Family-Based HIV-Prevention for Adolescents with Psychiatric Disorders

Donenberg, Geri R.; Brown, Larry K.; Hadley, Wendy; Kapungu, Chisina; Lescano, Celia M.; DiClemente, Ralph J.

doi:10.1007/978-1-4614-0439-2_13

Cited by 18 publications

(13 citation statements)

References 127 publications

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“…Techniques and principles from the existing face-to-face family-based intervention: Project STYLE (R01 MH63008) [39] formed the basis for the development of the content for the interactive DVD. The family-based STYLE intervention focused on improving parent-adolescent general and sexual communication, parental monitoring, and adolescent self-efficacy for engaging in HIV prevention behaviors (e.g., negotiating safer sex with partners, avoiding sexual situations, purchasing and using condoms) through the use of didactics, role-plays, and feedback on directly observed communication interactions between parent-adolescent dyads.…”

Section: Methodsmentioning

confidence: 99%

“…This DVD and workbook are based on a previously developed face-to-face intervention (STYLE; R01MH63008) [39] targeting teens in mental health treatment and their caregivers. The STYLE family based intervention demonstrated initial efficacy in reducing sexual risk behavior among a sample of teens in mental health treatment and their caregivers and compares favorably to other successful intervention programs that are currently being disseminated in a face-to-face format [40].…”

Section: Introductionmentioning

confidence: 99%

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Work It Out Together: Preliminary Efficacy of a Parent and Adolescent DVD and Workbook Intervention on Adolescent Sexual and Substance Use Attitudes and Parenting Behaviors

et al. 2016

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The purpose of the current study was to test an interactive DVD and workbook specifically designed for African-American parents and adolescents (ages 13–18), based on an efficacious face-to-face intervention, to address key factors associated with risk. A total of 170 parent-adolescent dyads were enrolled and randomly assigned to receive either the “Work It Out Together” DVD or a General Health Promotion DVD (HP). Parents and adolescents completed measures of HIV knowledge, self-efficacy, and parenting behaviors. Immediately after receiving the Work It Out Together intervention, parents and adolescents demonstrated higher HIV knowledge and greater HIV prevention self-efficacy. Three months after receiving the Work It Out Together intervention, parents and adolescents reported higher levels of parental monitoring and sexually active adolescents reported higher levels of condom use self-efficacy and a lower rate of recent sex. These outcomes provide preliminary evidence that the “Work It Out Together” DVD impacted individual attitudes and protective parenting behaviors.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Work It Out Together: Preliminary Efficacy of a Parent and Adolescent DVD and Workbook Intervention on Adolescent Sexual and Substance Use Attitudes and Parenting Behaviors

et al. 2016

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“…PHAT Life was adapted from three empirically-supported interventions for high-risk youth: Rikers Health Advocacy Program (Magura, Kang, & Shapiro, 1994), Street Smart (Rotheram-Borus et al, 2003), and Project STYLE (Donenberg, Brown, Hadley, Kapungu, & Lescano, 2012). Guided by a combination of social learning theory (Bandura, 1986) and a Social-Personal Framework (Donenberg & Pao, 2005), PHAT Life was designed to target broad psychosocial factors implicated in HIV-risk behavior, including knowledge, attitudes, and beliefs about HIV/AIDS and substance use, emotion regulation, peer influence, and partner relationships.…”

Section: Methodsmentioning

confidence: 99%

HIV-Risk Reduction with Juvenile Offenders on Probation

et al. 2014

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Youth involved in the juvenile justice system are at elevated risk for HIV as a result of high rates of sexual risk taking, substance use, mental health problems and sexually transmitted infections. Yet few HIV prevention programs exist for young offenders. This pilot study examined change in juvenile offenders’ sexual activity, drug/alcohol use, HIV testing and counseling, and theoretical mediators of risk taking following participation in PHAT Life, an HIV-prevention program for teens on probation. Participants (N=54) were 13–17 year-old arrested males and females remanded to a detention alternative setting. Youth participated in a uniquely tailored HIV prevention intervention and completed a baseline and 3-month follow up assessment of their HIV and substance use knowledge, attitudes, beliefs, and behaviors. At 3-month follow up, teens reported less alcohol use, more positive attitudes toward peers with HIV, greater ability to resist temptation to use substances, and for males, improved HIV prevention self-efficacy and peer norms supporting prevention. Teens were also more likely to seek HIV counseling and males were more likely to get tested for HIV. Effect sizes revealed moderate change in sexual behavior. Findings support PHAT Life as a promising intervention to reduce HIV-risk among youth in juvenile justice.

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“…Data from the current study are from the baseline assessment of Project STYLE (Brown et al, 2014; Donenberg, Brown, Hadley, Kapungu, & Lescano, 2012), a study testing the efficacy of an HIV prevention program for adolescents in mental health treatment. The study was conducted in three US cities (Atlanta, GA, Chicago, IL and Providence, RI).…”

Section: Methodsmentioning

confidence: 99%

Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators

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Rizzo²,

Brown³

et al. 2014

Children and Youth Services Review

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Little is known about why some adolescents with internalizing symptoms engage in sexual behaviors that increase their risk for HIV. This study tested a mediation model of internalizing symptoms and safe sex intentions among adolescents receiving mental health treatment. Self-efficacy for HIV prevention, HIV knowledge, and worry about HIV were hypothesized to mediate associations between internalizing symptoms and safe sex intentions among sexually active and non-active adolescents receiving mental health treatment (N = 893, M age = 14.9). Significant indirect effects from internalizing symptoms to safe sex intentions varied according sexual experience: for sexually non-active adolescents, HIV worry and knowledge mediated this link, whereas for sexually active adolescents, HIV self-efficacy was the significant mediator. Increasing both HIV knowledge and self-efficacy for HIV prevention are important targets for HIV prevention with adolescents with internalizing symptoms, and careful attention should be paid towards targeting these interventions to sexually experienced and inexperienced youth.

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Family-Based HIV-Prevention for Adolescents with Psychiatric Disorders

Cited by 18 publications

References 127 publications

Work It Out Together: Preliminary Efficacy of a Parent and Adolescent DVD and Workbook Intervention on Adolescent Sexual and Substance Use Attitudes and Parenting Behaviors

Work It Out Together: Preliminary Efficacy of a Parent and Adolescent DVD and Workbook Intervention on Adolescent Sexual and Substance Use Attitudes and Parenting Behaviors

HIV-Risk Reduction with Juvenile Offenders on Probation

Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators

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