Resumen de Assessing the Effects of a Complementary Parent Intervention and Prior Exposure to a Preadolescent Program of HIV Risk Reduction for Mid-Adolescents.
Bonita F. Stanton, Bo Wang, Lynette Deveaux, Sonja Lunn, Glenda Rolle, Xiaoming Li, Nanika Braithwaite, Veronica Dinaj-Koci, Sharon Marshall, Perry Gomez
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. [ABSTRACT FROM AUTHOR]
