Online Program

Haitian American Responsible Teen (HART): A randomized clinical trial of a culturally-adapted curriculum for teen pregnancy and HIV prevention

Wednesday, November 4, 2015 : 1:30 p.m. - 1:42 p.m.

Nicole Prudent, MD, MPH, Department of Pediatrics, Boston University School of Medicine, Boston, MA
Mathilda Ruwe, MD, PhD, MPH, Youth and Family Enrichment Services, Boston, MA
Marie Foureau, MD, Haitian Health Institute, Boston Medical Center, Boston, MA
Dominique Dupont-Dubois, MPH, Haitian Health Institute, Boston Medical Center, Boston, MA
Joel Piton, MD, Haitian Health Institute, Boston Medical Center, Boston, MA
Lois McCloskey, DrPH, Community Health Sciences, Boston University School of Public Health, Boston, MA
Christy Benjamin, MS, Wellmet Project Inc., Cambridge, MA
Michael Gelder, MHA, Michael Gelder and Associates, evanston, IL
Youth from Haiti have been exposed to many of the risk factors for teenage pregnancy, including extreme poverty, family separation, chaotic immigration patterns, unstable homes, corporal punishment, natural disasters and other adverse childhood experiences known to impair normal physical and psychological development.  Access to culturally competent preventive services may help prevent these adverse outcomes.  With support from the Office of Adolescent Health, we conducted a randomized controlled trial of a culturally-adapted comprehensive sexual health education curriculum among youth of Haitian descent.  Haitian American Responsible Teen (HART) is an adaptation of “Becoming a Responsible Teen” (BART), an evidence-based intervention designed for African-American youth.  HART’s primary adaptations include the creation of culturally appropriate cases and discussion questions; the addition of 2 lessons on reproductive anatomy and Post Traumatic Stress Disorder (PTSD); and delivery in 2 languages (Haitian Creole and English). The comparison group received 8 lessons from a nutrition curriculum and the PTSD session.  We recruited 637 participants from 9 high schools in Metropolitan Boston and 2 community-based organizations. Self-reported survey data were collected using validated pencil-and-paper survey instruments. Rate of return of completed applications varied from 42% to 87%.  Among the students who returned completed applications, 80% or more took the pretest in all schools.  Results of pre- and post-tests and 6 and 12 month outcomes will be presented, and compared to outcomes reported for the BART intervention.  Variations in these outcomes will be discussed, including possible lessons learned in adapting a curriculum for an ethnically distinct population group.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
Evaluate the effectiveness of a youth sex education curriculum adapted for a linguistic/ethnic minority population Compare the effectiveness of an adapted youth sex education curriculum for youth of Haitian descent to that of the original curriculum designed for African-American youth

Keyword(s): Sexual Risk Behavior, Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over thirty years experience working with the Haitian American community as a pediatrician and public health practitioner. I am the principal investigator for the Haitian American Responsible Teen project and was involved in all stages of program design, implementation, and evaluation.
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.