Online Program

Examining the impact of timing and frequency of HIV prevention program implementation during early and middle adolescence on protection knowledge and behavior

Monday, November 4, 2013

Veronica Dinaj-Koci, PhD, School of Medicine, Wayne State University, Detroit, MI
Lynette Deveaux, BA, Office of HIV/AIDS, Bahamian Ministry of Health, Nassau, Bahamas
Sonja Lunn, MBBS, Office of HIV/AIDS, Bahamas Ministry of Health, Nassau, Bahamas
Bo Wang, PhD, Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI
Xinguang Chen, PhD, MD, School of Medicine, Wayne State University, Detroit, MI
Xiaoming Li, PhD, Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Bonita Stanton, MD, Department of Pediatrics, Wayne State University, Detroit, MI
The development of sexual behaviors and increased exposure to risk behaviors prevalent throughout adolescence underscore the importance of risk prevention especially among younger populations. Few studies, however, have examined the efficacy of risk prevention programs when implemented before the onset of sexual behaviors compared to later in adolescence. The current study examined the importance of increasing protection knowledge and examined the timing and the frequency of intervention delivery. 599 Bahamian youth participated in an randomized control trial of a HIV prevention intervention, Focus on Youth in the Caribbean (FOYC) in grade six and the randomized control trial of Bahamian Focus on Older Youth (BFOOY) in grade 10. Four groups were examined, those who received 1) both treatment conditions, FOYC and BFOOY; 2) FOYC in grade six and the control intervention in grade 10; 3) the control condition in grade six and BFOOY in grade 10; and 4) both control conditions. Youth were assessed over 60 months on their sexual behaviors, intentions, perceptions and knowledge of condom-use skills. Results: Results showed that those that received both treatments had the greatest increase in condom-use skills. Youth who received only FOYC in grade six had the greatest increase in condom-use self-efficacy. Differences in behavior and intentions were not observed. These results suggest that youth receive the most protection with early and repeated exposure to interventions. Therefore, findings would suggest that educators should consider implementing HIV prevention and risk reduction programs as a fixed component of education curriculum.

Learning Areas:

Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Compare effectiveness of prevention programs administered at different developmental periods. Analyze the impact of HIV skills and knowledge obtained from HIV prevention programs on health behaviors.

Keyword(s): HIV Interventions, Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a psychology doctoral student with training in research methods and statistical methodology. I have served as data manager and research assistant on a federally funded randomized control trial of an HIV prevention intervention program. My research interests include adolescent risk behavior and behavior modification.
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.