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

作者：Stanton Bonita^*; Wang Bo; Deveaux Lynette; Lunn Sonja; Rolle Glenda; Li Xiaoming; Braithwaite Nanika; Dinaj Koci Veronica; Marshall Sharon; Gomez Perry

来源：American Journal of Public Health, 2015, 105(3): 575-583.

DOI：10.2105/AJPH.2014.302345

Objectives. We (1) evaluated the impact of an evidence-based HIV prevention program with and without a parent component among mid-adolescents living in the Caribbean and (2) determined the effect of prior receipt of a related intervention during preadolescence on intervention response.
Methods. A randomized, controlled 4-cell trial of a 10-session, theory-based HIV prevention intervention involving 2564 Bahamian grade-10 youths (some of whom had received a comparable intervention in grade 6) was conducted (20082011). Randomization occurred at the level of the classroom with follow-up at 6, 12, and 18 months after intervention. The 3 experimental conditions all included the youths' curriculum and either a youth-parent intervention emphasizing adolescent-parent communication, a parent-only goal-setting intervention, or no parent intervention.
Results. An intervention delivered to mid-adolescents in combination with a parent-adolescent sexual-risk communication intervention increased HIV/AIDS knowledge, condom-use skills, and self-efficacy and had a marginal effect on consistent condom use. Regardless of prior exposure to a similar intervention as preadolescents, youths benefited from receipt of the intervention.
Conclusions. Preadolescents and mid-adolescents in HIV-affected countries should receive HIV prevention interventions that include parental participation.

• 出版日期2015-3