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 01:03:20 -0500 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_00D3_01C27BC2.4F9F3160"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2919.6600 This is a multi-part message in MIME format. ------=_NextPart_000_00D3_01C27BC2.4F9F3160 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/hiv/pubs/hivcompendium/section1-24.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

A Randomized, Controlled = Effectiveness=20 Trial of an AIDS Prevention Program for Low-income = African-American=20 Youths

Stanton, B.F., Li, X., Ricardo, I., Galbraith, = J.,=20 Feigelman, S., & Kaljee, L. (1996).
Archives of = Pediatrics and=20 Adolescent Medicine, 150 (4), 363 - 372

Description of Intervention: Focus on=20 Kids

The intervention, developed through ethnographic = research,=20 targeted pre- and early-adolescents in their existing = friendship=20 groups. Being in such a group was a requirement of = enrollment. AIDS=20 prevention education was based on a social cognitive model,=20 Protection Motivation Theory (PMT), that uses cost and = reward=20 constructs to explain how intentions are formed to respond = to=20 threats in either adaptive or maladaptive ways.

The intervention consisted of 8 sessions: seven 1=BD-hour = weekly=20 meetings at local recreational centers and one day-long = session at a=20 rural campsite. The intervention was delivered in a large = Eastern=20 city to peer groups that consisted of 3 to 10 same-gender = friends=20 within 3 years of age of each other. The sessions were led = by a pair=20 of interventionists, at least one of whom was gender matched = to the=20 group. Most of the interventionists were African-American = men and=20 women recruited from the community.

Each session focused on one or more PMT concepts and also = reviewed concepts from the prior session. Beginning in the = first=20 session and integrated throughout, a family genogram was = used to=20 illustrate the application of concepts to real-life = situations.

Sessions emphasized values clarification and goal = setting;=20 presented facts regarding AIDS, STDs, contraception, and = human=20 development; and provided condoms. Multiple delivery formats = were=20 used to address individual variability in receptivity to = media,=20 e.g., videos, games, role-playing, acting, storytelling, and = arts=20 and crafts.

In the seventh session, participants developed community = projects=20 with specific target audiences and intervention messages. = The eighth=20 session included a presentation of the projects and = concluded with a=20 "graduation" = ceremony.

Intervention Goal(s): To determine the effects of a peer = network=20 decision-making intervention to increase condom use among sexually = active=20 youth.

Intervention Setting: Recreation centers associated with = public=20 housing developments; rural campsite setting.

Population: Of the 383 African-American youths who = participated=20 in the study, 56% were male and 44% were female. The average age = was 11=20 years, ranging from 9 to 15 years; 36% were sexually experienced = prior to=20 the study.

Comparison Condition: Individual youth attended weekly = sessions,=20 which included a movie with AIDS facts, discussion, and access to=20 condoms.

Behavioral Findings: Sexually active youth who = participated in=20 the intervention reported significantly greater condom use than = sexually=20 active youth in the comparison condition.

Contact:
Bonita Stanton, MD
Department of=20 Pediatrics
University of Maryland at Baltimore
700 = West=20 Lombard Street
Baltimore, MD 21201

Phone:  410 706=20 5289
Fax:      410 = 706=20 0653
E-mail:  bstanton@umabnet.ab.umd.edu

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