Assessing the effects of a complementary parent intervention and prior exposure to a preadolescent program of HIV risk reduction for mid-adolescents.

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Adolescent Behavior*/physiology ; Adolescent Behavior*/psychology ; Health Knowledge, Attitudes, Practice* ; Parent-Child Relations*; HIV Infections/*prevention & control ; Parents/*education ; Sex Education/*methods; Adolescent ; Bahamas ; Child ; Communication ; Condoms/statistics & numerical data ; Decision Making ; Female ; Humans ; Male ; Risk Reduction Behavior ; Self Efficacy

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 (2008-2011). 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.

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R01 MH069229 United States MH NIMH NIH HHS; R01MH069229 United States MH NIMH NIH HHS

Date Created: 20150121 Date Completed: 20150413 Latest Revision: 20181113

20240513

PMC4330837

10.2105/AJPH.2014.302345

25602877