Assessing the Effects of a Complementary Parent Intervention and Prior Exposure to a Preadolescent Program of HIV Risk Reduction for Mid-Adolescents

Stanton, Bonita; Wang, Bo; Deveaux, Lynette; Lunn, Sonja; Rolle, Glenda; Li, Xiaoming; Braithwaite, Nanika; Dinaj-Koci, Veronica; Marshall, Sharon; Gomez, Perry

doi:10.2105/ajph.2014.302345

Cited by 14 publications

(17 citation statements)

References 25 publications

(14 reference statements)

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“…As previously reported [6], through 18 months follow-up among these FOYC-naïve youth, compared to HFLE-ONLY youth, BFOOY-CImPACT youth consistently exhibited significantly higher condom-use skills and HIV/AIDS knowledge; BFOOY-GFI and BFOOY-ONLY youth performed better in these tasks on one or more occasions. In the present analysis, at 24 months, condom-use skills remained significantly higher for the BFOOY-CImPACT and BFOOY-ONLY youth [ F (6,1163)=8.80,p<0.01].…”

Section: Resultssupporting

confidence: 78%

“…Receipt of BFOOY in grade-10 has previously been shown to result in improvements in condom-use skills, condom-use efficacy and HIV knowledge at six months and some continued benefits at 12 and 18 months [6]. The current results show the inclusion of the parent intervention (CImPACT) sustained condom use skills through the 24 month follow-up period.…”

Section: Discussionsupporting

confidence: 50%

“…Through the beginning of grade-12, youth who received BFOOY with CImPACT exhibited higher HIV/AIDS knowledge, condom-use skills, and self-efficacy and marginally higher consistent condom-use [6]. A subset of youth were in both the grade-6 and grade-10 trials; follow-up through grade-11 revealed that youth who received early (grade-6) and repeated (grades-6 and 10) interventions demonstrated the greatest protection[19].…”

Section: Introductionmentioning

confidence: 99%

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Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School Through High School

et al. 2015

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To address global questions regarding the timing of HIV-prevention efforts targeting youth and the possible additional benefits of parental participation, researchers from the USA and The Bahamas conducted two sequential longitudinal, randomized trials of an evidence-based intervention spanning the adolescent years. The first trial involved 1360 grade-6 students and their parents with three years of follow-up and the second 2564 grade-10 students and their parents with two years of follow-up. Through grade-12, involvement in the combined child and parent-child HIV-risk reduction interventions resulted in increased consistent condom-use, abstinence/protected sex, condom-use skills and parent-child communication about sex. Receipt of the grade-6 HIV-prevention intervention conferred lasting benefits regarding condom-use skills and self-efficacy. Youth who had not received the grade-six intervention experienced significantly greater improvement over baseline as a result of the grade-10 intervention. The HIV-risk reduction intervention delivered in either or both grade-6 and grade-10 conferred sustained benefits; receipt of both interventions appears to confer additional benefits.

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Section: Resultssupporting

confidence: 78%

Section: Discussionsupporting

confidence: 50%

Section: Introductionmentioning

confidence: 99%

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Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School Through High School

et al. 2015

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“…Our analysis measured attitudes toward sexual risk-taking rather than sexual behaviors since prior research with this population indicated low rates of sexual activity (Ssewamala, Han, et al, 2010). However, the transitional period from adolescence to young adulthood is one of the riskiest periods for HIV acquisition (Patton et al, 2010; Stanton et al, 2015). Motivating orphaned adolescents to avoid HIV through ongoing engagement both prior to and at the start of sexual activity will be crucial.…”

Section: Discussionmentioning

confidence: 99%

Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment

2015

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Improving economic resources of impoverished youth may alter intentions to engage in sexual risk behaviors by motivating positive future planning to avoid HIV risk and by altering economic contexts contributing to HIV risk. Yet, few studies have examined the effect of economic-strengthening on economic and sexual behaviors of orphaned youth, despite high poverty and high HIV infection in this population. Hierarchal longitudinal regressions were used to examine the effect of a savings-led economic empowerment intervention, the Suubi-Maka Project, on changes in orphaned adolescents’ cash savings and attitudes toward savings and HIV-preventive practices over time. We randomized 346 Ugandan adolescents, aged 10–17 years, to either the control group receiving usual orphan care plus mentoring (n = 167) or the intervention group receiving usual orphan care plus mentoring, financial education, and matched savings accounts (n = 179). Assessments were conducted at baseline, 12, and 24 months. Results indicated that intervention adolescents significantly increased their cash savings over time (b = $US12.32, ±1.12, p < .001) compared to adolescents in the control group. At 24 months post-baseline, 92% of intervention adolescents had accumulated savings compared to 43% in the control group (p < .001). The largest changes in savings goals were the proportion of intervention adolescents valuing saving for money to buy a home (ΔT1−T0 = +14.9, p < .001), pursue vocational training (ΔT1−T0 = +8.8, p < .01), and start a business (T1−T0 = +6.7, p < .01). Intervention adolescents also had a significant relative increase over time in HIV-preventive attitudinal scores (b = +0.19, ±0.09, p < .05), most commonly toward perceived risk of HIV (95.8%, n = 159), sexual abstinence or postponement (91.6%, n = 152), and consistent condom use (93.4%, n = 144). In addition, intervention adolescents had 2.017 significantly greater odds of a maximum HIV-prevention score (OR = 2.017, 95%CI: 1.43–2.84). To minimize HIV risk throughout the adolescent and young adult periods, long-term strategies are needed to integrate youth economic development, including savings and income generation, with age-appropriate combination prevention interventions.

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“…(15,16) For effectiveness of health education actions, the health professionals need to recognize the autonomy, assimilation capacity, and previous knowledge of adolescents, through dialogue, respect, and shar-ing of knowledge, using the elements as proposed by the adolescents. (16) References that may identify the adolescents' sexual life, such as naming the educational intervention with titles associated with sexuality, can generate feelings of rejection and resistance to participate in the educational moment.…”

Section: Discussionmentioning

confidence: 99%

Protagonismo de adolescentes na prevenção de doenças sexualmente transmissíveis

Costa

Araújo

et al. 2015

Acta paul. enferm.

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Resumo Objetivo Analisar o protagonismo de adolescentes escolares na prevenção de doenças sexualmente transmissíveis. Métodos Estudo qualitativo do tipo pesquisa-ação desenvolvido com dez adolescentes, com idade entre 15 e 16 anos, de uma escola pública. Os dados foram coletados em grupos focais, entrevistas e observação e analisados na técnica de análise do discurso. Resultados Os depoimentos revelaram que os adolescentes protagonizaram suas participações no planejamento da intervenção educativa, definindo e organizando o espaço educativo escolar, e confeccionando materiais e temas a serem utilizados nas ações de prevenção às doenças sexualmente transmissíveis, gerando um sentimento de domínio sobre o assunto. Conclusão Os participantes do estudo apresentaram protagonismo na elaboração de atividades de prevenção de doenças sexualmente transmissíveis no ambiente escolar.

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Assessing the Effects of a Complementary Parent Intervention and Prior Exposure to a Preadolescent Program of HIV Risk Reduction for Mid-Adolescents

Abstract: Preadolescents and mid-adolescents in HIV-affected countries should receive HIV prevention interventions that include parental participation.

Cited by 14 publications

References 25 publications

Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School Through High School

Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School Through High School

Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment

Protagonismo de adolescentes na prevenção de doenças sexualmente transmissíveis

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