Program

Oct 24, 2011

OVERVIEW

This program helps adolescents understand the risk of HIV/AIDS using a guide
matched to participant’s age and background. Findings indicate impacts for the
self-instruction-only condition on the value of AIDS education. Positive
impacts were found for the self-instruction plus group intervention condition
for their willingness to talk with friends about sex. No significant impacts
were found for willingness to discuss drugs with family and intentions to use a
condom.

DESCRIPTION OF PROGRAM

Target population: African-American and Hispanic adolescents

This program is a self-instruction intervention focusing on reducing avoidable
risks for HIV infection associated with drug use and unsafe sexual activity.
The full intervention includes three one-hour sessions with the research staff
during a one-month interval in which intervention leaders describe the rationale
and use of the self-instructional guide given to participants. The sessions are
split in half: the first half hour is devoted to informational instruction about
AIDS, drug use, and unsafe sexual activity; the second half hour is devoted to
describing and explaining five steps to cognitive problem solving. The other
intervention group receives the self-instruction guide only without
instructional meetings.

The guide is formatted like a comic book and relies heavily on graphics and
rhymes to get its message across. The guide was developed to relate to the
demographic of adolescents reading it. After explaining the behavioral risks of
AIDS and ways to avoid the risks, the guide introduces participants to a
four-part cognitive problem-solving sequence also known as SODA: Stop, Options,
Decide, Action. First participants are taught to pause and consider their
potential choices and their potential consequences. Next, they are reminded
that problems have many solutions. Third, they are taught how to choose the
best solution from their options. Finally, they are shown four types of verbal
responses to peer pressure situations. The guide ends with a puzzle section
where participants are asked to solve the problem situation for a specific
cartoon character.

EVALUATION(S) OF PROGRAM

Schinke, S. P., Gordon, A. N., & Weston, R. E. (1990). Self-instruction to
prevent HIV infection among African-American and Hispanic-American adolescents.
Journal of Consulting and Clinical Psychology, 58,432-436

Evaluated population:
Participants included 60 adolescents (56.7 percent female) enrolled in an urban
job-training program. In this study, 36.7 percent of the participants were
African-American, 26.6 percent were Hispanic, and 15 percent were
Caribbean-Black. Of the 60 participants, 18 were assigned to the full
intervention (guide and group instruction) group (mean age=15.69), 19 were
assigned to the guide only intervention group (mean age=16.03), and 23 were
assigned to the control group (mean age=16.23).

Approach:
Participants in this program were randomized into one of three conditions: guide
and group instruction, guide only, or no intervention. The control group only
received the AIDS fact sheet, which both intervention groups also received.

Results:
The study assessed perceptions about the value of AIDS education, responses
about the transmission of the AIDS virus through casual contact, approval of
intravenous drug use, and willingness to talk with friends about sex.

Impacts were found for the self-instruction-only condition for perceptions about
the value of AIDS education compared with those in the other conditions. Also,
those in the self-instruction plus group intervention condition improved in
their willingness to talk with friends about sex compared with those in the
other two conditions. No significant impacts were found for willingness to
discuss drugs with family and intentions to use a condom.

SOURCES FOR MORE INFORMATION

References:

Schinke, S. P., Gordon, A. N., & Weston, R. E. (1990). Self-instruction to
prevent HIV infection among African-American and Hispanic-American adolescents.
Journal of Consulting and Clinical Psychology, 58,432-436

KEYWORDS:
Adolescents, Multiracial, Urban, Skills Training, Social Skills/Life Skills,
Marijuana/Illicit/Prescription Drugs, STD/HIV/AIDS, Sexual Activity,

Program information last updated on 10/24/11.

 

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