Program

Apr 17, 2009

OVERVIEW

This AIDS prevention program was implemented for delinquent and abused adolescents and adolescents with mental health problems at residential centers in St. Louis, Missouri. Two treatment approaches were tested – a discussion-only version and a discussion-plus-skills intervention version of the program. The discussion-plus-skills treatment increased knowledge and intentions to cope. However neither treatment worked to significantly change participants’ risky sexual behaviors concerning AIDS.

DESCRIPTION OF PROGRAM

Target population:At-risk adolescents

The program consisted of nine 90- to 120-minute sessions led by trained facilitators, conducted over the course of 3 weeks, and each session was 1.5 to 2 hours long (Slonim-Nevo, Auslander, Ozawa, & Jung, 1996). For the evaluation described below, the program was implemented in two different ways for two different groups. Participation in the discussion-only group was didactic; participation in the group skills intervention was hands-on, and included role-playing, behavior modeling, and demonstrations. The two groups were taught the same information, but in a different way. Both groups learned social skills training, and the intervention centered on information about AIDS.

The adolescents were divided into groups of 8-10 based on sex and age. Snacks and prizes were offered to invite attendance. The skills group differed from the discussion group by focusing on demonstrations and role playing. The discussion group talked about AIDS prevention, but did not participate in demonstrations or role playing.

EVALUATION(S) OF PROGRAM

Slomin-Nevo, V., Auslander, W. F., Ozawa, M. N., & Jung, K. G. (1996). The long-term impact of AIDS-preventive interventions for delinquent and abused adolescents. Adolescence, 31(122), 409-421.

Evaluated Population:The sample consisted of 218 adolescents in 15 residential centers within a 100 mile radius of St. Louis, Missouri. Adolescents were referred because of child abuse or neglect, delinquency, or mental health issues. Residents were aged 12-18 years old, 56% male, 46% black and 54% white. Among the adolescents, 33% lived with their biological father most of their lives, 46% were raised by a man other than their biological father, and 21% reported they had no father figure. Among the adolescents, 64% lived with their biological mothers most of their lives, 36% were raised by a woman other than their mother. The children reported their parents’ marital status.

Approach:The 15 centers were randomly assigned to one of three groups: skills, discussion, and control. The following data were gathered by self-report surveys: subjects’ knowledge; attitudes toward condom use, IV drug use, multiple partners, self-efficacy, and susceptibility to AIDS; intentions to cope with AIDS-risk situations; and behaviors related to AIDS. The adolescents within the centers were measured before the program, immediately after the program, and at 9-12 months following the program completion. Analyses are undermined by moderately high attrition, with 140 or 218 (64%) subjects in the follow-up.

The control group members received AIDS education individually after the study ended. Facilitators of the treatment groups received 40 hours of AIDS prevention training. There were two facilitators in each group. Slonim-Nevo et al. describe training more in depth.

Results:There were no significant results on measures of behaviors concerning risk for AIDS; however, subjects in the discussion-plus-skills treatment group gained in knowledge and in their intentions to cope with risky situations.

SOURCES FOR MORE INFORMATION

References:

Slonim-Nevo, V., Auslander, W. F., & Gehlert, S. (1993). AIDS Prevention for Adolescents at Risk:
Training Social Work Students as Leaders. Journal of Teaching in Social Work, 7, 89-106.

Slomin-Nevo, V., Auslander, W. F., Ozawa, M. N., & Jung, K. G. (1996). The long-term impact of AIDS-preventive interventions for delinquent and abused adolescents. Adolescence, 31(122), 409-421.

Program also discussed in the following Child Trends publication(s):
Manlove, J., Terry-Humen, E., Romano Papillo, A., Franzetta, K., Williams, S., & Ryan, S. (2002). Preventing teenage pregnancy, childbearing, and sexually transmitted diseases: What the research shows (Research brief). Washington,
DC: Child Trends.

Manlove, J., Terry-Humen, E., Romano Papillo, A., Franzetta, K., Williams, S., & Ryan, S. (2001). Background for community-level work on positive reproductive health in adolescence: Reviewing the literature on contributing factors. Washington, DC: Child Trends

KEYWORDS: Adolescence (12-17), Youth (16+), High-Risk, Community-based, Clinic-based, Juvenile Offenders, Education, Life Skills Training, White or Caucasian, Black or African American, Reproductive Health, Risky Sex, STD/HIV/AIDS

Program information last updated 4/17/09.

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