staff will work with relevant public and private health and education agencies in each of these cities to plan and implement these intensive primary prevention programs. These programs will enable the educational institutions in high risk cities to collaboratively focus on those who are not identified as seropositive; and will complement the intensive community-based prevention programs currently being planned and implemented by CDC.

10 cities @ $400,000 = 4 million + 20% indirect = $4.8 million

6. Core Support to Implement and Manage the Projects Listed Above

5.438 4.10

A small number of core staff will be required to implement and manage the five component programs listed above. Staff will be required who are trained and experienced: in designing and implementing broad-scale school and community health education programs; in developing and evaluating school and community programs to influence health behaviors of children and adolescents; in disseminating and managing health education interventions in State and local health and education agencies; etc. Although scientific and technical assistance about AIDS will be sought from CDC staff (rather than being duplicated at CHPE), employment of core staff with the skills suggested above will be critical to enable CDC to help coordinate this initiative among participating national public and private sector agencies;

to direct extramural development and dissemination of educational materials and curricula; to provide assistance and stewardship for developing interventions in the fifty States and in the ten high risk cities; and to monitor and ensure the quality and effectiveness of all activities associated with this initiative.

10 FTE @ $75,000 each $750,000+ 20% indirect - $900,000