Adolescents are at great risk for infectious diseases including the human immunodeficiency virus (HIV). Though the CDC reports that overall AIDS incidence is on the decline, there has been no comparable decline in the number of newly diagnosed HIV cases among young people aged 13-19, and young people of color are particularly at risk. Compared to the general adolescent population, adolescents involved with the criminal justice system are at higher risk for unintended pregnancy and infections. Alcohol use is commonly cited as a reason for risky behavior among high-risk adolescents such as those involved in the criminal justice system (e.g., Morris et al., 1998) and recent data from our research suggests that it is heavy alcohol use that is most strongly related to risky behavior (Bryan, Rocheleau, & Robbins, 2002a). The goal of this research is to design, implement, and test a successful HIV/Alcohol risk reduction intervention that is theory-based, empirically targeted to adolescents, and articulated to a criminal justice setting. The study compares a risk reduction intervention that incorporates an alcohol risk reduction component to a standard risk reduction intervention and a no treatment control condition. We hope to show that: 1) A combined risk reduction intervention will result in larger decreases in risky behavior, 2) The intervention will exert effects through reductions in alcohol use and changes in other mediators derived from a theoretically-based model of intentions and behaviors, and 3) A risk reduction intervention including an alcohol component will be especially effective for those adolescents with higher levels of existing alcohol problems. Finally, if the hypotheses are supported, the long-term objective will be to disseminate the intervention curricula and materials for use in adolescent detention facilities throughout the state.

National Institute of Health (NIH)
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Research Project (R01)
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Special Emphasis Panel (ZAA1-GG (10))
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Freeman, Robert
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University of Colorado at Boulder
Other Domestic Higher Education
United States
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Ewing, Sarah W Feldstein; Schmiege, Sarah J; Bryan, Angela D (2014) Continued detention involvement and adolescent marijuana use trajectories. J Correct Health Care 20:31-44
Dealy, Bern C; Horn, Brady P; Callahan, Tiffany J et al. (2013) The economic impact of project MARS (motivating adolescents to reduce sexual risk). Health Psychol 32:1003-12
Callahan, Tiffany J; Montanaro, Erika; Magnan, Renee E et al. (2013) Project MARS: Design of a Multi-Behavior Intervention Trial for Justice-Involved Youth. Transl Behav Med 3:122-130
Schmiege, Sarah J; Feldstein Ewing, Sarah W; Hendershot, Christian S et al. (2011) Positive outlook as a moderator of the effectiveness of an HIV/STI intervention with adolescents in detention. Health Educ Res 26:432-42
Bryan, Angela D; Schmiege, Sarah J; Broaddus, Michelle R (2009) HIV risk reduction among detained adolescents: a randomized, controlled trial. Pediatrics 124:e1180-8
Schmiege, Sarah J; Broaddus, Michelle R; Levin, Michael et al. (2009) Randomized trial of group interventions to reduce HIV/STD risk and change theoretical mediators among detained adolescents. J Consult Clin Psychol 77:38-50
Schmiege, Sarah J; Levin, Michael E; Bryan, Angela D (2009) Regression mixture models of alcohol use and risky sexual behavior among criminally-involved adolescents. Prev Sci 10:335-44
Broaddus, Michelle R; Bryan, Angela (2008) Consistent condom use among juvenile detainees: the role of individual differences, social bonding, and health beliefs. AIDS Behav 12:59-67
Bryan, Angela; Schmiege, Sarah J; Broaddus, Michelle R (2007) Mediational analysis in HIV/AIDS research: estimating multivariate path analytic models in a structural equation modeling framework. AIDS Behav 11:365-83