CDC-NCHSTP-DHAP: Compendium of HIV Prevention = Interventions with Evidence of Effectiveness - Section 1 - Summaries of = HIV Prevention Interventions

From: Subject: CDC-NCHSTP-DHAP: Compendium of HIV Prevention Interventions with Evidence of Effectiveness - Section 1 - Summaries of HIV Prevention Interventions Date: Fri, 25 Oct 2002 01:04:29 -0500 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_00EA_01C27BC2.78C5DC60"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2919.6600 This is a multi-part message in MIME format. ------=_NextPart_000_00EA_01C27BC2.78C5DC60 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/hiv/pubs/hivcompendium/section1-25.htm CDC-NCHSTP-DHAP: Compendium of HIV Prevention = Interventions with Evidence of Effectiveness - Section 1 - Summaries of = HIV Prevention Interventions

National Center for HIV, STD and TB=20 Prevention
Divisions of HIV/AIDS Prevention=20

Cognitive-Behavioral = Intervention To=20 Reduce African-American Adolescents' Risk for HIV = Infection

St. Lawrence, J.S., Brasfield, TL, Jefferson, = K.W.,=20 Alleyne, E., O'Bannon, R.E., & Shirley, A. = (1995).
Journal of=20 Consulting and Clinical Psychology, 63 (2), 221 - 237

Description of Intervention: Becoming A = Responsible Teen (BART)

This intervention is based on social learning theory and = stresses=20 attention to participants' informational needs, motivational = influences, and behavior (IMB), from the IMB risk-reduction = model.=20 The intervention consisted of 8 weekly educational and = behavior=20 skills sessions of 90 to 120 minutes each. Two = co-facilitators, a=20 male and a female, led the sessions in a small group format. = The=20 intervention was conducted in a comprehensive health center = that=20 serves predominantly low-income minority clients in a = Mississippi=20 city of 400,000 residents.

Session 1: AIDS education. HIV/AIDS information, = presented=20 in the context of local HIV/AIDS demographics, was = interspersed with=20 games, group discussion, and other activities.

Session 2: Sexual decisions and values. Group = discussion=20 about sexual decisions and pressures was followed by a video = for=20 African-American youths, Seriously Fresh, and video = discussion.

Session 3: Technical competency skills. Discussion = of=20 statewide adolescent sexual activity levels was followed by = condom=20 use demonstrations, small group practice, and cognitive=20 restructuring of unhelpful beliefs about self-protection and = condom=20 use.

Session 4-6: Social competency skills. = Communication=20 skills and assertiveness were taught in 3 contexts: a) = initiating=20 discussion about condoms in advance with a sex partner, b) = refusing=20 pressure to engage in unprotected sex, and c) sharing = HIV-risk=20 information with peers. Leaders demonstrated these skills, = followed=20 by participant role play.

Session 7: Cognitive competency skills. Local=20 HIV-seropositive youths, the "Rap Team," discussed how HIV = had=20 affected their lives. Behavioral self-management and = problem-solving=20 strategies, especially those used successfully in the past, = were the=20 focus of sessions 7 and 8.

Session 8: Social support and empowerment. = Participants=20 shared what each felt was most helpful in BART and the = personal=20 changes each had made in response to participating in BART. = The=20 impact the group could have by educating friends and = families was=20 illustrated and the importance of supportive friendship = networks was=20 stressed.

Incentives included $5 an hour for participation, a = project=20 T-shirt for attending all sessions, and a personalized = certificate=20 of completion.

Intervention Goal(s): To determine the effects a small = group=20 intervention.

Intervention Setting: A public health clinic serving = low-income=20 families.^=A7

Population: Of the 246 inner city AfricanAmerican youths = who=20 enrolled in the study, 28% were male and 72% were female. The = average age=20 was 15 years; the average school grade was 10; and 36% were = sexually=20 experienced prior to the study.

Comparison Condition: Received Session 1 only.

Behavioral Findings: Youths who participated in the = intervention=20 reported significantly greater condom use and significantly lower=20 frequency of unprotected intercourse than youths in the comparison = condition. Abstinent youth who participated in the intervention=20 significantly delayed sexual onset to a greater extent than = abstinent=20 youth in the comparison condition.

Contact:
Janet S. St. Lawrence, PhD
Centers = for=20 Disease Control and Prevention
1600 Clifton Road, Mail = Stop E=20 44
Atlanta, GA 30333

Phone:  404 639=20 8298
Fax:      404 = 639=20 8622
E-mail:  nzs4@cdc.gov

=A7Information obtained from related reports or=20 author.

This study meets CDC's HIV/AIDS Prevention Research = Synthesis=20 project criteria for relevance and methodological rigor and also = has the=20 positive and significant behavioral/health findings required for = the=20 Compendium. Date added 1/99

Last Updated: August 31, = 2001=20
Centers for Disease Control & Prevention
National = Center for=20 HIV, STD, and TB Prevention
Divisions of HIV/AIDS=20 Prevention
Please send comments/suggestions/requests to: hivmail@cdc.gov

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