A Randomized, Controlled Effectiveness Trial of an AIDS Prevention Program for Low-Income African-American Youths

Stanton, Bonita; Li, Xiaoming; Ricardo, Izabel; Galbraith, Jennifer; Feigelman, Susan; Kaljee, Linda

doi:10.1001/archpedi.1996.02170290029004

Cited by 216 publications

(187 citation statements)

References 30 publications

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“…Several studies met more than 1 exclusion criteria. Four studies were excluded because they lacked a control group 23-26 ; 9 did not report parent-adolescent communication outcome data [27][28][29][30][31][32][33][34][35] ; 1 did not report outcome data for parent participants, only for adolescent participants 36 ; 3 included parents of younger children but did not stratify outcome data on the basis of the age of participating parents' children 25,26,37 ; 1 only included parents of preschool-aged children 38 ; parents participated in multiple interventions simultaneously in 1 study, which made it impossible to determine the individual effects of the parent-adolescent communication program 39 ; and 4 included non-US samples. [40][41][42][43] …”

Section: Resultsmentioning

confidence: 99%

Interventions to Improve Parental Communication About Sex: A Systematic Review

2011

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CONTEXT: The relative effectiveness of interventions to improve parental communication with adolescents about sex is not known. OBJECTIVE:To compare the effectiveness and methodologic quality of interventions for improving parental communication with adolescents about sex. METHODS:We searched 6 databases: OVID/Medline, PsychInfo, ERIC, Cochrane Review, Communication and Mass Media, and the Cumulative Index to Nursing and Allied Health Literature. We included studies published between 1980 and July 2010 in peer-reviewed English-language journals that targeted US parents of adolescents aged 11 to 18 years, used an experimental or quasi-experimental design, included a control group, and had a pretest/posttest design. We abstracted data on multiple communication outcomes defined by the integrative conceptual model (communication frequency, content, skills, intentions, selfefficacy, perceived environmental barriers/facilitators, perceived social norms, attitudes, outcome expectations, knowledge, and beliefs). Methodologic quality was assessed using the 11-item methodologic quality score. RESULTS:Twelve studies met inclusion criteria. Compared with controls, parents who participated in these interventions experienced improvements in multiple communication domains including the frequency, quality, intentions, comfort, and self-efficacy for communicating. We noted no effects on parental attitudes toward communicating or the outcomes they expected to occur as a result of communicating. Four studies were of high quality, 7 were of medium quality, and 1 was of lower quality. Funded by the National Institutes of Health (NIH). CONCLUSIONS: 494AKERS et al by guest on May 10, 2018 http://pediatrics.aappublications.org/ Downloaded from Adolescent sexual behavior is a normal developmental milestone. However, the social and public health consequences of adolescent sexual activity are tremendous. Of the 18 million sexually transmitted infections diagnosed in the United States each year, 1,2 half occur in adolescents. [3][4][5] Pregnancy affects 750 000 adolescents annually, 80% of which are unintended. 6 Despite recent declines in the number of sexually active adolescents, engagement in risky sexual behaviors remains problematic. 7 Adolescents who recall a parent talking with them about sex are more likely to report delaying sexual initiation [8][9][10] and increasing condom 8,11,12 and contraceptive 11,13 use. In light of these findings, interventions for improving parental communication about sex have been developed. 14 Although dozens of interventions exist, they have not been rigorously compared. We sought to examine whether interventions for improving parental communication with adolescents about sex are effective at strengthening multiple communication domains and to assess the methodologic quality of these interventions. METHODSWith the assistance of health science librarians, 6 databases were searched: OVID/Medline (1980 to July 2010), PsychInfo (1980 to July 2010), ERIC (1980 to July 2010), Cochrane Review (until...

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Section: Resultsmentioning

confidence: 99%

Interventions to Improve Parental Communication About Sex: A Systematic Review

2011

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“…Peer influences may have been particularly salient in the current study because 64% of SHERO's participants reported that they always came to the sessions with their friends. The potentially positive influence of peers is supported by reviews of existing HIV prevention interventions, which have shown that perceived norms and social connectedness are key factors in successful interventions for adolescents (Kirby, 2001;Pedlow & Carey, 2004), as well as findings from friendshipbased HIV prevention interventions that utilize the power of peer norms to support positive behavior change (Dolcini et al, 2008;Stanton et al, 1996). Forthcoming manuscripts will conduct more in-depth moderation and mediation analyses to further explore the effects of such psychosocial outcomes (e.g., peer norms, perceptions of a woman's control of her sexuality, acceptability of sexual coercion and assault) on sexual health-related behaviors.…”

Section: Discussionmentioning

confidence: 98%

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

Harper¹,

Bangi²,

Sánchez³

et al. 2009

AIDS Education and Prevention

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This article describes a quasi-experimental evaluation of a community-based, culturally and ecologically tailored HIV prevention intervention for Mexican American female adolescents grounded in the AIDS risk reduction model. A total of 378 Mexican American female adolescents (mean age = 15.2) participated in either the nine-session SHERO's (a female-gendered version of the word hero) intervention or a single session information-only HIV prevention intervention. Assessment data were collected at pretest, posttest, and 2-month follow up. Significant improvements across all time points were revealed on measures of self-esteem, condom attitudes, beliefs regarding a woman's control of her sexuality, beliefs regarding sexual assault, perceived peer norms, and HIV/AIDS and STI knowledge. At posttest SHERO's participants were more likely to carry condoms and to report abstaining from vaginal sex in the previous 2 months; and at 2-month follow up they reported using condoms more often in the preceding 2 months and planned on using them more frequently in the coming 2 months. Findings support the development of community-based adolescent HIV prevention interventions that address culturally specific ecological factors.Sexually transmitted infections (STIs), including HIV, continue to threaten the health of Latinas in the United States. Rates for chlamydia were three times higher and rates for primary and secondary syphilis were nearly two times higher among Latina females than Whites (Centers for Disease Control and Prevention [CDC], 2007). In 2006, Latinas made up 11% of the U.S. female population but accounted for 15% of females living with HIV/

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“…Most of the published studies are based on a strong theoretical foundation and target sexual behavior-related cognition and skills using multiple small group sessions. [19][20][21][22][23][24][25][26][27][28] Few of the current generation of efficacious interventions for youth have focused specifically on adolescent women of color considered by recent epidemiologic studies to be at highest risk for HIV, however. As shown in the Table, there are eight interventions that have demonstrated efficacy in female adolescents.…”

Section: Current Generation Of Behavioral Hiv Prevention Interventionsmentioning

confidence: 99%

The Next Generation of HIV Prevention for Adolescent Females in the United States: Linking Behavioral and Epidemiologic Sciences to Reduce Incidence of HIV

Ellen

2003

Journal of Urban Health: Bulletin of the New York Academy of Me

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A Randomized, Controlled Effectiveness Trial of an AIDS Prevention Program for Low-Income African-American Youths

Cited by 216 publications

References 30 publications

Interventions to Improve Parental Communication About Sex: A Systematic Review

Interventions to Improve Parental Communication About Sex: A Systematic Review

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

The Next Generation of HIV Prevention for Adolescent Females in the United States: Linking Behavioral and Epidemiologic Sciences to Reduce Incidence of HIV

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