260240 Engaging delinquent adolescents in family-based interventions

Wednesday, October 31, 2012 : 9:30 AM - 9:50 AM

Norweeta Milburn, PhD , Department of Psychiatry and Biobehavioral Sciences, UCLA Nathanson Family Resilience Center, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA
Marguerita Lightfoot, PhD , Center for AIDS Prevention Studies, University of California San Francisco, San Francisoc, CA
Background: How can the untapped potential of efficacious family interventions be maximized to prevent HIV infection among delinquent adolescents? By enhancing participation – the recruitment, engagement, and retention – of families, the effectiveness of a family intervention can be significantly strengthened. We will present how we enhanced participation. HIV prevention efforts that have specifically targeted delinquent adolescents have had limited results. Efforts that have achieved success suggest that individually focused prevention efforts need to be embedded within broader social contexts, such as the family system, to sustain behavior change. Methods: We utilized the “Families that Care: Guiding Good Choices” (GGC) program and attempted to optimize participation by developing an enhanced protocol that addressed contextual barriers for parents. Phase 1 included the development of the enhanced protocol. Phase 2 was the pilot of the enhanced protocol with African American delinquent adolescents who use drugs and their parents/guardians. Families were randomly assigned to a protocol condition (enhanced protocol and GGC or standard protocol and GGC) and monitored at 3 months. Results: The enhanced protocol included a motivational pre-session and an inspirational DVD. The content of the DVD evolved from qualitative analysis of key informant interviews and focus groups. Results from the pilot suggest the enhanced protocol improved recruitment and retention. Conclusion: Media can be used to significantly increase participation.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Describe ways to negotiate entry and build collaborations with schools that target delinquent adolescents. 2. Explain the process of working with media experts to develop intervention tools to recruit families. 3. Describe processes involved in recruiting and retaining families of delinquent adolescents.

Keywords: Adolescent Health, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because I have more than 25 years of working in the area and have a PhD in the content area.
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.