Program

Sep 12, 2015

OVERVIEW

Created from the SiHLE curriculum, multimedia SiHLE is a computer-based HIV prevention program for African American teenage girls. It is an interactive program that fosters pride and values, teaches information on HIV/AIDS, and trains participants in communication skills with sexual partners. An evaluation found that three months after participating in the program, girls were more likely to use condoms and to feel confident in using them correctly. They also knew more about HIV/AIDS.

DESCRIPTION OF PROGRAM

Target population: African American girls, ages 14 to 18

Multimedia SiHLE is a computer-based HIV prevention intervention based on Sistering, Informing, Healing, Loving, and Empowering (SiHLE). The program is geared toward African American girls, ages 14 to 18, and development was informed by social cognitive theory and the theory of gender and power. The program consists of two 1-hour individual computer lessons, which are composed of a number of two- to eight-minute mini-lessons. While the program is much shorter than the SiHLE intervention, it covers the same material: enhancing ethnic and gender pride and personal values development; information about HIV/AIDS and STI, including transmission, risk factors, and risk reduction strategies; communication skills and sexual decision-making; correct and consistent condom use; and partner selection and healthy relationships.

All mini-lessons are narrated by female health educators, and include at least one video of adolescent girls talking to each other to replace the small group discussions of the original intervention. The program also includes games and role-plays, as well as quizzes, to encourage interaction with the material.

EVALUATION OF PROGRAM

Klein, C. H. & Card, J. J. (2011). Preliminary efficacy of a computer-delivered HIV prevention intervention for African American teenage females. AIDS Education and Prevention, 23(6), 564-576.

Evaluated population: The intervention was tested on 178 African American girls, ages 14 to 19, in the San Francisco Bay Area. When the intervention was conducted, the average age was 15.8 years, and most of them were full-time students (94 percent). Almost all were unmarried (98 percent) and lived with their mother (53 percent) or mother and father (30 percent). A third lived with someone on welfare, and 16 percent had a job, though most worked less than 10 hours a week.

Fifty-two percent reported that they had ever had sex, eight percent had been pregnant, three percent reported they had had an STI, and two percent had living children.

Approach: Both the intervention and a control were administered in a single day, with a break between the hour-long sessions. Participants were randomly assigned to complete either the Multimedia SiHLE intervention, or a control intervention that consisted of two videos on diet and nutrition. Data on the participants were collected before they started their assigned program, and again three months later.

At both time periods, participants were assessed on their knowledge of HIV and condom self-efficacy, sexual communication self-efficacy with new and longer-term partners, and sexual communication frequency. They were also asked their sexual history and to report the frequency of vaginal intercourse and condom-protected vaginal intercourse in the past three months.

Additionally, satisfaction surveys were given to participants in both groups. They were asked to report how much they liked the intervention and how much they found it important and useful.

Results: Multimedia SiHLE had a positive impact on condom use among sexually active participants, and on condom self-efficacy among non-sexually active participants. There was also a positive impact on HIV/STI knowledge. There was no impact on sexual communication self-efficacy, the frequency of sexual communication, or sexual initiation.

Multimedia SiHLE was also rated highly on usefulness, importance, interest, enjoyability, and attractiveness. Ratings were higher than for the control videos.

SOURCES FOR MORE INFORMATION

References

Klein, C. H. & Card, J. J. (2011). Preliminary efficacy of a computer-delivered HIV prevention intervention for African American teenage females. AIDS Education and Prevention, 23(6), 564-576.

Website: http://www.socio.com/infosubscriptions/sihle.html

Contact Information

Dr. Josephina J. Card

jjcard@socio.com

KEYWORDS: Adolescents, Youth, Female Only, Black/African American, Computer-based, Condom Use and Contraception, STD/HIV/AIDS

Program information last updated on 9/12/2015.

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