Bonita Stanton1, Bo Wang, Lynette Deveaux, Sonja Lunn, Glenda Rolle, Xiaoming Li, Nanika Braithwaite, Veronica Dinaj-Koci, Sharon Marshall, Perry Gomez. 1. Bonita Stanton, Bo Wang, Xiaoming Li, Veronica Dinaj-Koci, and Sharon Marshall are with the Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI. Lynette Deveaux and Sonja Lunn are with the Office of HIV/AIDS, Ministry of Health, Government of the Commonwealth of The Bahamas, Nassau, New Providence. Glenda Rolle is with the Ministry of Education, Science and Technology, Government of the Commonwealth of The Bahamas, Nassau. Nanika Braithwaite is with the Office of Health Information and Research Unit, Ministry of Health, Government of the Commonwealth of The Bahamas, Nassau. Perry Gomez is with the Ministry of Health, Government of the Commonwealth of The Bahamas, Nassau.
Abstract
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.
RCT Entities:
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.
Authors: Ying Wu; Bonita F Stanton; Jennifer Galbraith; Linda Kaljee; Lesley Cottrell; Xiaoming Li; Carole V Harris; Dawn D'Alessandri; James M Burns Journal: Pediatrics Date: 2003-01 Impact factor: 7.124
Authors: Barri Burrus; Kimberly D Leeks; Theresa Ann Sipe; Suzanne Dolina; Robin Soler; Randy Elder; Lisa Barrios; Arlene Greenspan; Dan Fishbein; Mary Lou Lindegren; Angeli Achrekar; Patricia Dittus Journal: Am J Prev Med Date: 2012-03 Impact factor: 5.043
Authors: B Stanton; L Deveaux; S Lunn; S Yu; N Brathwaite; X Li; L Cottrell; C Harris; R Clemens; S Marshall Journal: J Health Popul Nutr Date: 2009-06 Impact factor: 2.000
Authors: Xiaoming Li; Shan Qiao; Xueying Yang; Sayward E Harrison; Cheuk Chi Tam; Zhiyong Shen; Yuejiao Zhou Journal: Front Public Health Date: 2022-03-29