196003 In Charge: Improving efficacy and personalizing risk

Wednesday, November 11, 2009

Dorothy Brewster-Lee, MD, MPH , Catholic Relief Services, Baltimore, MD
Mayling Simpson-Hebert, PhD , Catholic Relief Services, Baltimore, MD
Background:Adolescents in Catholic Relief Services' (CRS) programs have accurate HIV knowledge, but have not personalized risk or demonstrated confidence to respond to risky situations. In Charge is a curriculum of five lessons for youth ages 15-24 that is unique because it uses pictures to evoke dialogue; it is wholly participatory; and through dialogue it moves youth toward certainty and empowerment. Methods:CRS implemented the curriculum in 5 Tanzanian schools with 172 participants and tested it through pre- and post- test surveys. Results: Analysis indicated that In Charge met its objectives. (a) Risk was personalized: students correctly reporting alcohol consumption as a risk factor increased from 60% to 72%; the risk of caring for people with HIV/AIDS dropped proportionately. (b) Self-efficacy improved: students stating they felt no control over life dropped from 12% to 3%; there was a corresponding 10% increase in those reporting greater control in their life (from 43% to 51%). Increases were shown in those stating they were able to resist bad influences (from 46% to 57%) and able to stand for what they believe (from 72% to 80%). Decreases were shown in those rarely able to resist bad influences (from 18% to 9%) and in those rarely able to stand for what they believe (27% to 20%). Conclusions: In Charge is successful in (a) increasing student knowledge while increasing confidence to make good decisions (b) helping students personalize risk. Personal attitudes toward self-efficacy and personal risk can produce a positive environment for positive behavior changes.

Learning Objectives:
Describe a curriculum that guides adolescents in personalizing risk from HIV and improving self-efficacy Apply methods of In Charge curriculum to the design of adolescent behavior change programs

Keywords: Curricula, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Regional Technical Advisor for HIV and AIDS
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: HIV in International Settings
See more of: HIV/AIDS