In this proposed 5-year study the researchers will compare the effects of an Enhanced Cognitive-Behavioral (E-CB) Intervention to a Standard Care Information (SC-INFO) Condition in reducing the risk of HIV transmission (e.g., proportion of protected sexual acts, number of sex partners, use of alcohol or other drugs [ADD] proximal to sex activity) among a culturally diverse, inner city, ADD- abusing population of 440 HIV-negative adolescent offenders and 50 HIV- positive adolescent offenders.
Their specific aims are to evaluate: (1) if E-CB reduces HIV risk behaviors to a greater extent than SC-INFO; (2) if E-CB reduces AOD use to a greater extent than SC-INFO; (3) if AOD abuse may mediate the relationship between our interventions and HIV risk behaviors outcomes, (4) if key variables mediate the relationships between these interventions and HIV risk behaviors and AOD-abuse interventions and the HIV-risk behavior and AOD-abuse outcome. The exploratory aim is to evaluate effects of HIV serostatus on outcome variables. The study is significant because it addresses the urgent need to develop an effective intervention to reduce HIV risk and AOD use in a growing population of adolescent offenders court ordered into treatment. The needs of these offenders have not been addressed adequately by traditional AOD-abuse treatment programs as indicated by an extremely high rate of relapse to unsafe sex and alcohol/drug abuse. Specific features of this project that increase the probability that it will produce definitive and innovative information include: (a) the use of a standardized, psychosocial E-CB intervention which has been specifically tailored for the target population; (b) the employment of a randomized experimental design that compares subjects assigned to E-CB with those assigned to a standard care condition; (c) the timing of the intervention to occur prior to the stressful transition from inpatient to outpatient status; and (d) the inclusion of HIV-positive youths in the study and validation of an intervention that attempts to reduce risky sex and AOD-using behaviors in mixed serostatus groups.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
1R01AA011752-01A1
Application #
2712094
Study Section
AIDS and Related Research Study Section 6 (ARRF)
Project Start
1998-09-24
Project End
2002-08-31
Budget Start
1998-09-24
Budget End
1999-08-31
Support Year
1
Fiscal Year
1998
Total Cost
Indirect Cost
Name
University of Miami School of Medicine
Department
Psychiatry
Type
Schools of Medicine
DUNS #
City
Miami
State
FL
Country
United States
Zip Code
33146
McMahon, Robert C; Stanforth, Evan T; Dévieux, Jessy G et al. (2016) HIV risk behavior and internalizing/externalizing psychopathology among adolescents in court-ordered treatment. Am J Drug Alcohol Abuse 42:187-95
Lichtenstein, Bronwen; Malow, Robert (2010) A critical review of HIV-related interventions for women prisoners in the United States. J Assoc Nurses AIDS Care 21:380-94
Malow, Robert M; Kershaw, Trace; Sipsma, Heather et al. (2007) HIV preventive interventions for adolescents: a look back and ahead. Curr HIV/AIDS Rep 4:173-80
Malow, Robert M; Devieux, Jessy G; Rosenberg, Rhonda et al. (2006) Alcohol use severity and HIV sexual risk among juvenile offenders. Subst Use Misuse 41:1769-88
Malow, Robert M; Rosenberg, Rhonda; Donenberg, Geri et al. (2006) Interventions and Patterns of Risk in Adolescent HIV/AIDS Prevention. Am J Infect Dis 2:80-89
Devieux, Jessy G; Malow, Robert M; Ergon-Perez, Emma et al. (2005) A Comparison of African American and Cuban American Adolescent Juvenile Offenders: Risky Sexual and Drug Use Behaviors. J Soc Work Pract Addict 5:69-83
Lucenko, Barbara A; Malow, Robert M; Sanchez-Martinez, Mario et al. (2003) Negative Affect and HIV Risk in Alcohol and Other Drug (AOD) Abusing Adolescent Offenders. J Child Adolesc Subst Abuse 13:1-17
Kalichman, S; Stein, J A; Malow, R et al. (2002) Predicting protected sexual behaviour using the Information-Motivation-Behaviour skills model among adolescent substance abusers in court-ordered treatment. Psychol Health Med 7:327-338
Jennings, Terri E; Lucenko, Barbara A; Malow, Robert M et al. (2002) Audio-CASI vs interview method of administration of an HIV/STD risk of exposure screening instrument for teenagers. Int J STD AIDS 13:781-4
Devieux, Jessy; Malow, Robert; Stein, Judith A et al. (2002) Impulsivity and HIV risk among adjudicated alcohol- and other drug-abusing adolescent offenders. AIDS Educ Prev 14:24-35