HIV/AIDS remains a significant problem in the Caribbean in general, the Bahamas in particular. With an estimated 4% of adults infected with HIV, the Bahamas has the highest annual incidence rate of AIDS in the English speaking Caribbean. In response, investigators from the United States and the Bahamian Ministry of Health/Princess Margaret Hospital developed and implemented a theory-based, face-to-face adolescent risk reduction intervention, """"""""Focus on Youth in the Caribbean"""""""" (FOYC) which was found through two pilot-tests to significantly increase condom use among sexually active females two months post intervention and to alter the perceptions and intentions among males and females. Subsequently, in response to a request from the Bahamian Ministry of Health, the US-Bahamian research team developed a complementary parental intervention, """"""""Caribbean Informed Parents and Children Together"""""""" (CImPACT) which was designed to improve parent-adolescent communication regarding safer-sex. Feasibility testing of CImPACT demonstrated that parents could be recruited and enrolled through the schools, would participate, and could be tracked longitudinally. During the pilot testing of both FOYC and CImPACT, relevant assessment instruments were validated for use in the Bahamas. Accordingly, this proposal seeks funding to conduct a three-cell controlled, randomized trial among 900 sixth grade adolescents (ages 11 to 13 at baseline) and their parents from 15 Bahamian elementary schools to assess the differential impact on adolescent risk behavior of: 1) an adolescent risk reduction intervention plus a parent control intervention (FOYC plus control); versus 2) a combined parent and adolescent risk reduction intervention (FOYC plus CImPACT); versus 3) an attention-control for youth and parents (control plus control) to assess both short-term (six months) and long-term (12, 18, 24, and 36 months) intervention effect. The primary outcome domain will be adolescent sexual risk behavior, including a) initiation of sex, b) sex without a condom and c) protected sex. Secondary outcome domains will be substance abuse, including tobacco, alcohol and drugs, and, two sets of mediating variables: a) youth perceptions of risk and protective behaviors organized by the constructs of the guiding model of behavioral change, Protection Motivation Theory; and, b) parent and adolescent perceptions of parental monitoring and parent-adolescent communication.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH069229-03
Application #
7096637
Study Section
Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
Program Officer
Brouwers, Pim
Project Start
2004-06-01
Project End
2009-05-31
Budget Start
2006-06-01
Budget End
2007-05-31
Support Year
3
Fiscal Year
2006
Total Cost
$394,804
Indirect Cost
Name
Wayne State University
Department
Pediatrics
Type
Schools of Medicine
DUNS #
001962224
City
Detroit
State
MI
Country
United States
Zip Code
48202
Yu, Bin; Chen, Xinguang; Stanton, Bonita et al. (2018) Quantum changes in self-efficacy and condom-use intention among youth: A chained cusp catastrophe model. J Adolesc 68:187-197
Wang, Bo; Deveaux, Lynette; Lunn, Sonja et al. (2016) The influence of sensation-seeking and parental and peer influences in early adolescence on risk involvement through middle adolescence: A structural equation modeling analysis. Youth Soc 48:220-241
Stanton, Bonita; Dinaj-Koci, Veronica; Wang, Bo et al. (2016) Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School Through High School. AIDS Behav 20:1182-96
Kaljee, Linda; Wang, Bo; Deveaux, Lynette et al. (2016) Cross-sectional data on alcohol and marijuana use and sexual behavior among male and female secondary school students in New Providence, The Bahamas. Int J Adolesc Med Health 28:133-40
Dinaj-Koci, Veronica; Deveaux, Lynette; Wang, Bo et al. (2015) Adolescent Sexual Health Education: Parents Benefit Too! Health Educ Behav 42:648-53
Stanton, Bonita; Wang, Bo; Deveaux, Lynette et al. (2015) Assessing the effects of a complementary parent intervention and prior exposure to a preadolescent program of HIV risk reduction for mid-adolescents. Am J Public Health 105:575-83
Dinaj-Koci, Veronica; Chen, Xinguang; Deveaux, Lynette et al. (2015) Developmental implications of HIV prevention during adolescence: Examination of the long-term impact of HIV prevention interventions delivered in randomized controlled trials in grade six and in grade 10. Youth Soc 47:151-172
Wang, Bo; Stanton, Bonita; Deveaux, Lynette et al. (2015) Dynamic Relationships Between Parental Monitoring, Peer Risk Involvement and Sexual Risk Behavior Among Bahamian Mid-Adolescents. Int Perspect Sex Reprod Health 41:89-98
Wang, Bo; Stanton, Bonita; Knowles, Valerie et al. (2014) Sustained institutional effects of an evidence-based HIV prevention intervention. Prev Sci 15:340-9
Wang, Bo; Stanton, Bonita; Deveaux, Lynette et al. (2014) The impact of parent involvement in an effective adolescent risk reduction intervention on sexual risk communication and adolescent outcomes. AIDS Educ Prev 26:500-20

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