Document Detail


HIV risk reduction among detained adolescents: a randomized, controlled trial.
MedLine Citation:
PMID:  19901006     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Criminally involved adolescents engage in high levels of alcohol-related risky sex. A theory-based sexual and alcohol risk-reduction intervention was designed, implemented, and evaluated in juvenile detention facilities. Participants and METHODS: In a randomized, controlled trial, 484 detained adolescents received 1 of 3 group-based interventions: combined sexual and alcohol risk reduction (group psychosocial intervention [GPI] + group motivational enhancement therapy [GMET]); sexual risk reduction only (GPI); or HIV/sexually transmitted disease prevention information only (group information-only intervention [GINFO]). Follow-up data were obtained 3, 6, 9, and 12 months after the intervention. Behavioral outcomes were condom-use behavior, frequency of intercourse while drinking, and alcohol-related problems. RESULTS: Condom-use behavior measured as frequency of condom use during sex (ranging from never to always) decreased over time, although the GPI and GPI + GMET interventions mitigated this tendency at the 3-, 6-, and 9-month follow-up assessments. Although both active interventions were significantly more successful than the GINFO condition and the pattern of effects favored the GPI + GMET, there were no statistically significant differences between the GPI and GPI + GMET interventions. CONCLUSIONS: Findings support the feasibility of integrating alcohol-specific sexual risk content into a theory-based sexual risk-reduction intervention and provide additional evidence that theory-based interventions are effective at reducing risky sex in this population. There was limited evidence of intervention effects on alcohol-use outcomes. Future research should focus on strengthening the GPI + GMET to most effectively target risky sexual behavior among at-risk adolescents.
Authors:
Angela D Bryan; Sarah J Schmiege; Michelle R Broaddus
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2009-11-09
Journal Detail:
Title:  Pediatrics     Volume:  124     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-01     Completed Date:  2009-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1180-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Psychology, University of New Mexico, Albuquerque, New Mexico 87131, USA. abryan@unm.edu
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00914719
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Alcoholic Intoxication / prevention & control,  psychology
Colorado
Condoms
Female
HIV Infections / prevention & control*,  psychology,  transmission
Health Education*
Health Knowledge, Attitudes, Practice
Humans
Juvenile Delinquency / legislation & jurisprudence,  psychology*
Longitudinal Studies
Male
Motivation
Outcome and Process Assessment (Health Care)
Pregnancy
Pregnancy in Adolescence / prevention & control,  psychology
Prisoners / psychology*
Psychotherapy, Group
Risk Reduction Behavior*
Sex Education
Sexual Behavior
Sexually Transmitted Diseases / prevention & control,  psychology
Unsafe Sex / prevention & control,  psychology
Grant Support
ID/Acronym/Agency:
R01 AA013844-01/AA/NIAAA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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