The proposed study, a continuation o fRO1NS04820, will test the effectiveness of a brief, empirically based, culturally relevant intervention to promote sexual health in homeless adolescents.
Specific aims are to 1) examine the effects of a street-based intervention on cognitive-perceptual outcomes (i.e., knowledge, future time perspective, intention to use condoms, self-efficacy to perform breast or testicular self-examination) and behavioral outcomes (i.e., assertive communication, sexual self-care strategies, and safe sex behaviors); and 2) explore gender differences in cognitive perceptual and behavioral outcomes for participants in gender-specific comparison and intervention. A quasi-experimental repeated measures design will be used because the shared living space of potential participants renders a randomized clinical trial unfeasible. Interviews will be conducted with 444 homeless adolescents aged 16-20 years (comparison group) at three times during the first year of the study, using audio-computer-assisted survey. In the second year, an additional 444 homeless adolescents will be enrolled in a 4-week intervention, the content of which will be based on findings from the current study of sexual health practices of homeless adolescents and modified by a pilot-test of the intervention. Pre- and post-intervention data will be collected (post-tests immediately and 6 weeks following the conclusion of the intervention) and analyzed using multi-variate (MANCOVA) and univariate (general linear mixed model/GLMM) analysis of covariance models. The expected outcome is an effective, brief intervention for promoting sexual health that can be delivered to homeless adolescents in an unsheltered environment.
| Rew, Lynn; Rochlen, Aaron B; Murphey, Christina (2008) Health educators'perceptions of a sexual health intervention for homeless adolescents. Patient Educ Couns 72:71-7 |
| Rew, Lynn; Grady, Matthew; Whittaker, Tiffany A et al. (2008) Interaction of duration of homelessness and gender on adolescent sexual health indicators. J Nurs Scholarsh 40:109-15 |
| Rew, Lynn; Fouladi, Rachel T; Land, Lee et al. (2007) Outcomes of a brief sexual health intervention for homeless youth. J Health Psychol 12:818-32 |
| Horner, Sharon; Rew, Lynn; Torres, Rosamar (2006) Enhancing intervention fidelity: a means of strengthening study impact. J Spec Pediatr Nurs 11:80-9 |
| Rew, Lynn (2006) Sexual health promotion in adolescents with chronic health conditions. Fam Community Health 29:61S-9S |
| Johnson, Regina Jones; Rew, Lynn; Sternglanz, R Weylin (2006) The relationship between childhood sexual abuse and sexual health practices of homeless adolescents. Adolescence 41:221-34 |
| Johnson, Regina Jones; Rew, Lynn; Kouzekanani, Kamiar (2006) Gender differences in victimized homeless adolescents. Adolescence 41:39-53 |
| Rew, Lynn; Johnson, Regina J; Jenkins, Sandra K et al. (2004) Developing holistic nursing interventions to improve adolescent health. J Holist Nurs 22:303-19; quiz 298-302 |
| Rew, Lynn; Chambers, Kathryn B; Kulkarni, Shanti (2002) Planning a sexual health promotion intervention with homeless adolescents. Nurs Res 51:168-74 |
| Rew, Lynn; Fouladi, Rachel T; Yockey, Ronald D (2002) Sexual health practices of homeless youth. J Nurs Scholarsh 34:139-45 |
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