Interventions to Reduce Sexual Risk for the Human Immunodeficiency Virus in Adolescents, 1985-2000

Johnson, Blair T.; Carey, Michael P.; Marsh, Kerry L.; Levin, Kenneth D.; Scott-Sheldon, Lori A. J.

doi:10.1001/archpedi.157.4.381

Cited by 231 publications

(149 citation statements)

References 56 publications

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“…The extant evidence indicates that interventions including skills-training are effective for adolescents (5)(6)(7)9). However, implementing behavioral self-management or interpersonal skills in the absence of life experience can be challenging.…”

Section: Influence Of Adolescent Developmental Transitions On Sexual mentioning

confidence: 99%

“…Although recent reviews and meta-analyses of the literature suggest that interventions can be efficacious (5)(6)(7)(8)(9), few of the extant interventions have been replicated. Moreover, some interventions appear ineffective, and much of the variance in reducing sexual risk remains unaccounted for, suggesting that additional factors or theoretical frameworks are needed to guide future intervention studies (10).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Developmentally appropriate sexual risk reduction interventions for adolescents: Rationale, review of interventions, and recommendations for research and practice

Pedlow¹,

Carey²

2004

ann. behav. med.

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174

156

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Context-Despite awareness of the need to design developmentally-appropriate sexual risk reduction interventions for adolescents, limited information exists to identify the aspects of intervention design or content that make an intervention "developmentally appropriate." Objectives-(a)To clarify the rationale for designing developmentally-appropriate interventions, (b) to review randomized controlled trials (RCTs) of adolescent sexual risk reduction interventions, (c) to identify developmentally-appropriate strategies, (d) to examine the relationship between developmental appropriateness and sexual risk outcomes, and (e) to provide recommendations for research.Study Selection-Studies (n = 24) published before 2003 that evaluated a risk reduction intervention, sampled adolescents, used a RCT study design, and evaluated sexual behavior outcomes.Results-Content analysis indicated that the interventions tested were often tailored to the cognitive level of adolescents, as indicated by the use of exercises on decision-making, goal-setting and planning, and concrete explanation of abstract concepts. Interventions also addressed the social influences of risky sex such as peer norms and provided communication skills training. Overall, the interventions tested in RCTs were more effective in delaying the onset of sexual activity than in promoting abstinence among sexually-active youth. Interventions with booster sessions were effective in reducing sexual risk behavior. The use of process measures, linked with developmental constructs, was rare. However, improvements in sexual communication skills and perceived norms for safer sex were associated with reductions in sexual risk outcomes.Conclusions-Developmental transitions during adolescence influence sexual behavior, and need to be considered when developing and evaluating risk reduction interventions for youth. Future research should assess process measures of key developmental constructs as well as risk behavior and biological outcomes.

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Section: Influence Of Adolescent Developmental Transitions On Sexual mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Developmentally appropriate sexual risk reduction interventions for adolescents: Rationale, review of interventions, and recommendations for research and practice

Pedlow¹,

Carey²

2004

ann. behav. med.

Self Cite

174

156

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“…The role of individual IMB model constructs as key drivers of intervention-induced behavior change has also been empirically confirmed. Specifically, meta-analytic support has been provided for the effects of both HIV/AIDS prevention information ( Johnson, Carey, Marsh, Levin, & Scott-Sheldon, 2003) and HIV/AIDS prevention motivation (Herbst et al, 2007;Johnson, Carey, Chaudoir, & Reid, 2006) intervention components in the context of HIV/AIDS risk reduction. Moreover, interventions that focus on improving behavioral skills have been shown to elicit significantly greater reductions in sexual risk behavior than those not including a skills component, a finding that has been demonstrated in a number of meta-analyses with a variety of diverse populations, including PLWH (Crepaz et al, 2006;Johnson et al, 2006), MSM (Herbst et al, 2005;Johnson et al, 2002), adolescents ( Johnson et al, 2003), IDUs (Copenhaver et al, 2006), Black and Hispanic STI clinic patients , and Hispanic individuals in the United States and Puerto Rico (Herbst et al, 2007).…”

Section: Meta-analytic Support For Imb Model Propositionsmentioning

confidence: 99%

Social Psychology and the Fight Against AIDS

Fisher

Shuper

2014

Advances in Experimental Social Psychology

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“…Greater knowledge of HIV, a disposition towards preventive sexual practices, and high condom use were observed without delaying or reducing the frequency of sexual relations [22]. The impact of educational interventions using quasi experimental approaches was also positively assessed as regards their methodological design [23]. In fact, the acquisition of competencies (condom usage), communication on sexuality, the reduction of risky behaviors (drop in sexual activity and sex partners) were, like in our study, visibly due to the intervention.…”

Section: On the Assessment Of The Effects Of The Programmentioning

confidence: 99%

Cognitive and Behavioral Effects of Participatory Sex Education on the Dual Prevention of STI/HIV/AIDS and Unwanted Pregnancies among Adolescents in Kinshasa High Schools, DR Congo

Nsakala¹,

Coppieters²,

Kayembé³

2014

OJPM

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Context: With the view to reorient both STI/HIV/AIDS prevention and adolescents pregnancies, this research study aims at evaluating cognitive and behavioral acquisitions, as well as the process of interactive sex education participatory approach among adolescents in Kinshasa high schools. Methods: Based on a "pre and post" virtually experimental design, two crosswise surveys were conducted in Kinshasa, for six months in 2011-2012 on 484 high school students (pre-survey) and on 441 high school students (post-survey), whose age range from 14 -19 years including both sexes. Two participatory educational talks (PET) "A" and "B", covered weekly in two different schools, were compared to a control group school. The PET "A" consisted of interactive interpersonal communication sessions given by an external expert as a substitute for the life education course in one school. The PET "B" carried out in another school, included more educational talk sessions, led by the external expert and supplemented by a close follow-up of teenagers divided into small groups of 10 participants. The subjects' assessment was based on their knowledge, attitudes and practices relating to STI/HIV/AIDS dual prevention as well as to unwanted pregnancies. Results: The subjects involved in the PET "B" displayed a better/higher performance based on * Corresponding author. G. V. Nsakala et al. 205their knowledge, attitudes and practices related to STI/HIV/AIDS dual prevention and unwanted pregnancies. Broadly speaking, knowledge has been improved 6 times with the PET "B" (OR = 6, 10, IC 95%) (3.24 -11.9), and 3 times with the PET "A" (OR = 3, 45, IC 95%) (1.79 -6.81), compared to control school. Similarly, findings on subjects' attitudes show an improvement rated 12 times with the PET"B" (OR = 11, 99, IC 95%) (5.67 -27.38) and 5 times for the PET "A" (OR = 5.51, IC 95%) (2.54 -12.87). As far as the subjects' practices are concerned, an improvement of 6 more times of protected sexual intercourses with the PET "B" compared with the control school group (OR = 6, 52, IC 95%) (3.60 -12.0). The process assessment records a spontaneous involvement of schools enhanced by the positive contribution of Life Education and Biology teachers; add a massive participation of adolescents who requested permanent PET program. Conclusion: The results of this study suggest that school sexual education programs can be improved to increase the quality of apprenticeship. The use of interactive methods and the consideration of the adolescents' specific needs that take into account the gender approach may bring about beneficial advantages on both educational outcomes and reproductive health of adolescents.

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Interventions to Reduce Sexual Risk for the Human Immunodeficiency Virus in Adolescents, 1985-2000

Abstract: Intensive behavioral interventions reduced sexual HIV risk, especially because they increased skill acquisition, sexual communications, and condom use and decreased the onset of sexual intercourse or the number of sexual partners.

Cited by 231 publications

References 56 publications

Developmentally appropriate sexual risk reduction interventions for adolescents: Rationale, review of interventions, and recommendations for research and practice

Developmentally appropriate sexual risk reduction interventions for adolescents: Rationale, review of interventions, and recommendations for research and practice

Social Psychology and the Fight Against AIDS

Cognitive and Behavioral Effects of Participatory Sex Education on the Dual Prevention of STI/HIV/AIDS and Unwanted Pregnancies among Adolescents in Kinshasa High Schools, DR Congo

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